Professionalism - An occupation that regulates itself through systematic, required training and collegal discipline that has a base

in technical specialized knowledge and that has a service rather than a profit orientation - An occupation whose core element is work based upon the mastery . - Members are governed upon code and profess commitment to competence, integrity, morality, altruism, and promotion of public good within their domain. This commitments form the basis of a social contract between a profession and a society - Which in return grants the profession a monopoly over use of its knowledge base, the right to considerable autonomy, in practice and privilege of selfregulation. Professions and their members are accountable to those served, to the profession, and to the society Core elements - Vocation (based on complex body of knowledge) - Autonomy - Service orientation Medicine as a social contract with society - Rights and duty of state and its citizens are reciprocal, and the recognition of this reciprocity constitute a relationship - bargain reciprocal nature Negotiation Not a legal document Oath of hippocrates: - I will maintain utmost respect for every human life - Whatever I may see or hear in the lives of my patients which ought not be spoken abroad. I will not divulge reckoning that all such should be kept secret - I will continue with diligence to keep abreast of advances in medicine - I consider for the benefit of my patient and abstain from whatever is harmful or mischievous - To reckon all who have taught me this art equally dear to me as my parents and in the same spirit and dedication to impart a knowledge of the art of medicine to others Principles & Values (Pillars in professionalism) 1. Altruism - Essence of professionalism - Interest of others be placed before self interest - Patient Goes beyond the requirements Endure inconvenience Advocates Does not seek profit from patients - Colleagues and coworkers Promote common good Takes personal risk on behalf of others Tutors readily peers and others

 Demonstrates supportive behavior Demonstrates awareness sensitivity to needs to colleagues

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Community and profession Promote interests of community and profession Volunteers for community services Involved in societal/community health issues Contributes to the profession locally and nationally Excellence - Conscientious effort to exceed expectations - Commitment to lifelong learning - Cognitive excellence Ensures work done with excellence and highly professional manner Help build and maintain a culture of professionalism Master and integrate data - Dedication to improvement Learns from feedback and mistakes Takes initiative in organization Masters techniques and technologies of learning Internal focus and direction - General commitment To excellence To maintain knowledge and skills To spread knowledge To advancing knowledge Duty & Responsibility - Free acceptance of a commitment to service Provides leadership and support Serve as a role model and mentor Takes responsibility for own well-being Available and responsive to the needs of other team members Honor and integrity - maintains a consistent regard for the highest standards of behaviour - patients Honest and forthright in dealing with others Recognizes and reports unsafe, incompetent or unethical care Deals with confidential information appropriately Respects personal, emotional boundaries Respect - essence of humanism and central to cooperation - people Respects the dignity and rights of patients Uses respectful means of communication when challenging others Addresses patient/clients according to preference - Institutions, systems, and processes Respects physical property and environment Institutions staff and representative Respectful towards faculty Aware and follows protocol

6. Compassion and Empathy - trait of kindness or benevolence - Requires empathy - Patient Appropriate (style, content, and conduct) communication Provides care and service to the person as a whole with community Ensures information is communicated properly - Self, collegues and coworkers Attuned to the perspective and feelings of others Demonstrated effetive listening Develops appropriate relationship with peers, co-workers and subordinates Attends to balance in personal and professional activities for self, peers and subordinates 7. Accountability - to patients, colleagues, classmates, instructors, society and to their profession - patients Assures continuity of care Arrives on time Completes and documents adequately Prioritizes when over-committed - Self Aware of limitations Presents self in a professional manner Takes responsibility for errors and shortcomings Requests and accepts constructive feedback/criticism Manages time and personal affairs - colleagues and coworkers Counters unprofessional practice Arrives approp prepared to do work assignment Responsible to self and team for education Fair in decision making Summary Mastery of a complex body of knowledge and skill Practice of an art used in the service of others Contract - accountable to those served, to the profession and to the society