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Introduction to Medical Professionalism
Assoc. Prof. Dr Nor Azwany Yaacob
Chairperson Personal & Professional Development Program
Department of Community Medicine
Learning outcomes
1. understand the principle ofmedical professionalism
2. relate medical professionalismwith medical ethics
Why are medical doctors professional?
What is your profession?“ I am a medical doctor”
Which one illustrate professionals?
WHY?
Are doctors involved in all this?
Code of Conduct
Concept • Altruism: desire to help, not selfish
• Integrity: quality of being honest
• Responsible: accountable
• Respect:
What is the expectation of a doctor to act professionally with patient?
What is the expectation of a doctor to act professionallywith fellow colleagues?
Introduction Bioethics
Medical ethics
Health care ethics
Clinical ethics
Public Health ethics
Health research
ethics
Doctor-patient
Public health Doctor-community
Other health care providers
Medical ethics• How a medical practitioner should behave
– behavior considered correct by members of the profession
– for the goodness of both the patient and profession
Patient’s trust
Ethical professional conduct• Who is an ethical doctor?
– Moral reasoning of action
– Morality refers to social norms
• Distinguish right or wrong
• Medical Ethics – professional moral conduct
“Ethics is a common sense which will make sense to those who have sense or else he/she becomes
nonsense!”
Culture & Tradition outlined Ethics
The 4 pillars of medical ethics
Autonomy JusticeBeneficence Non-Maleficence
Self control of oneself
Fair?The best Do no HARM
Autonomy
• The right to control what happens to their bodies.
– can refuse or accept treatments, drugs, and surgeries.
– IF well-informed, competent adult and rational.
• MUST be respected by everyone
– even if those decisions aren’t in the best interest of the patient.
• Confidentiality :Doctor must protect patient’s privacy
Beneficence
• Medical care aim to improve patient’s health
– Patients right to get the best care
– Doctors responsibility to provide best care
• Keep up-dated with current medical knowledge & continually improve his skills
Non-maleficence
• should not recommend nor administer any harmful material
• should deliver help regardless of the financial ability, ethnic origin or religious belief of the patient.
Justice
• be as fair as possible when
– offering treatments to patients
– allocating scarce medical resources
Essence of medical ethics
• Professional code of conduct and ettiqutte
• Effective communication
• Caring personality, humanity & empathy
• Cross cultural ethics & social equity
Ethical competencies in clinical setting
Clinical application-informed consent-Communication in
various group-Disclosure
-Decision makingConfidentiality
Principle of ethics
Be honestBe reliable
Have courage to do right thingBuild a good reputation
Treat others with respectBe tolerant of differences
Use good manners, not bad languageBe considerate of the feelings of others
Don’t threatened or hurt anyoneDeal smartly with anger, & disagreements
Do what you supposed to doPersevere. Keep on trying
Always do your bestUse self-control, be self discipline
Think before you act. Consider consequences
Be accountable to your choice
Listen to othersDon’t take advantage of
othersDon’t blame others carelessly
Be kindBe compassionate &
show you careExpress gratitude
Forgive othersHelp people in need
Patient care
Empathy
Rights
Insight.
.
.
.
.
Communication
MEDICAL
Importance of ethical standardDoctors
Cure sometimes, Relieves often, Comfort always
Values of good communication –Trust, accountability, respect, fairness
Gain public trust – gain support, more effective intervention
Social responsibilityCompliance to law
Your words has its own healing power
What is expected from a doctor?
Do the best for their patient
Caring
Guard patient’s privacy
Talk nicely
Has empathy
People don’t care how much you knowUntil they know how much you care…
“Ethics is a common sense which will make sense to those who have sense or else he/she becomes
nonsense!”