RESUMO
Dr N, the chief surgeon at a large private hospital who has been practicing there for decades, has noted recent changes in the administration that are troubling. Multiple advertisements proclaim awards that have not been achieved and various ads employed actors pretending to be patients experiencing miracle cures. Pressures on medical staff to practice more efficiently have become overbearing. Changes in bundling Medicare postoperative care have raised questions about future patient selection. There is a lack of transparency with minimal physician input. The much respected chief-of-staff has moved into the administrative side and no longer advocates for the professionalism of the staff. When Dr N meets with the chief-of-staff and objects to these changes, the chief of staff calls Dr N a complainer and tells him to forget about it. Nothing is done.
Assuntos
Médicos Hospitalares/ética , Prática Institucional/ética , Relações Interpessoais , Grupo Associado , Papel do Médico , Profissionalismo/ética , Atitude do Pessoal de Saúde , Publicidade Direta ao Consumidor/ética , Médicos Hospitalares/psicologia , Humanos , Descrição de Cargo , Marketing de Serviços de Saúde/ética , Cultura Organizacional , Papel do Médico/psicologia , Formulação de Políticas , Revelação da Verdade/éticaAssuntos
Órgãos Governamentais/organização & administração , Educação Médica/ética , Educação Médica/normas , Ética Institucional , Órgãos Governamentais/ética , Órgãos Governamentais/normas , Humanos , Índia , Prática Institucional/ética , Prática Institucional/organização & administração , Responsabilidade SocialAssuntos
Centros Médicos Acadêmicos/organização & administração , Conflito de Interesses , Prática Institucional/organização & administração , Centros Médicos Acadêmicos/ética , Indústria Farmacêutica , Ética Médica , Humanos , Prática Institucional/ética , Política Organizacional , Prática Privada/éticaRESUMO
Conflict of interest, even the appearance of potential conflict, has long been a concern for physicians and scientists. Conflict of interest arises when an activity is accompanied by a divergence between personal or institutional benefit when compared to the responsibilities to patients and to society; it arises in the context of research, purchasing, leadership, and investments. Conflict of interest is of concern because it compromises the trust of the patient and of society in the individual physician or the medical center.
Assuntos
Centros Médicos Acadêmicos/organização & administração , Conflito de Interesses , Prática Institucional/organização & administração , Centros Médicos Acadêmicos/ética , Consenso , Indústria Farmacêutica , Setor de Assistência à Saúde , Humanos , Prática Institucional/ética , Minnesota , Modelos Organizacionais , Política Organizacional , Guias de Prática Clínica como Assunto , Encaminhamento e Consulta/economia , Encaminhamento e Consulta/ética , Apoio à Pesquisa como Assunto/ética , Responsabilidade Social , Apoio ao Desenvolvimento de Recursos Humanos/éticaRESUMO
The introduction of an 80-hr work week mandates frequent sign-out or transfer of patient information sessions among training physicians. At the same time, patients are increasingly more complex and cared for by teams employing technologically driven interventions. In order for team care to work, residents and medical students must master the elements of professionalism, upon which solid leadership and clear communication rests. Early instruction should include topics, such as clarity of language, cultural sensitivity, a subordination of self-interest to the needs of the patient, and a dedication to lifelong learning of cognitive and motor skills. This exposure to professionalism may begin in the dissection room and continue seamlessly through residency and into practice.