Key Principles in Medical Professionalism

Part of becoming and being a physician is understanding both the power and the responsibility that comes with joining the Medical Profession.

The basis of Medical Professionalism is the social contract between Medicine and Society. This means that Society has granted physicians the privileges of practicing medicine as a Profession, including holding authority in matters of healthcare, having the autonomy to set and uphold standards of care, and enjoying certain socioeconomic privileges. In return, physicians agree to affirm those principles, duties, and virtues that undergird the highest quality of care for the well-being of patients and Society. Professional values and duties have been articulated by various professional organizations and include those excerpted from the following documents:

  Medical Professionalism in the New Millennium: A Physician Charter Project of the American Board of Internal Medicine Foundation, American Colleges of Physicians – Society of Internal Medicine Foundation and European Federation of Internal Medicine

 
  PRINCIPLES SET OF PROFESSIONAL RESPONSIBILITIES  
  Primacy: patient welfare
Patient autonomy
Social justice
Commitment to professional competence
Commitment to honesty with patients
Commitment to confidentiality
Commitment to maintaining appropriate pt relations
Commitment to improving quality of care
Commitment to improving access to care
Commitment to just distribution of finite resources
Commitment to scientific knowledge
Commitment to maintaining trust / managing COIs
Commitment to professional responsibilities
 

 

  The American Association of Medical College's Medical School Objectives Project
(also adopted by Liaison Committee on Medical Education)

 
  PHYSICIAN ATTRIBUTES    
  Altruism
Compassion
Empathy
Understand historical social contract
Integrity
Honesty
Respect for patient privacy
Respect for patient dignity
Seek to understand patient's meaning and values
Non-judgmentalism
Care for the dying
Knowledge of clinical ethics
Manage conflicts of interest
Team collaboration
Patient advocacy
Recognize / transcend personal limitations in clinical knowledge and skills
 

 

  Accreditation Council for Graduate Medical Education's Outcome Project on Advancing Professionalism in Medical Education

   
  Respect
Compassion
Integrity
Responsiveness to needs patients & society; supersedes self-interest
Commitment to professional excellence and development
Commitment to principles of clinical ethics
Sensitivity and responsiveness to pts' culture, age, gender, disabilities
Ability to meet relationship-centered expectations required for competence, including: patient-physician relationship, community-physician relationship, healthcare system-physician relationship, physician-physician relationship, self-physician relationship.
   

 

Contact Information
Steven Rosenzweig, M.D.
Director of Professionalism Curriculum
steven.rosenzweig@drexelmed.edu
215-991-8530