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Professionalism and Revalidation

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All leading to professionalism ... Integrity Compassion Altruism Continuous improvement Excellence Working in partnership with members of the wider healthcare team ... – PowerPoint PPT presentation

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Title: Professionalism and Revalidation


1
Professionalism and Revalidation
  • Day release 3/11/09

2

3
Perspectives
  • Professional men they have no cares whatever
    happens they get theirs

  • Ogden Nash
  • All professions are conspiracies against the
    laity

  • George Bernard Shaw
  • Pearly gates

4
TASK!
  • Professionalism what do you understand by it?
  • List describe attributes or qualities
    which make up professionalism
  • Come up with a definition of professionalism
  • What do you think the public understands by
    professionalism?

5
Professionalism-what is it?
  • Medical professionalism signifies a set of
    values, behaviours, and relationships that
    underpins the trust the public has in doctors
  • Medicine is a vocation in which a Drs knowledge,
    clinical skills, and judgement, are put in the
    service of protecting and restoring human
    well-being. This purpose is realised through a
    partnership between patient Dr, one based on
    mutual respect, individual responsibility,
    appropriate accountability

  • Royal College of Physicians 2005


6
  • In their practice, Drs are committed to
  • Integrity
  • Compassion
  • Altruism
  • Continuous improvement
  • Excellence
  • Working in partnership with members of the wider
    healthcare team

  • RCP 2005

7
Whats in a word?
  • Professional
  • Opposite of amateur-paid
  • Military-ruthless efficiency
  • Hitman-as above
  • Sport-professional foul

8
Hippocrates
  • father of medicine
  • Practised around 420BC
  • Closed societies on island of Cos-medicine
    competed
  • Oath contains elements of the Dr as an altruistic
    healer
  • Also reinforces idea of the closed shop-mysteries
    of health only to be known by the privileged few

9
North America
  • Defines professionalism in education practice
  • Since 1999 all specialist training has
    incorporated professionalism as a core competency

10
NHS report by the National Clinical Assessment
Service 2009
  • Professionalism is comprised of 6 domains
  • Competency encompassing knowledge, skills
    ethics, their application in practice
  • Personal relationships communication,
    teamworking
  • Professional boundaries awareness, conflicting
    roles, friends
  • Consistency reliability of practice mistakes
    (no. or judgement)
  • Reflection learning for the Dr delegated
    tasks
  • Commitment to service private behaviour,
    personal beliefs

11
Ct
  • In conclusion, professionalism is more than
    being competent must
  • cover all domains as well as leadership
    integrity it should be embedded
  • in policy, standards guidelines to ensure
    compliance. Managing
  • perceived deficiencies in professionalism
    requires expertise, a
  • structured, transparent process, paying proper
    regard to the rights of all
  • involved, who themselves should receive the
    support they need

  • NCAS 2009

12
Professionalism under threat
  • Due to
  • Incidents-Bristol, Shipman
  • Expectations-public, government, new developments
  • Demand-politics, population changes, innovations
  • Managerial control-strategies, targets, budgets
  • Teamworking-loss of control, appropriate
    delegation
  • Legislation-working hours, equality diversity

13
(No Transcript)
14
Licensure
  • A regulative bargain whereby
  • Society grants the profession autonomy in return
    for the profession guaranteeing standards of care
    and safety
  • Because

There is such an unusual degree of knowledge of
skill that non professionals are not equipped to
evaluate or regulate Professionals are
responsible A profession will take regulatory
action in cases of incompetent or unethical
practice
15
So.. What do we expect of professionals
  • Good at their day to day job (performance)
  • Able to deal with rarer and more unusual facets
    (keeping up to date)
  • Someone we can trust (the right sort of person)
  • An individual who acts on behalf of another in
    situations of complexity and uncertainty

16
Can it be measured?
  • Day to day work GPs diagnose and manage.
    (audit, SEA)
  • Deal with rare but important knowledge test /
    CPD
  • Can be trusted - views of patients / colleagues /
    complaints

17
For what purpose?
  • To attest those on the Specialty Register have
    the knowledge, skills and behaviours required of
    their discipline
  • To encourage excellence / CQI
  • To determine when targeted help is needed
  • To build public confidence in the system

18
Assessment of professionalism
  • Students moral reasoning
  • Not measurednot valued
  • Context
  • Include conflict
  • Resolve dilemmas-rarely black white
  • Formative/summative
  • Multiple raters/triangulation clinical
    competence/communication skills/ethical legal
    understanding as foundation. Excellence/humanism/a
    ccountability/altruism as pillars. All leading to
    professionalism

19
Darzi (NHS next stage review)
  • Over regulation can damage morale
  • Dismiss regulation as an organising principle
  • Replace regulation with quality, as defined by
    clinical effectiveness, patient safety patient
    experience
  • Devolve power to regions
  • Use professionalism as a lever to raise standards
  • Reduce professional boundaries
  • Innovation research
  • Leadership development to make the NHS work

20
TASK
  • Dilemmas/scenarios
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