ACİL TIPTA GİZLİ MÜFREDAT: PROFESYONALİZM

Eski Hipokrat mirasının varisleri olarak, profesyonellik tıp mesleğinden ve bireysel hekimlikten ve basit bir yemin etmekten daha fazlasını gerektirmektedir. Tıbbi profesyonellik, hem mesleğin hem de bireysel hekimin klinik mükemmelliğe ve hastaya bakmaya olan bağlılığının sürekli yenilenmesini talep eder ve hastalara mümkün olan en iyi bakımı sağlamayı taahüt eder. Acil serviste hekim ile hasta arasında özel bir ilişki mevcuttur. Bu ilişkide profesyonel davranışların tutarlı bir şekilde gösterilmesi gerekmektedir. Teknik standartlar, davranışlar ile birleştirilerek hastaların güveni arttırılır, duygusal bir destek temin edilir, etkili bir sağlık ekibi kurulur ve sürekli öğrenme teşvik edilir. Bu yazıda acil tıpta profesyonalizm ihtiyacını, profesyonalizmin temel unsurlarını tanımlamaya çalıştık.
Anahtar Kelimeler:

acil tıp, profesyonellik

Hidden Curricula in Emergency Medicine: Professionalism

As heirs to the ancient Hippocratic legacy, we believe that professionalism requires more from the medical profession and from individual physicians than rhetoric and simple oath-taking. Instead, medical professionalism demands a continued renewal of both the profession’s and the individual physician’s commitment to clinical excellence and to caring for the patient. A special relationship exists between physicians and patients in the ED. Technical standards must be augmented with behaviors that enhance patient trust, provide emotional support, build an effective health care team, and promote continuous learning. In this article, we tried to define the need for professionalism in emergency medicine and the fundamental elements of professionalism.

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  • 1-Dugdale LS, Siegler M, Rubin DT. Medical Professionalism and the Doctor-Patient Relationship. Perspectives in Biology and Medicine.2008; 51(4): 547-553. 2- Rhodes R, Cohen D, Friedman E, Muller D. Professionalism in medical education. The American Journal of Bioethics : AJOB. [Comment]. 2004 :4(2) ; 20-233-Van Mook WN, van Luijk SJ, O'Sullivan H, Wass V, Harm Zwaveling J, Schuwirth LW, et al. The concepts of professionalism and professional behaviour: conflicts in both definition and learning outcomes. European Journal of Internal Medicine. 2009 :20(4);e85-9.4-Nierman DM. Professionalism and the teaching of clinical medicine: perspectives of teachers and students. The Mount Sinai Journal of Medicine, New York. 2002 :69(6);410-1.5-Swick HM. Medical professionalism and the clinical anatomist. Clin Anat. [Review]. 2006 :19 (5);393-402.6- Adams J, Schmıdt T, Sanders A, Larkin GL. Knopp R. Professionalism in Emergency Medicine .Academic Emergency Medicine. 1998:5 (12); 1193-11997-Knopp R, Rosenzweig S. Bernstein E. Totten V. Physician -patient communication in the emergency department, part 1. Acad Emerg Med. 1996; 3:1065-9. 6. 8-Lundberg GD. Countdown to millennium-balancing the professionalism and business of medicine. JAMA. 1990; 263: 86-87.9- Kassirer JP. Managed care and the morality of the market- place. N Engl J Med. 1995; 333:50-2. 9. 10- Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996; 124:229-39. 11- Rodwin MA. Medicine, Money, and Morals: Physicians’ Conflicts of Interest. New York: Oxford University Press, 1993.12- Adams JG, Larkin GL, Iserson KV, et al. Virtue in emer- gency medicine. Acad Emerg Med. 1996; 3:961-6.