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Medical Professionalism

Competencies
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    • Medical Professionalism Homepage


      Introduction

      This course provides online Public Health capacity building for health professionals. It provides a basic introduction to key aspects of the issues of medical professionalism. The course is built around the set of 10 professional responsibilities identified in 'Medical Professionalism in the New Millennium: A Physician Charter' by the American Board of Internal Medicine, the Kings Fund report 'On being a doctor: Redefining medical professionalism for better patient care' and the paper by Wilkinson, Wade and Knock ‘A Blueprint to Assess Professionalism: Results of a Systematic Review.’

      The course is designed to help you: 

      1. Understand the broad concepts of Medical Professionalism
      2. Apply the knowledge gained to your own practice


      This course is an Open Online Course (OOC) and was prepared by Professors Kichu Nair, Tim Wilkinson, Dick Heller, and Drs Mohamed Haroon and Sergio Diez. It has been adopted from Peoples-uni and was further developed by NextGenU.org (NGU). 

      There are five (5) modules to complete, which include:

      Module 1: Introduction to Medical Professionalism and Definitions
      Module 2: Altruism and Commitment to Patients’ Interests.
      Module 3: Physician Self-Regulation and Maintenance of Competence
      Module 4: Civic Engagement
      Module 5: Relevance to Today/Tomorrow

      Approximate time for completion of this course is 9 hours at an average reading rate of 144 words/minute.

      Engaging with this course

      • To register for this course, complete the registration form. Begin the course with Module 1. For each lesson, read the description. 
      • Each lesson comprises introductory remarks. You can click on the collections of resources in each module. 
      • There is a forum on each module for reflection, and you will be able to add a new topic or respond to a previous one. You may want to share your learning from this and other readings, comment on the topics from your own experience, comment on others' posts, or provide feedback on how we can improve the content and/or presentation.
      • There is a final quiz to assess your understanding of some important concepts. Click on the hyperlinks to take you to these items in each topic.


      Requirements to obtain the certificate 

      You may browse this course for free to learn for your personal enrichment. There are no requirements.

      To obtain a certificate, a learner must successfully complete:

      • All reading requirements
      • All discussion forums
      • The final exam with a minimum of 70% and a maximum of 3 attempts and
      • The self and course evaluation forms

      Subscribe to our newsletter to be notified of future updates, new courses, and to be part of our community.


      • Module 1: Introduction to Medical Professionalism and Definitions

        Competence (Learning Outcome):

        Be able to discuss differing definitions of medical professionalism and the scope of the subject.

        1 Page, 1 Forum
        • Resources Lesson 1: Introduction and Definitions Page
        • Reflect Module 1: Introduction and Definitions Forum

          Which components of Medical Professionalism do you think are important and why?

      • Module 2: Altruism and Commitment to Patients’ Interests.

        "As changing market forces continue to confront the medical profession, physicians are increasingly challenged to maintain an unwavering commitment to their patients." [IMAP Agenda].

        Competence (Learning Outcome) for this Module:

        Be able to identify and apply the key ways in which commitment to patients' interests may be maintained.

        The Module will cover the following areas:
        Adherence to ethical principles (honesty/integrity, confidentiality, moral reasoning, respect privileges, and code of conduct)

        Effective interaction with patients and people important to those patients (respect for diversity/uniqueness, politeness/courtesy/patience, empathy/caring/compassion/rapport, manner/demeanor, include patients in decision making, maintain professional boundaries, balance availability to others with care for oneself)

        Effective interaction with other people working in the health system (teamwork, respect for diversity/uniqueness, p oliteness/courtesy/patience, manner/demeanor, maintain professional boundaries, balance availability to others with care for oneself)

        1 Page, 1 Forum
        • Resources Lesson 1: Altruism and Commitment to Patients' Interests Page
        • Reflect Module 2: Altruism and Commitment to Patients’ Interests Forum

          Wlikinson and Wade et al stated that “altruism,” rather than being inferred as meaning subjugating oneself for others, contrasts with maintaining a healthy work-life balance, so adopted the concept, “Balance availability to others with care for oneself.” Do you agree? If so, why?

      • Module 3: Physician Self-Regulation and Maintenance of Competence

        "The pace of innovation in medicine is unprecedented. Absent a commitment to life-long learning, the knowledge base of the best-trained physician will soon be outmoded and fall short of best medical practice." [IMAP]

        "Group pressures not to report a colleague or indifference to the performance of others might lead doctors to ignore a colleague's ineptitude or malfeasance, compromising patient health and safety." [IMAP]

        Competence (Learning Outcome):

        Be able to critically appraise the key methods of self-regulation by the medical profession and review the methods by which technical and communication competence can be maintained.

        The Module will cover the following areas:

        Commitment to autonomous maintenance and continuous improvement of competence (Self, including but not restricted to: reflectiveness, personal awareness, self-assessment, seek and respond to feedback, respond to error, recognize limits, lifelong learning, deal with uncertainty; Others including but not restricted to: provide feedback/teaching, people management, leadership systems including but not restricted to: advocacy, seek and respond to results of an audit, advance knowledge)

        Effective interaction with other people working in the health system Including (teamwork, respect for diversity/uniqueness, politeness/courtesy/patience, manner/demeanor, maintain professional boundaries, balance availability to others with care for oneself)

        Reliability (accountability/complete tasks, punctuality, take responsibility, organized)

        1 Page, 1 Forum
        • Resources Lesson 1: Physician Self-Regulation and Maintenance of Competence Page
        • Reflect Module 3: Physician Self-Regulation and Maintenance of Competence Forum

          How do you plan to maintain your own professional competence? What would help you?

          Assume that you see a colleague whose medical behaviour you suspect is unprofessional - should you intervene and if so, how?

      • Module 4: Civic Engagement

        "Physicians should enlarge the scope of their concerns from the well-being of the individual patient to a concern for the welfare of all patients. They must make their voices heard by communicating their knowledge to the public." [IMAP]  To which we add: "Listening and responding to what the public tells us."

        Competence (Learning Outcome):

        Be able to discuss the ways in which concerns for the welfare of all in the community can be added to concerns for individual patient care.

        The Module will cover:

        • Improving access to care
        • Just distribution of finite resources

        1 Page, 1 URL, 1 Forum
        • Resources Lesson 1: Civic engagement Page
        • AMA Advocacy Insights: The Nation's Overdose Epidemic URL

          Watch the entire video. (57 minutes)

        • Reflect Module 4: Civic Engagement (150 minutes) Forum

          In this activity, you will write a reflection to discuss how concerns for the welfare of all in the community can be added to concerns for individual patient care.

          Step 1. Analyze [30 minutes]

          Read and analyze the fictional scenario below:

          There is a documented rise in addiction-related disorders in your community. Since opioid use disorder (OUD) is the most prevalent addiction-related disorder, most management and treatment interventions are allocated to it. Meanwhile, those diagnosed with non-substance use addiction disorders, such as gambling addiction disorder, and those suffering from a substance use disorder other than OUD are not given the proper attention. They either go to another community for treatment or decide not to seek treatment anymore. Suppose you are the health chief officer of the community presented in the fictional scenario; how would you manage priorities to address both concerns in a fair and ethical way?

          Step 2. Respond [100 minutes]

          Prepare a 300-500 word piece of writing that discusses the following questions:

          • How can you address the needs of the OUD majority without leaving behind the minority suffering from other addictions?
          • How can you resolve the tensions between concerns for the welfare of all in the community and concerns for individual patient care for both problems?
          • Do you see tensions in resource allocation? (Think about financial, human, and material resources.)
          • What strategies will you employ to appropriately allocate resources to address health problems in your community fairly and ethically?

          Step 3. Share [10 minutes]

          To share your work, click on the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

          Step 4: Interact [10 minutes]

          To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. Your response should respond to each of the three framework elements indicated in the table. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “post to forum.”

      • Module 5: Relevance to Today/Tomorrow

        How are medical practice and community expectations changing? Are we keeping pace with developments in communication technology?

        Competence (Learning Outcome):

        Be able to understand how doctors can keep pace with changes in practice and in the community around.

        The Module will cover:

        • The nature of modern professionalism
        • Reforming accountability
        • Implications of modern communication technology
        1 Page, 1 URL, 1 Forum
        • Resources Lesson 1: Relevance to Today/Tomorrow Page
        • Disorder: The Emerging Trend of Tech Addiction among Generation Z URL

          Watch the entire video.

          The video will review the characteristics of iDisorder, the effects it has on Generation Z, and recommended interventions to promote a healthy relationship between technology and this population. (66 minutes)

        • Reflect Module 5: Relevance to Today/Tomorrow Forum

          What would be your #1 suggestion for a way in which doctors can keep pace with changes in practice and in the community around them?

      • Final Exam

        Click here to start the Final Examination.

        • Final Exam Quiz
          Restricted Not available unless:
          • The activity Course Registration is marked complete
          • The activity Pre-Test is marked complete
          • The activity Reflect Module 1: Introduction and Definitions is marked complete
          • The activity Reflect Module 2: Altruism and Commitment to Patients’ Interests is marked complete
          • The activity Reflect Module 3: Physician Self-Regulation and Maintenance of Competence is marked complete
          • The activity Reflect Module 4: Civic Engagement (150 minutes) is marked complete
          • The activity Reflect Module 5: Relevance to Today/Tomorrow is marked complete

          Pass this quiz (7/10) to earn a certificate for the course.

      • Course and Self Evaluation & Certificate

        In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your Certificate of Completion.

        Click here to give your feedback

        • Course Evaluations Questionnaire
          Restricted Not available unless: The activity Final Exam is marked complete
        • Self Evaluation Questionnaire
          Restricted Not available unless: The activity Final Exam is marked complete
      • Quiz and Certificate

        If you access the resources in each Module and pass the quiz below, you will earn a Certificate of Completion.

        Skip Activities
        Activities
        • ForumForums
        • QuestionnaireQuestionnaires
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        • Resources
        • Medical Professionalism
        • General
        • How to create an account and enroll in the course?
        • Medical Professionalism Homepage
        • Module 1: Introduction to Medical Professionalism and Definitions
        • Module 2: Altruism and Commitment to Patients’ Interests.
        • Module 3: Physician Self-Regulation and Maintenance of Competence
        • Module 4: Civic Engagement
        • Module 5: Relevance to Today/Tomorrow
        • Final Exam
        • Course and Self Evaluation & Certificate
        • Quiz and Certificate
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