Physician professionalism for a new century

Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
James W Holsinger, Benjamin Beaton

Abstract

During the past 50 years, physicians have become increasingly dissatisfied with certain aspects of their profession. Dissatisfaction has intensified with the advent of managed care in the late 20th century, the medical liability crisis, and the growing divergence between the professional and personal expectations placed upon physicians and their practical ability to meet these expectations. These and other factors have encroached on physician autonomy, the formerly ascendant professional value within medicine. As the underlying values and practical realities of the broader American health care system have changed, the professional values and practices of physicians have failed to adapt correspondingly, resulting in a "professionalism gap" that contributes to physician dissatisfaction. To improve the outlook and efficacy of modern American physicians, the profession must adopt a new values framework that conforms to today's health care system. This means foregoing the 20th century's preferred "independent physician" model in favor of a new professional structure based on teamwork and collaboration. Convincing established physicians to embrace such a model will be difficult, but opportunities exist for significant progress among ...Continue Reading

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Citations

Jul 28, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Daniel CroftJere D Odell
Jan 31, 2014·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Eric J Keller
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Jun 1, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Ernest F Talarico
Mar 17, 2012·Journal of Evaluation in Clinical Practice·Sandro Tsang
May 15, 2013·Medical Education·Christopher WatlingLorelei Lingard
May 8, 2010·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Azgad Gold
Aug 28, 2016·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Eric J KellerJeremy D Collins
Jan 1, 2009·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Dinesh Bhugra
Jul 14, 2017·British Dental Journal·C TaylorK Checkland
Oct 31, 2006·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·A M Lockwood, A M Roberts
Apr 30, 2008·Current Opinion in Anaesthesiology·Leo H D J Booij, Evert van Leeuwen

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