Developing the “Why” Facet of Medical Professionalism
Numerous articles have been published that discuss medical professionalism from the perspective of “what-to-be” and “what-to-do”. In this paradigm, for doctors to effectively execute the “right” attitudes and behaviors, they must incorporate a “know-how” attitude or “reflective practice” into their...
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2008-01-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X08700706 |
| _version_ | 1818417448644247552 |
|---|---|
| author | Hideki Nomura |
| author_facet | Hideki Nomura |
| author_sort | Hideki Nomura |
| collection | DOAJ |
| description | Numerous articles have been published that discuss medical professionalism from the perspective of “what-to-be” and “what-to-do”. In this paradigm, for doctors to effectively execute the “right” attitudes and behaviors, they must incorporate a “know-how” attitude or “reflective practice” into their professional lives. However, definitions of “what” change over time in an evolving social context. For physicians to be able to continue incorporating the right new attitudes and behaviors, they must also develop a “know-why” perspective. The health care market follows the criteria of a “market for lemons”. The high degree of information asymmetry seen in health care is a strong risk factor for adverse selection, producing an excess of defective articles of commerce in the market. In this case, the processes of signaling and screening, two known solutions for adverse selection in general, cannot bridge the information gap between patients and doctors, since patients must put their lives and their privacy into doctors' hands. Professionalism, therefore, is used by doctors to win the trust of patients, their caregivers and society at large. This is the “why”-level intellect, in which the physician sets developing public trust as a goal for his own self-actualization and develops it in conjunction with altruism. This is a key to success for the physician as a doctor and as a person. |
| first_indexed | 2024-12-14T12:06:57Z |
| format | Article |
| id | doaj.art-a23cfdb880d74718972d0a80ee149eeb |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-14T12:06:57Z |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-a23cfdb880d74718972d0a80ee149eeb2022-12-21T23:01:51ZengWileyKaohsiung Journal of Medical Sciences1607-551X2008-01-01241313410.1016/S1607-551X(08)70070-6Developing the “Why” Facet of Medical ProfessionalismHideki NomuraNumerous articles have been published that discuss medical professionalism from the perspective of “what-to-be” and “what-to-do”. In this paradigm, for doctors to effectively execute the “right” attitudes and behaviors, they must incorporate a “know-how” attitude or “reflective practice” into their professional lives. However, definitions of “what” change over time in an evolving social context. For physicians to be able to continue incorporating the right new attitudes and behaviors, they must also develop a “know-why” perspective. The health care market follows the criteria of a “market for lemons”. The high degree of information asymmetry seen in health care is a strong risk factor for adverse selection, producing an excess of defective articles of commerce in the market. In this case, the processes of signaling and screening, two known solutions for adverse selection in general, cannot bridge the information gap between patients and doctors, since patients must put their lives and their privacy into doctors' hands. Professionalism, therefore, is used by doctors to win the trust of patients, their caregivers and society at large. This is the “why”-level intellect, in which the physician sets developing public trust as a goal for his own self-actualization and develops it in conjunction with altruism. This is a key to success for the physician as a doctor and as a person.http://www.sciencedirect.com/science/article/pii/S1607551X08700706adverse selectioninformation asymmetryprofessionalismreflective practicesignaling |
| spellingShingle | Hideki Nomura Developing the “Why” Facet of Medical Professionalism Kaohsiung Journal of Medical Sciences adverse selection information asymmetry professionalism reflective practice signaling |
| title | Developing the “Why” Facet of Medical Professionalism |
| title_full | Developing the “Why” Facet of Medical Professionalism |
| title_fullStr | Developing the “Why” Facet of Medical Professionalism |
| title_full_unstemmed | Developing the “Why” Facet of Medical Professionalism |
| title_short | Developing the “Why” Facet of Medical Professionalism |
| title_sort | developing the why facet of medical professionalism |
| topic | adverse selection information asymmetry professionalism reflective practice signaling |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X08700706 |
| work_keys_str_mv | AT hidekinomura developingthewhyfacetofmedicalprofessionalism |