Bhugra D
Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK.
Acta Psychiatr Scand. 2008 Oct;118(4):327-9. doi: 10.1111/j.1600-0447.2008.01195.x. Epub 2008 Apr 21.
Recently in the USA and the UK, the medical profession as a whole and psychiatry in particular have felt 'deprofessionalised'. This study aimed to explore ideas about professionalism and the threat of deprofessionalisation from psychiatrists themselves.
Attendees at three meetings related to the activities of the Royal College of Psychiatrists were invited to respond to a short questionnaire. These were meetings on different days and different people attended these. The questionnaire had only five simple questions. In two meetings, all attendees answered and in the third meeting only two of 20 attendees did so.
Seventy-three completed questionnaires were received. Of these, a vast majority, 89% of 66, believed that professionalism is important in modern day clinical practice; key threats to professionalism are the government, the media and other specialties and disciplines. There was broad agreement that the Royal College of Psychiatrists should lead and define professionalism.
The ownership of professionalism by the professionals themselves is the most important factor; ethics, standards, attitudes and skills are seen as significant components of professionalism and should be taught early to trainees.
最近在美国和英国，整个医学界尤其是精神病学领域都感到被“去专业化”了。本研究旨在探讨精神病医生自身对于专业精神的看法以及去专业化的威胁。
邀请参加与皇家精神病医学院活动相关的三场会议的人员回答一份简短问卷。这些会议在不同日期举行，参加人员也不同。问卷仅有五个简单问题。在两场会议中，所有参会者都进行了回答，在第三场会议中，20名参会者中只有两人作答。
共收到73份完整问卷。其中，绝大多数（66份中的89%）认为专业精神在现代临床实践中很重要；专业精神的主要威胁来自政府、媒体以及其他专业和学科。大家普遍认为皇家精神病医学院应该引领并界定专业精神。
专业精神由专业人员自身主导是最重要的因素；伦理、标准、态度和技能被视为专业精神的重要组成部分，应该尽早传授给实习生。
