2.  Patient care  Medical knowledge  Interpersonal & communication skills  PROFESSIONALISM  Practice-based learning  Systems-based practice

3.  Leadership  Excellence  Respect  Compassion  PROFESSIONALISM  Responsibility

4.  “As a working definition, medical professional-ism is a set of values, attitudes, and behaviors that results in serving the interests of patients and society before one’s own.” Reynolds PP. Ann Intern Med 1994.

5.  Altruism  Accountability  Excellence  Duty  Service  Honor  Integrity  Respect for others Project Professionalism 1999.

6.  Commitment to…  Professional competence  Honesty with patients  Patient confidentiality  Maintaining appropriate relations with patients  Improving quality of care  Improving access to care Ann Intern Med 2002; 136: 243-246.

7.  Commitment to…  Distribution of finite resources  Scientific knowledge  Maintaining trust/avoiding conflict of interests  Professional responsibilities Ann Intern Med 2002; 136: 243-246.

8.  What threatens it?  Abuse of power  Arrogance  Greed  Misrepresentation  Lack of conscientiousness  Conflict of interest  Impairment

9.  Competence/ability ▪ Lifelong learner; practice within boundaries  Values ▪ Humility, honesty, accountability  Behaviors  With patients ▪ Documentation  With staff  Outside of work ▪ Social media

10.  American Board of Internal Medicine. Project Professionalism. 1999.  American College of Physicians. “Medical professionalism in the new millenium: A physician charter.” Ann Internal Med 2002; 136: 243-246.  Barondess JA. “Medicine and professionalism.” Lancet 2005; 163: 145- 149.  Blank L, et al. “Medical professionalism in the new millenium: A physician charter 15 months later.” Ann Intern Med 2003: 138: 839-841.  Bryan CS. “Medical professionalism and Maslow’s needs hierarchy.” Pharos Spring 2005; 4-10.  Hedberg CA. “Maintaining our professionalism in the face of change.” ACP Observer 2005.