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外科领域的专业素养综述。

A review of professionalism in surgery.

作者信息

Davis Catherine H, DiLalla Gayle A, Perati Shruthi R, Lee Jenna S, Oropallo Alisha R, Reyna Chantal R, Cannada Lisa K

机构信息

Division of Surgical Oncology, Baylor University Medical Center, Dallas, Texas, USA.

Division of Surgical Oncology, Duke University School of Medicine, Duke Breast Surgery of Raleigh, Raleigh, North Carolina, USA.

出版信息

Proc (Bayl Univ Med Cent). 2024 Sep 24;37(6):993-997. doi: 10.1080/08998280.2024.2403375. eCollection 2024.

DOI:10.1080/08998280.2024.2403375
PMID:39440087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11492646/
Abstract

Physicians, and specifically surgeons, have unique expectations and responsibilities regarding professionalism. Further, surgeons interact with multiple different groups of people including surgical peers, trainees, other physicians, ancillary care partners, and patients. Communication between all of these groups must be respectful, appropriate, and effective, even in the high-stress environment of surgery. Norms of professional behavior are evolving to reflect the practices of the current era as well as the increasingly diverse surgical workforce. Thus, multiple surgical societies as well as the Accreditation Council for Graduate Medical Education have incorporated professionalism as a core pillar of surgeon evaluation. While professionalism has typically been modeled, the trait is now being more formally taught in medical education pathways. Future directions for professionalism in surgery include validated modules, more formalized surgeon review, linkage to credentialing, and reimbursement.

摘要

医生,尤其是外科医生,在职业素养方面有着独特的期望和责任。此外,外科医生会与多个不同群体的人互动,包括外科同行、实习生、其他医生、辅助护理人员以及患者。即便在手术这种高压力环境下,所有这些群体之间的沟通也必须做到尊重、恰当且有效。职业行为规范正在不断演变,以反映当今时代的实践以及日益多元化的外科医疗队伍。因此,多个外科协会以及毕业后医学教育认证委员会已将职业素养纳入外科医生评估的核心支柱。虽然职业素养通常是通过榜样来示范,但现在这一特质在医学教育途径中得到了更正式的传授。外科职业素养的未来发展方向包括经过验证的模块、更规范化的外科医生评审、与资格认证的关联以及报销。

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Proc (Bayl Univ Med Cent). 2024 Sep 24;37(6):993-997. doi: 10.1080/08998280.2024.2403375. eCollection 2024.
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本文引用的文献

1
Honesty and Transparency, Indispensable to the Clinical Mission-Part I: How Tiered Professionalism Interventions Support Teamwork and Prevent Adverse Events.诚实与透明,临床使命不可或缺——第一部分:分层专业主义干预如何支持团队合作和预防不良事件。
Otolaryngol Clin North Am. 2022 Feb;55(1):43-61. doi: 10.1016/j.otc.2021.07.016.
2
Redefining professionalism.重新定义职业精神。
Am J Surg. 2021 Nov;222(5):899-900. doi: 10.1016/j.amjsurg.2021.04.013. Epub 2021 Apr 30.
3
Ethics and Professionalism: The Role of Self-Regulation and Peer Review in Maintaining Hand Surgery's Standards.伦理与职业道德:自我监管和同行评审在维持手外科标准中的作用。
J Hand Surg Am. 2020 Nov;45(11):1065-1069. doi: 10.1016/j.jhsa.2020.04.004. Epub 2020 May 29.
4
Professionalism for surgeons.外科医生的职业素养。
ANZ J Surg. 2020 Jun;90(6):1153-1159. doi: 10.1111/ans.15956. Epub 2020 May 13.
5
The Divergence of Ethics and Professionalism in the Social Media Arena.社交媒体领域中伦理与专业精神的背离。
Plast Reconstr Surg. 2018 Apr;141(4):1071-1072. doi: 10.1097/PRS.0000000000004261.
6
Core Professionalism Education in Surgery: A Systematic Review.外科学核心职业素养教育:系统评价
Balkan Med J. 2018 Mar 15;35(2):167-173. doi: 10.4274/balkanmedj.2017.0534.
7
Professionalism: A Core Competency, but What Does it Mean? A Survey of Surgery Residents.专业性:一项核心能力,但它意味着什么?对外科住院医师的调查。
J Surg Educ. 2018 May-Jun;75(3):601-605. doi: 10.1016/j.jsurg.2017.09.033. Epub 2017 Oct 27.
8
Addressing Professionalism, Social, and Communication Competencies in Surgical Residency Via Integrated Humanities Workshops: A Pilot Curriculum.通过综合人文研讨会解决外科住院医师的专业精神、社会和沟通能力:一个试点课程。
J Surg Educ. 2018 May-Jun;75(3):589-593. doi: 10.1016/j.jsurg.2017.09.035. Epub 2017 Oct 20.
9
Professionalism in Surgery: Crucial Skills for Attendings and Residents.外科手术中的专业素养:主治医生和住院医生的关键技能
Adv Surg. 2017 Sep;51(1):229-249. doi: 10.1016/j.yasu.2017.03.018. Epub 2017 May 6.
10
Surgical Mentorship: A Great Tradition, But Can We Do Better for the Next Generation?外科指导:一项伟大的传统,但我们能为下一代做得更好吗?
Ann Surg. 2017 Sep;266(3):401-410. doi: 10.1097/SLA.0000000000002374.