The physician and professionalism today: challenges to and strategies for ethical professional medical practice

Unger, Jean-Pierre; Morales, I.; Paepe, Pierre De; Roland, Michel

doi:10.1186/s12913-020-05884-1

Cited by 10 publications

(3 citation statements)

References 15 publications

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“…Medical practice challenges refer to the ongoing need for the physician to keep up to date with medical knowledge and maintain ethical practice. 2 , 3 Organisational challenges include managing human resources, clinical privileging, clinical governance and improving cost-efficiency. 4 , 5 Health system challenges include the triple aim (cost, access and quality) and managing the supply and demand of health professionals and services.…”

Section: Introductionmentioning

confidence: 99%

Review: Medical directors – Is there a need for reform?

Al-Alawy,

Moonesar

2024

SAGE Open Medicine

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Medical leadership remains integral to the health system amidst a growing burden of ill health and disease, rising patient expectations and medical and technological advancements. The study objectives were to (a) provide a perspective through a rapid review of medical director roles and responsibilities in public and private hospital settings across several Organisation for Economic Co-operation and Development (OECD) and Non-Organisation for Economic Co-operation and Development countries, and (b) provide recommendations on how health system performance could be strengthened. A rapid review of Medical Director job descriptions in public and private hospitals was carried out. Medical Directors are influential leaders in organisational decision-making and quality improvement; however, their role has shifted from clinical oversight to several managerial and leadership roles. We report some variation in their role and responsibilities, in the ‘intensity of job requirements’ and ‘complexity of managing resources’ dimensions. The changing expectations of medical directors and the variation in their roles and responsibiliteis may contribute to inefficiencies and misalignment within health systems. There may be a need to pursue reform to assure alignment with health system objectives, albeit reform may require different approaches to meet the needs of different health systems. Further research is needed to explore how reform of medical directors’ roles and responsibilities can be quantified to demonstrate improvement within health systems.

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Section: Introductionmentioning

confidence: 99%

Review: Medical directors – Is there a need for reform?

Al-Alawy,

Moonesar

2024

SAGE Open Medicine

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“…Background: Physicians, and medical students' issues concerning their character or professionalism, which have been continuously published in the media for decades [1][2][3], is the hot potato we have to face bluntly. As a medical educator, going back to the basics means mirroring ourselves whether we are doing an excellent job in educating and bring up 'good doctors'.…”

Section: Introductionmentioning

confidence: 99%

“…Issues regarding physicians’ medical students’ character and professionalism have been discussed in the media for decades [ 1 - 3 ] and are an urgent issue that we must face directly. As medical educators, going back to the basics means reflecting on whether we are doing the best possible job of educating and training “good doctors”.…”

Section: Introductionmentioning

confidence: 99%

Definition of character for medical education based on expert opinions in Korea

Hur

2021

J Educ Eval Health Prof

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Purpose: As a follow-up study, it focused on 3 overarching questions: first, what kind of keywords can be extracted from the experts’ definitions of character?; second, what is the operational definition of character for medical students?; and third, what are the possible solutions suggested to the issues of character education that were found in the previous study? Methods: Sixty-three medical education experts through expert sampling method and an addition of 19 non-medical education experts through snowball sampling method answered the questionnaire. It consisted of 3 major questions of the study. The responses were analyzed for descriptive statistics with supplementary keyword extraction tools including Cortical and Monkey keyword extractor. Results: A total of 93 statements of definition were counted, and a total of 138 keyword terms were extracted. The top 5 keyword terms mentioned by the medical education experts were 'patient', 'empathy', 'qualities', 'attitude', and 'ability'. These keyword terms were quite different from the keywords mentioned by the non-medical education expert group. Based on the extracted keywords, an operational definition of character education by the medical education expert group was presented as follows: The basic qualities and ability to empathize with the patient's illness based on respect for patients and others. Various methods were proposed to solve the issue of character education, and many of them pointed to curriculum development, such as improvement of teaching and learning methods and evaluation methods, including role modeling.Conclusion: A clear statement of the concept of character education is the start to resolve issues of character education. Character education improvements will be possible at the institutional level according to the above results.

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