Clinical professionalism is a set of values, behaviours and relationships which underpins the public’s trust in healthcare providers both as individuals and organisations. ‘First, do no harm’ is expressed most clearly today in the patient safety movement and the imperative for transparency and candour in the delivery of healthcare. Professional conduct is essential for safe and high quality clinical care.
The ABC of Clinical Professionalism considers recent evidence on how healthcare practitioners maintain professionalism including how values are developed and affected by the working environment, the challenges of maintaining personal and organisational resilience and the ethical and regulatory framework in which practice is conducted. Topics covered include:
- Acquiring and developing professional values
- Patient-centred care
- Burnout and resilience
- Confidentiality and social media
- The culture of healthcare
- Ensuring patient safety
- Leadership and collaboration
- Ethical and legal aspects of professionalism
- Teaching and assessing professionalism
- Regulation of healthcare professionals
The chapter authors come from a range of countries and have experience of working in multidisciplinary clinical teams, research, and in the training of future healthcare practitioners including their development as professionals.
Author(s): Nicola Cooper, Anna Frain, John Frain
Series: ABC Series
Publisher: Wiley-Blackwell
Year: 2018
Language: English
Pages: 93
City: Hoboken
Cover
Title Page
Copyright
Contents
Contributors
Preface
Chapter 1 Why Clinical Professionalism Matters
Introduction
Formation of professions and the duty of care
So what is ‘clinical professionalism’?
The public’s perspective
What of students?
Role-modelling
Lapses of professionalism
The culture of healthcare
Professional burnout and suicide
Conclusions
Further reading/resources
Chapter 2 Acquiring and Developing Professional Values
Introduction
Professionalism as a competency
The development of professional identity
The traditional apprenticeship
Role models
The hidden curriculum
Barriers to developing professional values
Reflection and professional development
Inter-professional collaboration and professionalism
Self-care in the maintenance of professionalism
Conclusions
Further reading/resources
Chapter 3 Patient-Centred Care
Clinician-centred care
The evolution of patient-centred care
Communication skills
Listening
Empathy
Using everyday language
Consent to examination and treatment
Reflective practice
Values-based practice
Fostering patient-centred care
Shared decision-making
Conclusions
Further reading/resources
Chapter 4 Burnout and Resilience
Definitions
Resilience
Resilience and mental health disorders
Medical students and burnout
Professional distress
The impact of burnout on patients
Causes of distress
Support mechanisms
Conclusions
Further reading/resources
Chapter 5 Confidentiality and Social Media
Confidentiality – background
Social media – background
Benefits and risks of social media use for clinicians
Confidentiality violations on social media – prevalence
Confidentiality violations on social media – examples
Confidentiality violations – legal, professional and ethical considerations
Appropriate posts on social media
Recommendations from professional organisations
General Medical Council’s Good Medical Practice
American College of Physicians and Federation of State Medical Boards
American Medical Association
Nursing and Midwifery Council (UK)
Top tips for posting on social media sites
Conclusions
Further reading/resources
Chapter 6 The Culture of Healthcare
Introduction
What is culture?
What about hierarchies and power in medicine?
How do we experience medical culture?
The physical environment
The body
Institutional slang and derogatory humour
Institutional policies
How can medical culture be improved?
Conclusions
Acknowledgements
Further reading/resources
Chapter 7 Ensuring Patient Safety
Introduction
What is ‘patient safety’?
Understanding why things go wrong
Reporting and learning systems
Just culture versus blame culture
Professionalism and patient safety
Conclusions
Further reading/resources
Chapter 8 Leadership and Collaboration
Introduction
Working collaboratively
Leading collaboratively
Self-awareness and self-insight
Communication
Teamwork
Dysfunctional collaboration
Collaboration, change and complexity
Further reading/resources
Chapter 9 Ethical and Legal Aspects of Professionalism
Introduction
Why bother with ethics if you can just do what the Law and professional guidelines say?
Recognising the Law applied to healthcare
Case Law, consent and capacity
Ethics and professional boundaries
Inter-professional ethics
Probity and professionalism – what does this mean?
Further reading/resources
Chapter 10 Teaching and Assessing Professionalism
Introduction
Becoming professional
The curriculum
Barriers to learning
Assessments
Good assessments are valid, reliable, practical, acceptable and defensible
Assessments: formative or summative?
Assessments: subjective or objective?
Conscientiousness Index
Failure to fail
Selection
Further reading/resource
Chapter 11 Regulation of Healthcare Professionals
Introduction
Regulatory frameworks
Definition of fitness to practise
Sources and number of complaints
Separation of powers
The investigation process
Interim orders
Fitness to practise hearing and adjudication
Impairment
Sanctions
Revalidation
International factors
Further reading/resources
Recommended Books, Articles and Websites
For students and teachers
Academic
Websites (all accessed April 2017)
Index
EULA
