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10 - The Relationship between Teaching Professionalism and Licensing and Accrediting Bodies

Published online by Cambridge University Press:  01 September 2009

Richard L. Cruess
Affiliation:
McGill University, Montréal
Sylvia R. Cruess
Affiliation:
McGill University, Montréal
Yvonne Steinert
Affiliation:
McGill University, Montréal
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Summary

INTRODUCTION

The essential character of a profession is that its members have specialized knowledge and skills, which the public will wish to use. Medical regulation in its various forms – licensure, certification, and accreditation in particular – is therefore the means through which the state makes sure that the public is served by doctors who are well trained and completely up to date, and who are therefore competent, show sound judgment, are ethical, and are capable of making and sustaining good relationships with patients. In some countries, for example, the United States and British Commonwealth, the state has delegated part of its responsibility to organizations within the medical profession through the principle of self-regulation. By definition self-regulation is therefore a privilege granted by the state that has to be earned and constantly justified. It is not the right that some doctors think it is.

Medical professionalism has been defined as a set of values, behaviors, and relationships that underpins the trust the public has in doctors. Professional regulation, which is founded on the values and standards of practice of the day, may therefore be seen as a formal expression of doctors' professionalism and the basis for the profession's “social contract” with the public. Medical education is the principal (but not the only) means whereby such values and standards are taught, learnt, digested, internalized, and continuously refreshed at all stages in a doctor's career.

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Publisher: Cambridge University Press
Print publication year: 2008

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References

,Secretary of State for Social Services. Report of the Committee of Inquiry into the regulation of the medical profession. Chairman Dr A W Merrison. Cmnd 6018. London: HMSO; 1975.Google Scholar
Irvine, DH. Everyone is entitled to a good doctor. Abridged version of the 30th William Osler lecture delivered at McGill University, Montreal, 2006. MJA. 2007;186(5):256–61.Google Scholar
Irvine, D. The performance of doctors. I: Professionalism and self-regulation in a changing world. BMJ. 1997;314(7094):1613–5.CrossRefGoogle Scholar
Freidson, E. Professionalism Reborn: Theory, Prophecy, Policy. Cambridge: Polity Press; 1994.Google Scholar
Stacey, M. Regulating British Medicine: The General Medical Council. Chichester (UK): Wiley; 1992.Google Scholar
,Royal College of Physicians of London. Doctors in society: medical professionalism in a changing world. Report of working party on medical professionalism. London: Royal College of Physicians; 2005.Google Scholar
Cruess, SR. Professionalism and medicine's social contract with society. Clin Ortho Relat Res. 2006;449:170–6.Google ScholarPubMed
Cruess, RL, Cruess, SR, Johnston, SE. Professionalism: an ideal to be sustained. Lancet. 2000;356(9224):156–9.CrossRefGoogle ScholarPubMed
Lynch, D, Leach, DC, Surdyk, PM. Assessing professionalism for accreditation. In Stern, DT, editor. Measuring Medical Professionalism. New York: Oxford University Press; 2006: 265–80.Google Scholar
Klein, R. Regulating the Medical Profession: Doctors and the Public Interest. Healthcare 1997/1998. London: Kings Fund; 1998.Google Scholar
,The Shipman Inquiry. Safeguarding Patients: Lessons from the Past, Proposals for the Future. Chairman Dame Janet Smith. London: Stationery Office; 2004.Google Scholar
Gerteis, M, Edgman-Levitian, S, Daley, J, Delbanco, T L. Through the Patient's Eyes: Understanding and Promoting Patient Care. San Francisco: Jossey-Bass; 1993.Google Scholar
Chisholm, A, Cairncross, L, Askham, J. Setting Standards: The Views of Members of the Public and Doctors on the Standards of Care and Practice They Expect of Doctors. Oxford: Picker Institute Europe; 2006 [cited May 22, 2006]. Available from: www. pickereurope.org/Filestore/Publications/Setting_Standards_with_ISBN_web.pdf.Google Scholar
Coulter, A. What do patients and the public want from primary care?BMJ. 2005;331:1199–201.CrossRefGoogle ScholarPubMed
Hasman, A, Graham, C, Reeves, R, Askham, J. What Do Patients and Relatives See as Key Competencies for Intensive Care Doctors?Oxford: Picker Institute Europe; 2006 [cited May 22, 2006]. Available from: www.pickereurope.org/Filestore/Publications/CobatriceFull_report_with_isbn_web_(2).pdf.Google Scholar
Wensing, M, Jung, HP, Mainz, J, Olesen, F, Grol, R. A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain. Soc Sci Med. 1998;47:1573–88.CrossRefGoogle ScholarPubMed
Bendapudi, NM, Berry, LL, Frey, KA, Parish, JT, Rayburn, WL. Patients' perspectives on ideal physician behaviours. Mayo Clin Proc. 2006;81:338–44.CrossRefGoogle Scholar
Ellins, J, Coulter, A. How Engaged Are People in Their Health Care? Findings of a national telephone survey. London: The Health Foundation; 2005 [cited May 22, 2006]. Available from: www.pickereurope.org/Filestore/Publications/Patient-Activation-Survey.pdf.Google Scholar
Coulter, A, Ellins, J. Patient-Focused Interventions: A Review of the Evidence. London: The Health Foundation; 2006 [cited May 22, 2006]. Available from: www.pickereurope.org/Filestore/Publications/QEI_Review_AB.pdf.Google Scholar
,IPSOS-MORI. Attitudes to Revalidation and Regulation of Doctors. London: Department of Health; 2005 [cited November 27, 2007]. Available from: www. ipsos-mori.com/polls/2005/pdf/doh.pdf.Google Scholar
Coulter, A. Engaging Patients in Their Healthcare: How Is the UK Doing Relative to Other Countries?Oxford: Picker Institute Europe; 2006 [cited May 22, 2006]. Available from: www.pickereurope.org/Filestore/Publications/Six_country_study_ with_ISBN_web.pdf.Google Scholar
,College of Physicians and Surgeons of Ontario. Revalidation consultation summary. April 7, 2006 [cited May 22, 2006]. Available from: www.cpso.on.ca/Whats_New/RevalConsultApr06.pdf
,The Gallup Organisation for the American Board of Internal Medicine. Awareness of and Attitudes towards Board/Certification of Physicians. Princeton (NJ): The Gallup Organisation; 2003.Google Scholar
Irvine, DH. The Doctors' Tale: Professionalism and Public Trust. Oxford: Radcliffe Medical Press; 2003.Google Scholar
Irvine, D. A short history of the General Medical Council. Med Educ. 2006;40: 202–11.CrossRefGoogle Scholar
,Bristol Royal Infirmary Inquiry. Learning from Bristol: the report of the public inquiry into children's heart surgery at the Bristol Royal Infirmary 1984–1995. Chairman Sir Ian Kennedy. London: Stationery Office; 2001.Google Scholar
,Institute of Medicine. Crossing the Quality Chasm. Washington (DC): Institute of Medicine; 2001.Google Scholar
Donaldson, L. Chief Medical Officer. Good Doctors, Safer Patients. London: Department of Health; 2006.Google Scholar
,American Board of Internal Medicine Foundation. Physicians' Charter. Philadelphia: American Board of Internal Medicine Foundation; 2004.Google Scholar
,General Medical Council. Good Medical Practice. 4th ed. London: General Medical Council; 2006 [cited June 5, 2007]. Available from: www.gmcuk.org/guidance/good_medical_practice/GMC_GMP.pdf.Google Scholar
,Royal College of Physicians and Surgeons of Canada. CanMEDS 2000 project. Ottawa: RCPSC; 1996. http://rcpsc.medical.org/canmeds/index.php (Accessed June 5, 2007).Google Scholar
,National Alliance for Physician Competence. Good medical practice-USA. Version 0.1 August 15, 2007. National Alliance for Physician Competence; 2006 [cited November 27, 2007]. Available from: www.gmpusa.org.
Chisholm, A, Askham, J. A Review of Professional Codes and Standards for Doctors in UK, USA and Canada. Oxford: Picker Institute Europe 2006 [cited June 5, 2007]. Available from: www.pickereurope.org/Filestore/Publications/PCP_codes_ with_ISBN_for_web.pdf.Google Scholar
Allsop, J, Jones, K. Quality assurance in medical regulation in an international context. University of Lincoln; 2005 [cited November 27, 2007]. Available from: www.lincoln.ac.uk/policystudies/Research/docs/CMOReport.pdf.Google Scholar
Lipner, RS, Bylsma, WH, Arnold, GK, Fortna, GS, Tooker, J, Cassel, CK. Who is maintaining in certification in internal medicine — and why? A national survey 10 years after initial certification. Ann Intern Med. 2006;144:29–37.CrossRefGoogle Scholar
Sutherland, K, Leatherman, S. Does certification improve medical standards?BMJ. 2006;333:439–41.CrossRefGoogle ScholarPubMed
Hafferty, F.Measuring professionalism: a commentary. In Stern, DT, editor. Measuring Medical Professionalism. Oxford (UK): Oxford University Press; 2006:281–302.Google Scholar
Cruess, RL. Teaching professionalism: theory, principles, and practices. Clin Orthop Relat Res. 2006;449:177–85.Google ScholarPubMed
Cohen, JJ. Professionalism in medical education, an American perspective: from evidence to accountability. Med Educ. 2006;40(7):607–17.CrossRefGoogle ScholarPubMed
Coulehan, J. Today's professionalism: engaging the mind but not the heart. Acad Med. 2005;80(10):892–8.CrossRefGoogle Scholar

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