1. Professionalism in Surgery Dennis F Pitt MD FRCS(C) Assistant Professor Department of Surgery University of Ottawa

3. The Oath of Hippocrates About to receive the degree of Doctor of Medicine, I solemnly affirm, in the presence of Almighty God, the Searcher of Hearts and the Master of all Sciences: So help me God to keep this pledge

4. Can Meds 2000 Competencies 1.Medical expert 2.Communicator 3.Collaborator 4.Manager 5.Health advocate 6.Scholar 7. Professionalism A) ethics B) medical legal C) professionalism

5. Ipsos Reid Public Survey 1. Doctors 2. Lawyers 3. Teachers 4. Nurse 5. Engineer 6. Accountant 7. Dentist

6. Public Perception 1. Education 2. Income 3. Codes of ethics and behaviour 4. License by examination 5. Self-governing 6. Serve the public

7. Public Respect 1. Physicians 2. Nurses 3. Pharmacists 4. Hospital administrators

8. Altruism

9. Occupation Vocation Avocation Calling

10. Role model Mentor Empathy Sympathy

11. Profession A self-disciplined group of individuals who hold themselves out to the public as possessing a special skill derived from training or education and who are prepared to exercise that skill primarily in the interests of others.

12. Professional Autonomy Self-regulation Responsibility to society Teamwork

13. To Heal To make whole or sound in bodily conditions, to free from disease or ailment, to restore to health or soundness

14. Healer and Professional Competence Commitment Confidentiality Altruism

15. Healer Caring Compassion Insight Openness Respect for patient dignity and autonomy Respect for healing function Presence

16. Medical Professionalism Contract between surgeon and patient Contract between surgeons and society

17. The Social Contract Society grants the profession privileges, including exclusive or primary responsibility for the provision of certain services and a high degree of self- regulation. In return the profession agrees to use these privileges primarily for the benefit of others and only secondarily for its own benefit.

18. Challenges to Professionalism Resource restraints Bureaucracy Unprofessional conduct Commercialism Industrialization Physician frustration Unions

19. Accountability

22. Patient Peers Hospital Government Fiscal Family Self

23. Examples Religion Amway Lay appeal board OMA negotiations Availability, affability, ability Disruptive physician Disclosure of harm

24. Medical Legal Handbook It is clear from the association’s work that a great number of legal actions are commenced by disgruntled patients who simply feel that their physician did not give them enough time or attention. The patient is therefore conditioned to view any result that is less than perfect as the fault of the physician rather than as a known complication or outcome of the procedure.

25. The Patient