Smith Kirk L, Saavedra Rebecca, Raeke Jennifer L, O'Donell Alice Anne
Department of Family Medicine, University of Texas Medical Branch, Galveston, Texas 77555-1311, USA.
Acad Med. 2007 Nov;82(11):1015-21. doi: 10.1097/ACM.0b013e318157633e.
In 2002, the American Board of Internal Medicine (ABIM) Foundation launched the Professionalism Charter Project (Putting the Charter into Practice), an effort to more broadly disseminate an international physician charter on professionalism developed in collaboration with the American College of Physicians (ACP) Foundation and the European Federation of Internal Medicine. The Professionalism Charter Project awarded grants to five academic health centers (AHCs) in support of campus initiatives aimed at implementing the charter's commitments to patient welfare, autonomy, and social justice. One of those centers, the University of Texas Medical Branch at Galveston (UTMB), was already deeply involved in a professionalism initiative under the leadership of university president Dr. John Stobo, who had led ABIM's Project Professionalism some years earlier. The authors describe the influence of that initiative on UTMB's professionalism journey, from Stobo's appointment in 1997 to the latest actions undertaken to extend the charter campus-wide, binding all members of the university community to its principles and commitments. They reiterate challenges to professionalism well known to readers of this journal (e.g., the insidious influence of the hidden curriculum) and detail programs undertaken to address those challenges, stressing UTMB's campus-wide approach to interdisciplinary collaboration. Assessment of, and accountability for, professional behavior are key features of UTMB's approach, and particular attention is given to the decisions, circumstances, and programs involved in making the charter relevant, not only to physicians, but to each member of the AHC community. Finally, the authors offer a list of lessons learned along the way.
2002年，美国内科医学委员会（ABIM）基金会发起了职业精神宪章项目（将宪章付诸实践），旨在更广泛地传播一份与美国医师协会（ACP）基金会及欧洲内科医学联合会合作制定的国际医师职业精神宪章。职业精神宪章项目向五家学术健康中心（AHC）提供了资助，以支持校园倡议，这些倡议旨在落实宪章中对患者福利、自主权和社会正义的承诺。其中一个中心是位于加尔维斯顿的德克萨斯大学医学分校（UTMB），该校在校长约翰·斯托博博士的领导下，已经深度参与了一项职业精神倡议活动，斯托博博士数年前曾领导ABIM的职业精神项目。作者描述了该倡议对UTMB职业精神发展历程的影响，从1997年斯托博的任命，到为在整个校园推广宪章所采取的最新行动，使大学社区的所有成员都遵守其原则和承诺。他们重申了本刊读者熟知的职业精神面临的挑战（例如，隐性课程的潜在影响），并详细介绍了为应对这些挑战而开展的项目，强调了UTMB在全校范围内开展跨学科合作的方法。对职业行为的评估和问责是UTMB方法的关键特征，尤其关注使宪章不仅与医生相关，而且与AHC社区的每个成员相关的决策、情况和项目。最后，作者列出了一路走来所吸取的经验教训。
