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Resources in Professionalism
The Stritch School of
Medicine (SSOM) and Loyola University Health System
are dedicated to the highest standards of medical professionalism. As part of the recent
national movement to develop educational standards in medical professionalism at the
residency and medical school levels, Loyola University Medical Center has redoubled its
efforts to foster professionalism in its faculty, residents, and medical students. Our
efforts on the medical school level involved forming a multidisciplinary committee to
examine all aspects of professionalism in medical school education (see "Final
Report" below). This will result in the creation of a Fourth Year required curriculum
in Business, Professionalism, and Justice that will cover all aspects of the economics of
medicine and the challenges these systemic pressures pose to a profession of service (More
details about this curriculum will be available on this page in future months).
As should be clear from these first two
efforts, because Loyola is a Jesuit and Catholic institution, we interpret
professionalism in the light of social justice that is so deeply rooted in
our tradition.
On the clinical level, medical professionals
must also be leaders within a team environment. As a result, many of our
efforts are being directed to fostering communication, team building, and
conflict management skills. The
Innovations in Leadership Program, which brings together faculty, residents,
nurses and medical students
in a four-week skill-building exercise is in its third year. The culmination of this program is a series of
application projects in which these institutional leaders help to pass their new skills
along to other members of the LUMC community. To inaugurate this highly interactive
program, we have brought distinguished guests to our campus. Dr. David Nahrwold
was the first of a variety of resources that follow below.
Video: October 25, 2001, Ethics Grand Rounds at the
Stritch School of Medicine
Title: "The Competitive Edge: Professionalism and Communication in
Medicine"
Speaker: David L. Nahrwold, M.D., President, American Board of Medical Societies
Video: January 11, 2002 Justice, Professionalism and
Health Care Lecture
Title: "Health Care Reform: Its Status and Prospects"
Speaker: Ezekiel J. Emanuel, M.D., Ph.D., Director, Bioethics Program at the
National Institutes of Health, Bethesda, MD
Final Report of the SSOM Ad Hoc Committee on
Professionalism
Noteworthy Links
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The ACGME Outcome
Project (http://www.acgme.org/outcome)
This project delineates the required competencies that every graduate medical education
program must address. They have done some groundbreaking work in fostering competency in
medical professionalism. The site also includes a partial listing and analysis of tools
used by medical educators in the field to assess professionalism. See also the
October 2001 issue
 of the ACGME
Bulletin posted on the site. It contains the article by Mark Kuczewski, PhD,
"Developing Competency in Professionalism: The Promise and the Pitfalls."
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Project
Professionalism of the American Board of Internal Medicine (ABIM)
(http://www.abim.org/pubs/p2/index.htm)
A highly important project to help define and assess competency in medical
professionalism. Among its many resources are some "Vignettes on
Professionalism" that can be used for teaching purposes.
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Medical
Professionalism Project
MPP is a jointly sponsored ABIM Foundation/ACP-ASIM Foundation project to raise the
concept of professionalism within the consciousness of internal medicine, both in the
United States and Europe. The site contains an extensive bibliography.
Selected Bibliographies
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Mark G. Kuczewski, Eva Bading, Mary Langbein, Beverly Henry
(2003), Educating for Professionalism: The Loyola Model, Cambridge Quarterly of
Healthcare Ethics, 12(2): 161-166.
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Matt Weinberg,
"Medical Professionalism
and the Role of State Boards". Journal of Medical Licensure and
Discipline, 88(4):146-154, 2002.
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ABIM Foundation,
ACP-ASIM Foundation, European Federation of Internal Medicine, "Medical
Professionalism in the New Millenium: A Physician Charter," Annals of Internal
Medicine, 136(3): 243-246, 2002.
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ABIM Foundation,
ACP-ASIM Foundation, European Federation of Internal Medicine, "Medical
Professionalism in the New Millenium: A Physician Charter," Annals of Internal
Medicine, 136(3): 243-246, 2002.
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Mark G. Kuczewski, "Developing Competency in
Professionalism: The Promise and the Pitfalls,"
ACGME Bulletin, October 2001.
Note, the hyperlink leads to a file in Adobe PDF format.
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Delese Wear, Janet Bickel (eds), Educating for
Professionalism: Creating a Culture of Humanism in Medical Education, University of Iowa
Press, 2000.
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David J. Rothman, "Medical Professionalism -- Focusing
on the Real Issues," New England Journal of Medicine, 342(17): 1284-1286, 2000.
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Sylvia R. Cruess, Richard L. Cruess, “Professionalism:
A Contract between Medicine and Society,” Canadian Medical Association
Journal, 2000;162:668-669.
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Shipra Ginsburg, Glenn
Regehr, Rose Hatala, Nancy McNaughton, Alice Frohna, Brian Hodges, Lorelai Lingard, David
Stern, "Context, Conflict, and
Resolution: A New Conceptual Framework for Evaluating Professionalism,"
Academic
Medicine, 2000;75(10): S6-11.
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Edmund D. Pellegrino, “Medical
Professionalism: Can It, Should It, Suvive?” Journal of the American Board of
Family Practice, 2000;13(2):147-149.
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Herbert M. Swick. “Toward a Normative Definition of Medical
Professionalism,” Academic Medicine, 2000;75:612-616.
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Matthew Wynia, Stephen Latham, Audiey Kao, Jessica Berg,
Linda Emanuel, "Medical Professionalism in Society," New England Journal of
Medicine, 341(21): 1612-1616, 1999.
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William M. Sullivan,
“What's Left of Professionalism after Managed Care?” Hastings Center Report,
1999;29:7-13.
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David Stern, “Practicing What We Preach? An Analysis of the Curriculum of Values in Medical
Education,” American Journal of Medicine, 1998;104(6):569-575.
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Jennifer Giaquinto Shreves, Alvin H Moss, "Residents'
Ethical Disagreements with Attending Physicians: An Unrecognized Problem," Academic
Medicine, 71(10): 1103-1105, 1996.
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Chris Feudtner, Dimitri A Christakis, Nicholas A Christakis,
"Do clinical clerks suffer ethical erosion? Students' perceptions of their ethical
environment and personal development," Academic Medicine, 69(8):670-679, 1994
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Edmund D. Pellegrino, David C. Thomasma, For the Patient's
Good: The Restoration of Beneficence in Health Care, New York: Oxford University Press,
1988.
Please send additional suggestions for
this site to mkuczew@lumc.edu
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