The Doctors' Tale - Professionalism and Public Trust


Book Description

Sir Donald Irvine asks what further changes have to be made to the culture and regulation of medicine to make it as trustworthy as the public today expects. As President of the General Medical Council between 1995 and 2002, Sir Donald helped shape the changes that followed disasters like the deaths of babies at Bristol and the murders of Dr Harold Shipman. In this frenetic period a new ethos of professionalism emerged, embodying the concept of the autonomous patient and more robust, transparent professional regulation founded on a partnership between the public and doctors. Sir Donald discusses candidly the struggles in the profession and with successive Governments over the key issues. He provides perspectives that are both startling and enlightening. He criticises the British Medical Association for its past resistance to accept the need for change, and explains why its role in the future must be radically different. He calls for specific fundamental changes to the National Health Service, and for Government to be separated from managing the provision of healthcare. And he outlines the qualities that the bodies regulating doctors in the future must have to succeed. In part a personal testimony, in part a clarion call for doctors to secure the new culture and re-establish public confidence, The Doctors' Tale is gripping and essential reading for everyone who cares about health.




Professional Health Regulation in the Public Interest


Book Description

There are significant variations in how healthcare systems and health professionals are regulated globally. One feature that they increasingly have in common is an emphasis on the value of including members of the public in quality assurance processes. While many argue that this will help better serve the public interest, others question how far the changing regulatory reform agenda is still dominated by medical interests. Bringing together leading academics worldwide, this collection compares and critically examines the ways in which different countries are regulating healthcare in general, and health professions in particular, in the interest of users and the wider public. It is the first book in the Sociology of Health Professions series.




Doctors in Society


Book Description




Teaching Medical Professionalism


Book Description

Until recently professionalism was transmitted by respected role models, a method that depended heavily on the presence of a homogeneous society sharing values. This is no longer true, and medical schools and postgraduate training programs in the developed world are now actively teaching professionalism to students and trainees. In addition, licensing and certifying bodies are attempting to assess the professionalism of practising physicians on an ongoing basis. This is the only book available to provide guidance to those designing and implementing programs on teaching professionalism. It outlines the cognitive base of professionalism, provides a theoretical basis for teaching the subject, gives general principles for establishing programs at various levels (undergraduate, postgraduate, and continuing professional development), and documents the experience of institutions who are leaders in the field. Teaching aids that have been used successfully by contributors are included as an appendix.




The Trusted Doctor


Book Description

The Trusted Doctor rejects the reigning view that medical ethics is nothing more than the application of everyday ethics to dilemmas that arise in today's medical practice. Instead, it presents a new theory of medical ethics that is actually in line with the codes of ethics and professional oaths proclaimed by physicians around the world.




Rethinking Professional Governance


Book Description

In bringing together research from a wide range of continental European countries as well as the United Kingdom, Canada and Australia, the contributors to this text highlight different areas of governance, as well as the various players involved in the policy process.




The New Sociology of the Health Service


Book Description

The New Sociology of the Health Service provides a vital new sociological framework for analysing health policy and health care, covering a broad range of key contemporary health services issues. It will be an important read for all students and researchers of medical sociology and health policy.




Public Expectations and Physicians' Responsibilities


Book Description

This guide for practice managers, in a question-and-answer format, explains accounting procedures and describes GMS, health authority and other sources of income. The book covers payroll, pension, personnel and complaints matters and advises on optimizing income for the practice.




The NHS Experience


Book Description

At once a novel and a guide, this book takes the reader on a fictional journey through the life of Daniel, a child with cystic fibrosis.




Professional Responsibility


Book Description

At the center of this book is the complex and perplexing question of how to design professional preparation programs, organizational management practices, public policy systems and robust professional associations committed to and capable of, maintaining confidence, trust and the other hallmarks of responsible professionalism. To do this, we need to rebuild our understanding of professional responsibility from the ground up. We describe how individuals might be prepared to engage in responsible professional service delivery, examine promising options for the reform of professional service systems and finally, outline a reform strategy for improving practice in education and medicine – two essential public services. The nexus of the reform problem in professionalism is establishing a more robust and effective working relationship between teachers and their students; between health care professionals and their patients and between educators and health professionals. Professionalism means acceptance of professional responsibility for student and patient outcomes — not just acceptance of responsibility for technical expertise, but commitment to the social norms of the profession, including trustworthiness and responsibility for client wellbeing. In the past, it may have been sufficient to assume that adequate knowledge can be shaped into standards of professional practice. Today, it is clear that we must take careful account of the ways in which practicing professionals develop, internalize and sustain professionalism during their training, along with the ways in which this commitment to professionalism may be undermined by the regulatory, fiscal, technological, political and emotional incentive systems that impinge on professional workplaces and professional employment systems.