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Professionalism in Medicine

Critical Perspectives

  • Book
  • © 2006

Overview

  • Aims to be critical, one that questions the profession’s beliefs about the nature of its work and how such beliefs are enacted (or not) in medical education, particularly as they fuel the professionalism discourse

  • It will scrutinize how the discourse is enacted in both the formal and hidden curriculum, and in the larger medical environment

  • Includes supplementary material: sn.pub/extras

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Table of contents (14 chapters)

  1. Conceptualizing Professionalism

  2. Teaching Professionalism

  3. Assessing Professionalism

  4. CODA

Keywords

About this book

Professionalism in Medicine: Critical Perspectives casts a careful, and at times wary, eye on a dominant force in contemporary academic medicine that appears to have been accepted as an absolute good. Calls for developing, increasing, or maintaining professionalism—not to mention the current obsession with evaluating or assessing it—appear with regularity in medical journals and conference programs of all stripes. The resultant literature has defined, organized, contained, and made seemingly immutable a group of attitudes and behaviors subsumed under the label "professional" or ''professionalism" (Wear & Kuczewski, 2004). Moreover, the fixation with assessment has become a new steering mechanism that is reductionistic when it shapes the total range of possible and thinkable dimensions of professionalism. The richness, complexity, and contradictions of professionalism in medicine are being flattened into categorical attitudes or behaviors that evaluators (whose professionalism is rarely assessed) can check. As Mark Kuczewski, one of the contributors to this volume, observes, "Valuing and evaluating professionalism seem to have become equated. " This preoccupation with assessment is not indigenous to medical education. It is arising and taking hold of many institutions as new principles—indeed, mandates—of scrutiny and examination become acceptable, if not desirable, cultural practices. In their incisive work on audit cultures in higher education. Shore and Wright (2000) argue that coercive practices of accountability sometimes sound eerily like moves toward "exhibiting" professionalism whereby "every individual is made acutely aware that [his] conduct and performance is under constant scrutiny" (p. 77).

Reviews

From the reviews:

"This text presents an interesting counterpoint to the body of perceived wisdom on professionalism. … The volume is most effective when it offers practical solutions to the current problems that they posit are facing the construct of professionalism and its delivery to medical students." (Alice Z. Frohna, Journal of the American Medical Association, Vol. 297 (19), 2007)

Editors and Affiliations

  • Northeastern Ohio Universities College of Medicine, USA

    Delese Wear, Julie M. Aultman

Bibliographic Information

  • Book Title: Professionalism in Medicine

  • Book Subtitle: Critical Perspectives

  • Editors: Delese Wear, Julie M. Aultman

  • DOI: https://doi.org/10.1007/0-387-32727-4

  • Publisher: Springer New York, NY

  • eBook Packages: Humanities, Social Sciences and Law, Education (R0)

  • Copyright Information: Springer-Verlag US 2006

  • Hardcover ISBN: 978-0-387-32726-6Published: 02 May 2006

  • Softcover ISBN: 978-1-4419-4101-5Published: 29 October 2010

  • eBook ISBN: 978-0-387-32727-3Published: 18 August 2006

  • Edition Number: 1

  • Number of Pages: XI, 275

  • Topics: Medical Education, Education, general

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