The increasing complexities of professionalism

Academic Medicine

Volumn 85, Issue 2, 2010, Pages 288-301

  Hafferty, Frederic W ^a   Castellani, Brian ^b  

^a UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

^b KENT STATE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 76549117969     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3181c85b43     Document Type: Article

References (103)

1. Epstein AM. Health care in America-Still too separate, not yet equal. N Engl J Med. 2004;351:603-605.
2. Fiscella K, Franks P, Gold MR, Clancy CM. Inequality in quality addressing socioeconomic, racial, and ethnic disparities in health care. JAMA. 2000;283:2579-2584.
3. Marmot M. Inequalities in health. N Engl J Med. 2001;345:134-136.
4. Smedley BD, Stith AY, Nelson AR. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: The National Academies Press; 2003.
5. Longo DR, Hewett JE, Ge B, Schubert S. The long road to patient safety: A status report on patient safety systems. JAMA. 2005;294: 2858-2865.
6. Moussa ID. The practice of interventional cardiovascular medicine: "Evidence-based" or "judgment-based?" Catheter Cardiovasc Interv. 2008;72:134-136.
7. Rosenstock L, Lee LJ. Attacks on science: The risks to evidence-based policy. Am J Public Health. 2002;92:14-18.
8. Traynor M. Indeterminacy and technicality revisited: How medicine and nursing have responded to the evidence based movement. Sociol Health Illn. 2009;31:494-507.
9. Blumenthal D. Controlling health care expenditures. N Engl J Med. 2001;344:766-769.
10. Hauer KE, Durning SJ, Kernan WN, et al. Factors associated with medical students' career choices regarding internal medicine. JAMA. 2008;300:1154-1164.
11. Morrison G. Mortgaging our future-The cost of medical education. N Engl J Med. 2005;352:117-119.
12. DeAngelis CD. Commitment to care for the community. JAMA. 2009;301:1929-1930.
13. Rosenblatt RA, Andrilla HA. The impact of U.S. medical students' debt on their choice of primary care careers: An analysis of data from the 2002 medical school graduation questionnaire. Acad Med. 2005;80:815-819.
14. Fletcher KE, Underwood W III, Davis SQ, Mangrulkar RS, McMahon LF, Saint S. Effects of work hour reduction on residents' lives: A systematic review. JAMA. 2005;294: 1088-1100.
15. Nuthalapaty FS, Carver AR, Nuthalapaty ES, Ramsey PS. The perceived impact of duty hour restrictions on the residency environment: A survey of residency program directors. Am J Obstet Gynecol. 2006;194: 1556-1562.
16. Ratanawongsa N, Bolen S, Howell EE, Kern DE, Sisson SD, Larriviere D. Residents' perceptions of professionalism in training and practice: Barriers, promoters, and duty hour requirements. J Gen Intern Med. 2006; 21:758-763.
17. Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: Views of key clinical faculty. J Gen Intern Med. 2008;23:1084-1089.
18. Angell M. The Truth About the Drug Companies: How They Deceive Us and What to Do About It. New York, NY: Random House Trade Paperbacks; 2005.
19. Brennan TA, Rothman DJ, Blank LL, et al. Health industry practices that create conflicts of interest: A policy proposal for academic medical centers. JAMA. 2006;295: 429-433.
20. Kassirer JP. Commercialism and medicine: An overview. Camb Q Healthc Ethics. 2007; 14:377-386.
21. Kuttner R. The American health care system: Wall Street and health care. N Engl J Med. 1999;340:664-668.
22. De Simone J. Reductionist inference-based medicine, i.e., EBM. J Eval Clin Pract. 2006; 12:445-449.
23. Timmermans S, Berg M. The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Health Care. Philadelphia, Pa: Temple University Press; 2003.
24. Flexner A. Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching. Bulletin No. 4. Boston, Mass: Updyke; 1910.
25. Barabási AL. Network medicine-From obesity to the 'diseasome.' N Engl J Med. 2007;357:404-407.
26. Goldberger AL, Amaral LAN, Hausdorff JM, Ivanov PC, Peng CK, Stanley HE. Fractal dynamics in physiology: Alterations with disease and aging. Proc Natl Acad Sci. 2002; 99:2466-2472.
27. Dunn JR, Cummins S. Placing health in context. Soc Sci Med. 2007;65:1821-1824.
28. Miller WL, McDaniel RRJ, Crabtree BF, Stange KC. Practice jazz: Understanding variation in family practices using complexity science. J Fam Pract. 2001;50: 872-878.
29. Anderson RA, McDaniel RRJ. Managing health care organizations: Where professionalism meets complexity science. Health Care Manage Rev. 2000;25:83-92.
30. Castellani B, Hafferty FW. The complexities of professionalism: A preliminary investigation. In: Wear D, Aultman JM, eds. Professionalism in Medicine: Critical Perspectives. New York, NY: Springer Verlag; 2006:3-23.
31. Hafferty FW, Levinson D. Professionalism perspective: Moving beyond nostalgia and motives towards a complexity science view of medical professionalism. Perspect Biol Med. 2008;51:599-614.
32. Flexner A. Is social work a profession? Res Soc Work Pract. 1915;11:152-165.
33. Abbott A. The System of Professions: An Essay on the Division of Expert Labor. Chicago, Ill: University of Chicago Press; 1988.
34. Flexner A. Medical Education in Europe: A Report to the Carnegie Foundation for the Advancement of Teaching. Bulletin No. 6. New York, NY: Carnegie Foundation for the Advancement of Teaching; 1912.
35. Flexner A. Medical education: 1909-1924. JAMA. 1924;82:833-838.
36. Bonner TN. Crushing the commercial spirit in academic medicine: A crusade that failed. Acad Med. 1999;74:1067-1071.
37. Flexner A. Universities: American, English, German. New Brunswick, NJ: Transaction; 1930.
38. Starr PE. The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry. New York, NY: Basic Books; 1982.
39. Wynia MK. The short history and tenuous future of medical professionalism: The erosion of medicine's social contract. Perspect Biol Med. 2008;51:565-578.
40. Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: The public's stake in medical professionalism. JAMA. 2007;298:670-673.
41. Sullivan WM. What is left of professionalism after managed care? Hastings Cent Rep. 1999;29:8-13.
42. Cooke M, Irby DM, Sullivan WM, Ludmerer KM. American medical education 100 years after the Flexner Report. N Engl J Med. 2006;355:1339-1344.
43. Cruess SR, Cruess RL. The role of professionalism in the social contract. In: Parsi K, Sheehan M, eds. Educating for Professionalism. Lanham, Md: Rowan and Littlefield; 2006:9-23.
44. Flexner A. Medical education in the United States and Canada. Science. 1910;32:41-50.
45. Flexner A. I Remember: The Autobiography of Abraham Flexner. New York, NY: Simon and Schuster; 1940.
46. Bonner TN. Iconoclast: Abraham Flexner and a Life in Learning. Baltimore, Md: Johns Hopkins University Press; 2002.
47. Flexner A. Medical Education: A Comparative Study. New York: The Macmillan Company; 1925.
48. Kerr C. Introduction to the Transaction edition: Remembering Flexner. In: Flexner A, ed. Universities: American, English, German. Piscataway, NJ: Transaction; 1994.
49. Capra F. The Web of Life. New York, NY: Anchor Books Doubleday; 1996.
50. Cilliers P. Complexity and Postmodernism. New York, NY: The Free Press; 1998.
51. Hafferty FW, Castellani B. The two cultures of professionalism: Sociology and medicine. In: Pescosolido B, Martin J, McLeod J, Rogers A, eds. The Handbook of Health, Illness and Healing: Blueprint for the 21st Century. New York, NY: Springer; 2010.
52. Byrne D. Complexity Theory and the Social Sciences. London, UK: Routledge; 1998.
53. Capra F. The Hidden Connections: Integrating the Biological, Cognitive, and Social Dimensions of Life Into a Science of Sustainability. New York, NY: Doubleday; 2002.
54. Castellani B, Hafferty FW. Sociology and complexity science: A new field of science. New York, NY: Springer; 2009.
55. American Medical Student Association. AMSA PharmFree Scorecard 2009. Available at: http://amsascorecard.org. Accessed May 19, 2009.
56. Larson MS. The Rise of Professionalism: A Sociological Analysis. Berkeley, Calif: University of California Press; 1977.
57. Baldwin DWC. Some historical notes on interdisciplinary and interprofessional education and practice in health care in the USA. J Interprof Care. 2007;21:23-37.
58. Herbert CP. Changing the culture: Interprofessional education for collaborative patient-centered practice in Canada. J Interprof Care. 2005;19:1-4.
59. Irvine DH. Time for hard decisions on patient-centered professionalism. Med J Aust. 2004;181:271-274.
60. Lundberg GD. Medicine-A profession in trouble? JAMA. 1985;253:2879-2880.
61. Lundberg GD. Countdown to millennium: Balancing the professionalism and business of medicine: Medicine's rocking horse. JAMA. 1990;263:86-87.
62. Relman AS. Practicing medicine in the new business climate. N Engl J Med. 1987;316: 1150-1151.
63. Relman AS. Shattuck lecture: The health care industry: Where is it taking us? N Engl J Med. 1991;325:854-859.
64. Kassirer JP. Medicine at center stage. N Engl J Med. 1993;328:1268.
65. Hafferty FW. Professionalism and commercialism as antitheticals: A search for 'unprofessional commercialism' within the writings and work of American medicine. In: Parsi K, Sheehan M, eds. Healing as Vocation: A Medical Professionalism Primer. New York, NY: Rowen and Littlefield; 2006:35-59.
66. Swick HM. Toward a normative definition of medical professionalism. Acad Med. 2000; 75:612-616.
67. ABIM Foundation. American Board of Internal Medicine; ACP-ASIM Foundation. American College of Physicians-American Society of Internal Medicine; European Federation of Internal Medicine. Medical professionalism in the new millennium: A physician charter. Ann Intern Med. 2002; 136:243-246.
68. Hafferty FW. What medical students know about professionalism. Mt Sinai J Med. 2002;69:385-397.
69. Arnold L. Assessing professional behavior: Yesterday, today, and tomorrow. Acad Med. 2002;77:502-515.
70. Kao A, Lim M, Spevick J, et al. Teaching and evaluating students' professionalism in U.S. medical schools, 2002-2003. JAMA. 2003; 290:1151-1152.
71. Stern DT, ed. Measuring Medical Professionalism. New York, NY: Oxford University Press; 2006.
72. Accreditation Council for Graduate Medical Education. Outcome Project. Available at: http://www.acgme.org/outcome. Accessed October 18, 2009.
73. Liaison Committee on Medical Education. LCME Accreditation Standards. Available at: http://www.lcme.org/functionslist. htm#learning%20environment. Accessed May 19, 2009.
74. Coulehan J, Williams PC. Vanquishing virtue: The impact of medical education. Acad Med. 2001;76:598-605.
75. Hafferty FW. In search of a lost cord: Professionalism and medical education's hidden curriculum. In: Wear D, Bickel J, eds. Educating for Professionalism: Creating a Culture of Humanism in Medical Education. Iowa City, Iowa: University of Iowa Press; 2000:11-34.
76. Lempp H, Swale C. The hidden curriculum in undergraduate medical education: Qualitative study of medical students' perceptions of teaching. BMJ. 2004;329:770-773.
77. Brainard AH, Brislen HC. Viewpoint: Learning professionalism: A view from the trenches. Acad Med. 2007;82:1010-1014.
78. Leo T, Eagen K. Professionalism education: The medical student response. Perspect Biol Med. 2008;51:508-516.
79. Reddy ST, Farnan JM, Yoon JD, Upadhyay GA, Humphrey HJ, Arora VM. Third-year medical students' participation in and perceptions of unprofessional behaviors. Acad Med. 2007;82(10 suppl):S35-S39.
80. Hafferty FW, Hafler JP. The hidden curriculum, structural disconnects, and the socialization of new professionals. In: Hafler JP, ed. Exemplary Learning in the Workplace. New York, NY: Springer; 2010.
81. Henningsen JA. Why the numbers are dropping in general surgery: The answer no one wants to hear-lifestyle! Arch Surg. 2002;137:255-256.
82. Smith LG. Medical professionalism and the generation gap.AmJ Med. 2005;118:439-442.
83. Van Eaton EG, Horvath KD, Pellegrini CA. Professionalism and the shift mentality- How to reconcile patient ownership with limited work hours. Arch Surg. 2005;140: 230-235.
84. Chimonas S, Brennan TA, Rothman DJ. Physicians and drug representatives: Exploring the dynamics of the relationship. J Gen Intern Med. 2007;22:184-190.
85. Pollack A. Stanford to ban drug makers' gifts to doctors, even pens. New York Times. September 12, 2006:C2.
86. Huddle TS. Drug reps and the academic medical center: A case for management rather than prohibition. Perspect Biol Med. 2008;51:251-260.
87. Lin GA, Beck DC, Stewart AL, Garbutt JM. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22: 969-975.
88. Gaba DM, Howard SK. Fatigue among clinicians and the safety of patients. N Engl J Med. 2002;347:1249-1255.
89. Warner J. Diagnosis: Greed. Available at: http://warner.blogs.nytimes. com/2008/10/ 09/diagnosis-greed. Accessed May 19, 2009.
90. USA Today Opinion. Our view on medical care: Sleep-deprived residents still pose risks for patients: 'Culture of expectation' and lax enforcement thwart changes. Available at: http://blogs.usatoday.com/oped/2008/12/ our-view-on-med.html. Accessed May 19, 2009.
91. Bloom SW. The medical school as a social system: A case study of faculty-student relations. Milbank Mem Fund Q Health Soc. 1971;49:1-196.
92. Barabási AL. Linked: The New Science of Networks. Cambridge, Mass: Perseus; 2002.
93. Crandall RE. Linked: The new science of networks [book review]. Am J Phys. 2003; 71:409-410.
94. Watts DJ. The "new" science of networks. Annu Rev Sociol. 2004;30:243-270.
95. Hafferty FW, Watson KV. The rise of learning communities in medical education: A socio-structural analysis. J Cancer Educ. 2006;22:6-9.
96. King S, Greidanus E, Carbonaro M, Drummond J, Patterson S. Merging social networking environments and formal learning environments to support and facilitate interprofessional instruction. Med Educ Online [serial online]. 2009;14:5. Available at: http://www.med-ed-online.org/volume14. php#T0000132. Accessed May 19, 2009.
97. Haidet P, Stein HF. The role of the student- teacher relationship in the formation of physicians: The hidden curriculum as process. J Gen Intern Med. 2006;21(1 suppl):S16-S20.
98. Ye J, Williams SD, Xu Z. The association between social networks and colorectal cancer screening in American males and females: Data from the 2005 health information national trends survey. Cancer Causes Control. 2009;20:1227-1233. Available at: http://www.springerlink.com/ content/w475187287467663/fulltext.html. Accessed May 19, 2009.
99. Mackereth C, Appleton J. Social networks and health inequalities: Evidence for working with disadvantaged groups. Community Pract. 2008;81:23-26.
100. Christakis NA, Fowler JH. The spread of obesity in a large social network over 32 years. N Engl J Med. 2007;357:370-379.
101. Christakis NA, Fowler GA. The collective dynamics of smoking in a large social network. N Engl J Med. 2008;358:2249-2258.
102. Lurie SJ, Fogg TT, Dozier AM. Social network analysis as a method of assessing institutional culture: Three case studies. Acad Med. 2009;84:1024-1035.
103. Baldwin DCJ. Territoriality and power in the health professions. J Interprof Care. 2007;21:97-107.