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A behavioral and systems view of professionalism.

Professionalism may not be sufficient to drive the profound and far-reaching changes needed in the US health care system, but without it, the health care enterprise is lost. Formal statements defining professionalism have been abstract and principle based, without a clear description of what profess...

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Published in:JAMA: Journal of the American Medical Association Vol. 304; no. 24; pp. 2732 - 2738
Main Authors: Lesser CS, Lucey CR, Egener B, Braddock CH 3rd, Linas SL, Levinson W, Lesser, Cara S, Lucey, Catherine R, Egener, Barry, Braddock, Clarence H 3rd, Linas, Stuart L, Levinson, Wendy
Format: Journal Article
Published: American Medical Association 12/22/2010
Online Access:View this record in EBSCOhost
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      dt: 12/22/2010
      vid: 304
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      pub: American Medical Association
      place: Chicago, Illinois
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        10.1001/jama.2010.1864
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        atl: A behavioral and systems view of professionalism.
      aug:
        au:
          Lesser CS
          Lucey CR
          Egener B
          Braddock CH 3rd
          Linas SL
          Levinson W
          Lesser, Cara S
          Lucey, Catherine R
          Egener, Barry
          Braddock, Clarence H 3rd
          Linas, Stuart L
          Levinson, Wendy
        affil: Foundation Programs, American Board of Internal Medicine Foundation, Philadelphia, Pennsylvania, USA
      sug:
        subj:
          Models, Theoretical
          Physicians Standards
          Professional Role
          Health Care Delivery
          Education, Medical
          Health Care Reform
          Physician's Role
          Nomenclature
          United States
      ab: Professionalism may not be sufficient to drive the profound and far-reaching changes needed in the US health care system, but without it, the health care enterprise is lost. Formal statements defining professionalism have been abstract and principle based, without a clear description of what professional behaviors look like in practice. This article proposes a behavioral and systems view of professionalism that provides a practical approach for physicians and the organizations in which they work. A more behaviorally oriented definition makes the pursuit of professionalism in daily practice more accessible and attainable. Professionalism needs to evolve from being conceptualized as an innate character trait or virtue to sophisticated competencies that can and must be taught and refined over a lifetime of practice. Furthermore, professional behaviors are profoundly influenced by the organizational and environmental context of contemporary medical practice, and these external forces need to be harnessed to support--not inhibit--professionalism in practice. This perspective on professionalism provides an opportunity to improve the delivery of health care through education and system-level reform.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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