By Delese Wear, Julie M. Aultman
In this number of essays, the authors don’t argue with these attributes deemed to be the essence of professionalism in medication. as an alternative, they ask questions of the discourse from which they come up, how the really good language of educational drugs disciplines has outlined, prepared, contained, and made doubtless immutable a gaggle of attitudes, values, and behaviors subsumed below the label ''professional'' or ''professionalism.'' This assortment goals to be a severe textual content, one who questions the profession’s ideals concerning the nature of its paintings and the way such ideals are enacted (or now not) in clinical schooling, relatively as they gas the professionalism discourse.
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During this choice of essays, the authors don’t argue with these attributes deemed to be the essence of professionalism in drugs. in its place, they ask questions of the discourse from which they come up, how the really good language of educational medication disciplines has outlined, prepared, contained, and made possible immutable a gaggle of attitudes, values, and behaviors subsumed less than the label ''professional'' or ''professionalism.
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Extra resources for Professionalism in Medicine: Critical Perspectives
However, as the social context in which medicine is practiced changes, and the gaps between these elements widens, the unifying and solidifying work of this discourse is less effective, and the trust offered by the public becomes more tenuous and contested. It is important to notice that the vocabulary of professionalism is deployed for different purposes with different audiences. For those within a particular occupational group, it is taken for granted that professionalism is a positive ideal, that it is connected with virtue (or some specific set of virtues), and that increasing professionalism means increasing the quality of practice.
The problems of medicine cannot be addressed at the level of the individual practitioner, nor 40 Chapter 2 even at the level of the individual discipline. Physicians, with other health care workers, need to engage with their communities in a political process to decide how health care will be provided, including by and for whom. The social nature of discourse refocuses our attention on the needs and desires of the practitioners, of the various involved communities, and especially, on the negotiated nature of the moral agreement between them.
This ideal of a stable community is clearly at odds with the pluralistic and fragmented nature of contemporary American society. Novice physicians (medical students and residents) are enmeshed in a variety of powerful social discourses, not only medical professionalism, and they (like all of us) are pulled in many directions in the construction of their identities, their values. 38 Chapter 2 and their practices (Good & DelVecchio Good, 1993). Within medical schools, the traditional hegemony of wealthy white males is eroding.
Professionalism in Medicine: Critical Perspectives by Delese Wear, Julie M. Aultman