Department of Radiology and Imaging Sciences, Emory University School of Medicine, 550 Peachtree Street, NW, Atlanta, GA 30308.
Department of Radiology and Imaging Sciences, Emory University School of Medicine, 550 Peachtree Street, NW, Atlanta, GA 30308.
Acad Radiol. 2018 Nov;25(11):1497-1502. doi: 10.1016/j.acra.2018.04.013. Epub 2018 May 25.
In the contemporary environment of patient- and value-centered care, it is no longer sufficient to limit the definition of an "excellent radiologist" to someone who is skilled at image interpretation. Since diagnostic radiologists are physicians, they are held to a certain character standard expected of a physician, whose primary objective is to serve the best interest of patients. An "excellent radiologist," then, is better defined as one who is both skilled at interpreting medical imaging and embodies the attributes of physician character. The concept of physician character can be understood as the interplay between the practice of the care-related virtues, such as empathy, compassion, and kindness, and cooperative efforts with nonradiologist health care team members, termed collaborative professionalism. The very nature of the work of diagnostic radiology, aided by advances in technology, increasingly isolates the radiologist from both patients and other care providers, making it difficult to find opportunities for virtuous care and collaborative professionalism. Using the moral intuitionist model of character development as a conceptual framework, we first delineate the challenges that diagnostic radiologists face in demonstrating virtuous caring and collaborative professionalism. Then, we explore strategies that diagnostic radiologists can employ to overcome these barriers, thereby cultivating their own physician character and setting an example for other radiologists, medical students, and trainees. Finally, we will examine some of the limitations of applying this theoretical model to the real world.
在以患者和价值为中心的当代医疗环境中，将“优秀放射科医生”的定义仅仅局限于擅长影像解读的医生是不够的。由于诊断放射科医生也是医生，他们需要遵守医生的职业道德标准，而医生的首要目标是为患者的最佳利益服务。因此，“优秀放射科医生”更好的定义是既擅长解读医学影像，又具备医生职业道德的人。医生职业道德的概念可以理解为关爱相关美德（如同理心、同情心和善良）与非放射科医疗团队成员合作的实践之间的相互作用，这种合作被称为协作专业精神。诊断放射学工作的性质，加上技术的进步，使放射科医生越来越与患者和其他医疗服务提供者隔离，这使得进行有道德的关怀和协作专业精神变得困难。我们首先使用品德发展的道德直觉主义模型作为概念框架，描述诊断放射科医生在展示有道德的关怀和协作专业精神方面所面临的挑战。然后，我们探讨了诊断放射科医生可以采用的策略，以克服这些障碍，从而培养自己的医生职业道德，并为其他放射科医生、医学生和学员树立榜样。最后，我们将探讨将这一理论模型应用于现实世界的一些局限性。
