PREFACE | PROFESSIONAL CONDUCT AND ATTITUDES | SKILLS | HEALTH SUPERVISION | GROWTH | DEVELOPMENT | BEHAVIOR | NUTRITION | PREVENTION |ISSUES UNIQUE TO ADOLESCENCE | ISSUES UNIQUE TO THE NEWBORN | MEDICAL GENETICS AND DYSMORPHOLOGY | COMMON ACUTE PEDIATIC ILLNESS | COMMON CHRONIC ILLNESS AND DISABILITY | THERAPEUTICS | FLUID AND ELECTROLYTE MANAGEMENT | POISONING | PEDIATRIC EMERGENCIES | CHILD ABUSE | CHILD ADVOCACY | COMMON PEDIATRIC ILLNESS TABLE | CLINICAL ENCOUNTER TABLE | DIAGNOSIS LIST | CURRICULUM DEVELOPMENT PARTICIPANTS
PROFESSIONAL CONDUCT AND ATTITUDES
Knowledge, skills, clinical reasoning, and informed decision
making while crucial to a physician's practice of medicine, are
insufficient to guarantee successful clinical interactions. A physician
must have well-developed interpersonal skills that facilitate communication,
and must also demonstrate attitudes, behaviors and beliefs that
serve to promote the patient's best interest. Students can learn
to be professional, at least to a certain degree, in the abstract,
but will acquire professional characteristics most effectively through
contact with physicians chosen to serve as role models. In order
to be effective role models, however, faculty must undergo training
in order to be able to explain their behaviors explicitly, to foster
professionalism and humanism. Clerkship Directors should assure
that faculty development occurs in this area. Ethical principles,
likewise, while learned in the abstract, must be applied clinically;
the importance of suitable role models cannot be overemphasized.
In particular, each student must recognize that pediatrics poses unique challenges to professional conduct and attitudes. The patient constantly changes as growth and development proceed. The patient's ability to participate actively in the clinical interaction progresses, as does his or her knowledge, experience and concerns. The adolescent presents specific challenges, including such issues as privacy, risk-taking behaviors, confidentiality and personal involvement with health. The role of parents in the clinical interaction, and their knowledge, experience, and concerns also develop and change as an individual child grows and as subsequent children are born. The way a physician communicates can have a lasting effect in how parents, children and adolescents handle situations and interact with the physician. Cultural, ethnic and socioeconomic factors also affect personal and family traits and behaviors, with varying effects on child rearing practices. Recognition of and respect for difference are important, yet the student must be alert for the child or adolescent at risk in different family environments, given that the physician's primary obligation is to promote the best interest of the patient.
Professional conduct extends to the educational process: Students have a personal responsibility for their own education and for development of life-long learning skills. They must interact with all staff, including their peers and their teachers, in a manner that demonstrates respect for each individual and that promotes personal and group learning.
Well-developed data gathering skills, knowledge of ethical principles, and a basic understanding of health law issues are essential foundations for the student. Students should have completed an introductory course on medical ethics providing a basic understanding of ethical principles (autonomy, beneficence, nonmaleficence, and justice) and their application in clinical medicine
A. Humanism and Professionalism in Patient and Family Encounters:
B. Professionalism with Members of the Health Care Team
C. Professionalism in the Learner Role
D. Professionalism and Society
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