Patient Care and Professionalism

220 Pages·2013·1.218 MB·English

by  Catherine D. DeAngelis MD MPH

PATIENT CARE AND PROFESSIONALISM
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PATIENT CARE AND
PROFESSIONALISM
Edited by
Catherine D. DeAngelis
1
3

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Library of Congress Cataloging-in-Publication Data
Patient care and professionalism / edited by Catherine D. DeAngelis.
pages cm
Includes bibliographical references and index.
ISBN 978–0–19–992625–1—ISBN 978–0–19–992626–8 1. Medical personnel and
patient. 2. Physician and patient. 3. Physicians—Professional ethics. 4. Medical
laws and legislation. I. DeAngelis, Catherine, 1940–
R727.3.P3634 2013
610.7306′9—dc23
2013004978
1 3 5 7 9 8 6 4 2
Printed in the United States of America
on acid-free paper
To patients everywhere and to the people who care for them.
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CONTENTS

Foreword ix
Uwe E. Reinhardt
Acknowledgements xvii
Contributors xix
Introduction xxiii
Catherine D. DeAngelis
1. Medical professionalism from the patient’s
perspective: Is there an advocate in the house? 1
Martha E. Gaines , Rachel Grob , Mark J. Schlesinger ,
and Sarah Davis
2. Th e Hippocratic Oath as an example of
professional conduct 19
Howard Markel
3. Professionalism and politics in the United Kingdom 31
Carol Black , Cyril Chantler
4. Th e role of specialty boards in promoting
professionalism: Th e case of the American
Board of Internal Medicine 46
Clarence H. Braddock III , Eric S. Holmboe , Christine K.Cassel
CONTENTS
5. Medical professionalism in the twenty-fi rst century 61
Catherine D. DeAngelis
6. Professionalism and nursing—A quest
or an accomplishment? 77
Kathleen M. White
7. Public health: Th e “population” as patient 99
Lawrence O. Gostin
8. Exploring the role of law and legal systems
in the therapeutic relationship 112
James G. Hodge, Jr.
9. Professionalism and fi duciary responsibilities
in health care leadership 131
Phil B. Fontanarosa
10. Professionalism, medicine, and religion 148
Patricia M. Fosarelli
11. Professionalism: Th e science of care
and the art of medicine 163
James C. Harris
Index 185
viii
FOREWORD
Uwe E. Reinhardt, PhD
Th is much must be said fi rst: Th e editor of this volume and the other
distinguished authors who have contributed to it are to be congrat-
ulated and thanked for illuminating the role of professionalism in
the care of patients in this unique way.
Th e medical literature on professionalism all too oft en pres-
ents only the introspective, and usually defensive, perspective of a
profession under siege by the growing commercialism of modern
medicine, by the oft en skeptical consumerism enabled by new infor-
mation technology, and by a growing, general distrust of authority
of any kind, including the authority traditionally reposing in the
self-regulating professions such as medicine.
Refreshingly, this volume illuminates the topic from a variety of
diff erent perspectives, including those of physicians, patients, ethi-
cists, legal experts, and practitioners in population health. Cast in
this tradition of the liberal arts, the volume is the ideal platform for
a course or a series of seminars that all schools for health profession-
als should off er their students.
But this must be said also: It is bold, if not reckless, for the
editor and the authors to invite a blasphemous member of the