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The Professional SAS Doctor. Dr Maire Shelly Associate Postgraduate Dean North Western Deanery. Welcome. Why are you here?. What is Medical Professionalism?. Medical Professionalism. - PowerPoint PPT Presentation
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The Professional SAS Doctor
Dr Maire ShellyAssociate Postgraduate DeanNorth Western Deanery
Medical Professionalism
We all want good doctors. We want our doctor to be honest, properly skilled, fully up to date, to inform us, to take account of our preferences and to treat us with dignity and respect. Such a doctor we can trust. Equally we want to be confident that the medical profession is making sure that these standards of good practice are observed by all doctors, everywhere. This is the heart of patient-centred professionalism.
Picker Institute
Medical Professionalism - Definition
Medical professionalism signifies a set of values, behaviours and relationships that underpins the trust the public has in doctors.
Medical Professionalism - Description
Medicine is a vocation in which a doctor’s knowledge, clinical skills, and judgment are put into the service of protecting and restoring human well-being. This purpose is realised through a partnership between patient and doctor, one based on mutual respect, individual responsibility and appropriate accountability.
Medical Professionalism - DescriptionIn their day-to-day practice, doctors are committed to: integrity, compassion, altruism, continuous improvement, excellence and working in partnership with members of the wider healthcare team.These values, which underpin the science and practice of medicine, form the basis for a moral contract between the medical profession and society. Each party has a duty to work to strengthen the system of healthcare on which our collective human dignity depends.
Royal College of Physicians
Good Medical Practice
• Good medical care• Maintaining good medical practice• Teaching and learning, appraising and
assessing• Relationships with patients• Working with colleagues• Probity• Health
NCAS Professional Domains
• Competence
• Personal relationships
• Managing professional boundaries
• Consistency and reliability of practice
• Reflection and learning
• Commitment to service
• Leadership and integrity
Case StudyDiabetic clinical team:
7 consultants, 5 SAS doctors, 6 trainees4 Specialist nurses, 1 nurse educator
Experienced Nurse Consultant (NC) recruited 18 months ago. New post, one of 12 in the Trust. High degree of autonomy, mark of success is development of new practices and partnership working. NC manages caseload supporting targets in NSF for diabetes.
NC to enhance the MDT – communications, documentation and referral system to specialist nurses. Conflict with some consultants (divided opinion about value of role). Difficulty implement care pathways causes conflict with Matron and wider team members who think they are being bypassed and undervalued. Other problems:
• MDT meetings are tense and argumentative• Consultants undermine NC clinical opinion• MDT meetings arranged when NC is unable to attend and his clinical care is discussed
and criticised• Trainees comment that they enjoy NC teaching but interrupted by arguments in OPD• SAS doctor on sick leave• Open gossip and speculation that not everybody is doing their share
What are the challenges of this situation?How does this relate to professionalism?
Professionalism
• Competence
• Personal relationships
• Managing professional boundaries
• Consistency and reliability of practice
• Reflection and learning
• Commitment to service
• Leadership and integrity
Useful Documents
• Good Medical Practice, GMC, 2009
www.gmc-uk.org• On Being a Doctor:, Kings Fund, 2004
www.kingsfund.org.uk• Doctors in Society:, RCP, 2005
www.rcplondon.ac.uk• Professionalism – dilemmas and lapses,
NCAS, 2009
www.ncas.npsa.nhs.uk