Viggiano Thomas R, Pawlina Wojciech, Lindor Keith D, Olsen Kerry D, Cortese Denis A
Mayo Medical School, Mayo Clinic, Rochester, Minnesota 55905, USA.
Acad Med. 2007 Nov;82(11):1089-93. doi: 10.1097/ACM.0b013e3181575dcd.
From its inception more than a century ago, Mayo Clinic's founders instilled the core value, the needs of the patient come first, into the institution's culture. Today, this core value of professionalism continues to guide the clinic's leadership practices, management strategies, and daily activities. Members of the Mayo Clinic staff embrace and reinforce this core value and regard it as a professionalism covenant: a collective, tacit agreement that everyone will earnestly collaborate to put the needs and welfare of patients first. This covenant is articulated for patients and learners in two key documents, both crafted in 2001--the Mayo Clinic Model of Care, and the Mayo Clinic Model of Education--and is reaffirmed through Mayo Clinic's mission to provide the best outcomes, service, and value in health care to every patient, every day. Mayo's value-based culture serves as a powerful, positive hidden curriculum that facilitates the accomplishment of desired practice and educational outcomes and fosters the development of health care professionals with the highest standards of professionalism. The profound allegiance of Mayo Clinic staff and students to its patient-centered culture connects all to the purpose and meaning of their work, elicits collaboration and voluntary efforts, and fosters an environment that is committed to excellence and continuous improvement. In the context of contemporary challenges and competing commitments facing academic health centers, the authors discuss key initiatives that Mayo Clinic has implemented to preserve the institution's culture, honor the professionalism covenant, and enable faculty, staff, and learners to align their behaviors, work activities, and resources to accomplish the institution's mission.
一个多世纪前成立伊始，梅奥诊所的创始人就将“患者需求至上”这一核心价值观融入了该机构的文化之中。如今，这种专业精神的核心价值观仍在指导着诊所的领导实践、管理策略和日常活动。梅奥诊所的工作人员接受并强化这一核心价值观，并将其视为一种专业精神契约：这是一种集体的、默契的约定，即每个人都将真诚合作，把患者的需求和福祉放在首位。这一契约在2001年制定的两份关键文件——《梅奥诊所护理模式》和《梅奥诊所教育模式》——中向患者和学习者阐明，并通过梅奥诊所的使命得到重申，即每天为每位患者提供医疗保健领域最佳的治疗效果、服务和价值。梅奥基于价值观的文化是一种强大而积极的隐性课程，有助于实现预期的实践和教育成果，并培养具有最高专业标准的医疗保健专业人员。梅奥诊所的工作人员和学生对其以患者为中心的文化的深厚忠诚，将所有人与他们工作的目的和意义联系在一起，激发了合作和自愿努力，并营造了一个致力于卓越和持续改进的环境。在学术健康中心面临当代挑战和相互竞争的任务的背景下，作者们讨论了梅奥诊所为维护该机构的文化、遵守专业精神契约以及使教职员工和学习者使其行为、工作活动和资源与实现机构使命保持一致而实施的关键举措。
