Alle Publikationen
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2015
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(2015): Teaching professional and humanistic values. Suggestion for a practical and theoretical model. In: Patient education and counseling 98 (2), S. 162-167. DOI: 10.1016/j.pec.2014.10.022
DOI: http://www.ncbi.nlm.nih.gov/pubmed/25468396 Abstract: OBJECTIVES To suggest and describe a practical and theoretical underpinning for teaching professional and humanistic values. METHODS The author describes four learning methods that together comprise a model for teaching professional and humanistic values. The author defends this model by citing evidence and relevant literature as well as his extensive experience with numerous colleagues in successfully applying the model in large scale programs. RESULTS The combination of teaching methods that comprise the model evolved over 30 years from the experience of several large collaborations with educators in teaching learners at all levels of medical education. The four teaching methods are (1) experiential learning of skills, (2) critical reflection, (3) a supportive group process, and (4) a sufficiently longitudinal curriculum. Together, these methods create a theoretical model with mutually reinforcing elements for enhancing commitment to core values and optimizing professional identity formation. CONCLUSIONS This paper describes the combined model and the methods in detail and reviews evidence favoring incorporation into curricula. PRACTICE IMPLICATIONS The combined model educationally enhances core values that underlie the professional identity formation of physicians. The model is practical and generalizable, and should be used by curriulum planners.
2007
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(2007): Ethics of unprofessional behavior that disrupts. Crossing the line. In: Journal of vascular surgery 45 (2), S. 433-435. DOI: 10.1016/j.jvs.2006.11.043
DOI: https://doi.org/10.1016/j.jvs.2006.11.043 Abstract: As chief of surgery, you have been contacted by the managing operating room (OR) nurse about Dr Frank N. Stein’s behavior earlier this morning. Dr Stein, a senior surgeon, has long had a reputation for outlandish behaviors in the OR. He is the impeccable gentleman outside that environment, loved by patients and nonoperating personnel alike. He has an international reputation as a master technical surgeon, operates as efficiently as anyone on the planet, and has the largest practice at the medical center. He has survived beyond the generation of tolerance because he has retained the same OR crew that over the years have calloused enough to regard his scurrilousness as just being Dr S. Today, he crossed the line. Dr. Stein, known for his colorful diatribes, trounced decorum when he ordered the operative team, excepting the anesthesiologist, out of the OR and demanded that a new team be substituted. This resulted from a shouting match with a new circulator when she took issue with a personal insult. The transition was accomplished, causing delays in both Dr Stein’s OR and several other ORs where substitute nurses were commandeered. At least one other faculty surgeon has complained about the inconvenience. In your office, Frank, long a colleague, insists that the nurses involved are assassins and refuses to work with them from this day. What should be done?
Keywords: Agonistic Behavior, Attitude of Health Personnel, Beispiel, Clinical, Clinical Competence, Control, decorum, Disziplin, Employee Discipline, Ethics, Ethik, Fehlverhalten, General Surgery, Grenzüberschreitung, Humans, Medical Errors, Medizin, Patient Care Team, Philosophie, Physician-Nurse Relations, Physicians/ethics, Prevention, Professional Misconduct, Rolle (Beruf), Soziale Angemessenheit, Soziale Hierarchie, Übertretung von sozialen Grenzen/Gewalt, Umgangsformen, Unprofessionel
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