Paltiel Ora, Lowenstein Lior, Demma Jonathan, Manor Orly
Braun School of Public Health and Community Medicine, Hadassah-Hebrew University, Jerusalem, Israel.
Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel.
Isr J Health Policy Res. 2017 Apr 3;6(1):19. doi: 10.1186/s13584-017-0144-5.
Medical professionalism refers to attributes, values, behaviors, responsibilities and commitments of physicians that are congruent with the public's expectations. An international workshop on medical professionalism took place at the Dead Sea, Israel, on December 11-12, 2016. The meeting brought together local medical professionals, physicians and others, as well as international experts, to discuss definitions of professionalism and wrestle with current challenges facing the profession including its perceived status and physician satisfaction, unprofessional behavior and its relation to health care quality and patient safety, and professionalism as a learned competence. Individual medical schools reported on educational efforts to promote professionalism in their curricula. Patient complaints as an improvement mechanism were explored on a national and health plan level. I was found that complaints regarding physician behavior are rare in the Israeli context and need to be dealt with expeditiously at a local level in order to be effective tools for change. The meeting provided a venue to understand local and international strategies and mechanism for regulation and self-regulation, highlighting the role of the Israel Medical Association. A major focus of the meeting was on intergenerational differences in attitude and practice and the necessary adaptation of medicine to the digital age. We provide an overview of the topics addressed, synopsis, evaluation and lessons learned in this first-ever national meeting on medical professionalism in Israel.
医学职业精神是指医生的特质、价值观、行为、责任和承诺,这些与公众的期望相一致。2016年12月11日至12日,一场关于医学职业精神的国际研讨会在以色列死海举行。会议汇聚了当地医学专业人士、医生及其他人员,还有国际专家,共同探讨职业精神的定义,并应对该职业当前面临的挑战,包括其认知地位和医生满意度、不专业行为及其与医疗质量和患者安全的关系,以及职业精神作为一种可习得的能力。各医学院校汇报了在课程中促进职业精神的教育举措。在国家和医疗计划层面探讨了将患者投诉作为一种改进机制的情况。研究发现,在以色列背景下,关于医生行为的投诉很少见,需要在地方层面迅速处理,以便成为有效的变革工具。此次会议提供了一个了解地方和国际监管及自我监管战略与机制的平台,突出了以色列医学协会的作用。会议的一个主要焦点是代际态度和实践差异以及医学适应数字时代的必要性。我们概述了在以色列首次召开的这次医学职业精神全国会议上所讨论的主题、内容概要、评估以及经验教训。