Professionalism in Medicine Critical Perspectives
"Professionalism in Medicine: Critical Perspectives" is a brilliant collection of essays that responds to platitudinous notions of medical professionalism with theoretical clarity and curricular innovation. Drawing upon a wonderful wealth of scholars in t
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Delese Wear Julie M. Aultman Editors
Professionalism in Medicine Critical Perspectives
Sprin ger
Editors: Delese Wear, Julie M. Aultman Northeastern Ohio Universities College of Medicine, U.S.A.
Library of Congress Cataloging-in-Publication Data A CLP. Catalogue record for this book is available from the Library of Congress. ISBN 10: 0-387-32726-6 ISBN 13: 9780387327266 Printed on acid-free paper. e-ISBN 10: 0-387-32727-4 elSBN 13: 9780387327273 Library of Congress Control Number: 2006921544 © 2006 Springer Science+Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now know or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks and similar terms, even if the are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed in the United States of America. 9 8 7 6 5 4 3 2 1 springer.com
CONTENTS Introduction Delese Wear and Julie M. Aultman
vii
PART O N E Conceptualizing
Professionalism
1. The Complexities of Medical Professionalism: A Preliminary Investigation Brian Castellani and Frederic W. Hajferty
3
2. An Analysis of the Discourse of Professionalism Jamie L Shirley and Stephen M, Padgett
25
3. Professionalism: Curriculum Goals and Meeting Their Challenges David J. Doukas
43
PART TWO Teaching
Professionalism
4. Medical Professionalism: The Nature of Story and the Story of Nature Daniel George, lahn Gosenhauser, and Peter Whitehouse 5. Respect for Patients: A Case Study of the Formal and Hidden Curriculum Delese Wear
63
87
6. You Say Self-interest, I Say Altruism Jack Coulehan
103
7. The Role of Ethics within Professionalism Inquiry: Defining Identity and Distinguishing Boundary Julie M. Aultman
129
VI
8. Medical Professionals and the Discourse of Professionalism: Teaching Implications Bradley Lewis
149
PART THREE Assessing
Professionalism
9. Educating for Professionalism at Indiana University School of Medicine: Feet on the Ground and Fresh Eyes Thomas S. Inui, Ann H, Cottingham, Richard M. Frankel, Debra K. Litzelman, David L Mossbarger, Anthony L Suchman, T. Robert Vu, and Penelope R. Williamson
165
10. The Problem with Evaluating Professionalism: The Case against the Current Dogma Mark Kuczewski
185
11. How Medical Training Mangles Professionalism: The Prolonged Death of Compassion Cynthia Brincat
199
12. W/ns Not Enough Audiey Kao and Jennifer Reenan
211
13. Professionalism and the Heisenberg Uncertainty Principle Laura J, Fochtmann
233
Coda David Leach
255
List of Contributors
261
Index
271
INTRODUCTION Professionalism in Medi
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