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  • 标题:Professionalism revisited during the pandemics of our time: COVID-19 and racism
  • 本地全文:下载
  • 作者:Zareen Zaidi ; Saleem Razack ; Arno K. Kumagai
  • 期刊名称:Perspectives on Medical Education
  • 印刷版ISSN:2212-2761
  • 电子版ISSN:2212-277X
  • 出版年度:2021
  • 卷号:10
  • 期号:4
  • 页码:238-244
  • DOI:10.1007/s40037-021-00657-w
  • 语种:English
  • 出版社:Springer Verlag
  • 摘要:In this article the authors review the current-day definition of professionalism through the lens of the two ongoing pandemics: COVID-19 and racism. The pandemics have led to contemporary practice-related questions, such as: does professionalism entail that health care providers (HCP) be compelled to treat patients without PPE or if patients refuse to wear masks? And what role do HCP play in society when confronted with glaring health disparities and police brutality? The authors propose using care ethics as a theory to view professionalism, as it takes into account broadly encompassing relationships between HCP and society, history and context. Professionalism viewed through a care ethics lens would require professionalism definitions to be expanded to allow for interventions, i.e., not just refrain from doing harm butactively interfere or take actionif wrong is being witnessed. Principles related to the primacy of patient welfare need to be re-addressed to prevent systematic self-sacrifice which results in harm to HCP and burnout.Mature careshould be a characteristic of professionalism ensuring that HCP care for the sick but be practically wise, highlighting the importance of balancing too little and too much care for self and others. Professionalism needs to be viewed as a bi-directional relational exchange, with society demonstrating solidarity with those providing care. Additionally, given the scale of health disparities, simply stating that HCP need to work towards social justice oversimplifies the problem. Professionalism needs to encompassincorporating critical action and critical pedagogyinto health care training and the health care profession to demonstratesolidarity with those impacted by racism.
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