Professionalism in Tomorrow's Healthcare System:
Towards Fulfilling the ACGME Requirements
for Systems-Based Practice and Professionalism
Edited by Ann E. Mills, Donna T. Chen, Patricia H. Werhane, and Matthew K. Wynia
How should physicians be trained to deal with the complexities
of our changing healthcare system? The Outcome Project of the
Accreditation Council for Graduate Medical Education (ACGME)
identifies six competencies in residency training — and the types of expertise and obligations each requires.
This book critically discusses two of the competencies: a systems-based practice competency and a competency on professionalism. These two competencies suggest that “professionalism” is undergoing radical change, in which residents must commit to “ethical principles pertaining to business practices.” What will these changes mean for physicians, their patients, and society?
In response, the contributors challenge us to revisit our understanding
— and assumptions — of physician professionalism. This book is
for medical educators, physicians, administrators, residents,
and anyone interested in how physicians are being trained for the future.
Drawing on experiences from daily practice, current literature, and insights gained from the Relational Ethics Research Program, the authors invite readers to reflect on the many ways that relationships influence ethical actions—and outcomes—and how they can be improved.
$34.95, Softcover, ISBN 1-55572-037-4
2005, 276 pages
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About the Editors
Donna T. Chen, MD, MPH, is an Assistant Professor of Public
Health Sciences, Psychiatric Medicine, and Biomedical Ethics and
Coordinator of Professionalism Education for the Center for
Biomedical Ethics at the University of Virginia in Charlottesville.
Ann E. Mills, Msc (Econ), MBA, is an Assistant Professor in the
Center for Biomedical Ethics at the University of Virginia in Charlottesville.
Patricia H. Werhane, PhD, has a joint appointment as Wicklander Chair
of Business Ethics and Director of the Institute for Business and
Professional Ethics at DePaul University in Chicago and as Ruffin
Professor of Business Ethics and Senior Fellow of the Olsson Center for
Applied Ethics, Darden Graduate School of Business Administration,
University of Virginia, Charlottesville.
Matthew K. Wynia, MD, MPH, is Director of the Institute for Ethics at
the American Medical Association.
Professionalism in Tomorrow's Healthcare System:Towards Fulfilling the ACGME Requirements for Systems-Based Practice and Professionalism
Table of Contents
Introduction
Ann E. Mills, Donna T. Chen,
Patricia H. Werhane, and Matthew K. Wynia
Professionalism
1. Towards a New Concept of Professionalism: Being a Physician
in Today’s Healthcare System
Edward M. Spencer and Rebecca Bigoney
2. Towards Systems-Informed Professionalism
Donna T. Chen, Ann E. Mills, and
Patricia H. Werhane
3. The Ethical Climate: Can Organizational Ethics Programs
Influence Management
Initiatives?
Paul A. Clark
The Financial Perspective
4. Professionalism in Medicine and in Business
Lisa H. Newton
5. The Clinical Health Economics System Simulation (CHESS):
A New Tool for
Promoting Competency in Systems-Based Practice and
Professionalism
John D. Voss, Natalie B. May, and Joel
M. Schectman
Internal Patient Care and Business Processes
6. Business Practices, Ethical Principles, and Professionalism
Ann E. Mills and Mary V. Rorty
7. Individuals, Systems, and Professional Behavior
Evan G. DeRenzo
Learning and Growth
8. Professionalism, Humanism, Mindfulness, and the Healthcare
Melee
Daniel M. Becker and Matthew J. Goodman
The Patient’s Perspective
9. Through the Looking Glass: The Patient’s Point of View
Daniel M. Becker
Residency Training and Outcomes Assessment
10. Educating for Systems-Informed Professionalism
Donna T. Chen and Ann E. Mills
11. The Challenges of a Residency Education Program for Competencies
in
Organizational
Ethics
David T. Ozar
12. The Patient’s Perspective in the ACGME Systems-Based Competency
Walter S. Davis
13. Training Residents for Excellence in Systems-Based Clinical
Practices:
Management of Blood Draws as the Quintessential Outcome Measure
Evan G. DeRenzo, Phil Buescher,
and Kirsten Alcorn
Summary and Conclusion
Ann E. Mills, Donna T. Chen,
Patricia H. Werhane, and Matthew K. Wynia
Appendix: The ACGME Outcome Project General Competencies