Medical Professionalism: Using Literary Narrative to Explore and Evaluate Medical Professionalism

Author(s):  
Casey Hester ◽  
Jerry B. Vannatta ◽  
Ronald Schleifer
2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697193
Author(s):  
David McCaffrey ◽  
Chris O’Riordan ◽  
Felicity Kelliher

BackgroundWhile no normative definition exists, medical professionalism emphasises a set of values, behaviours and relationships that underpin public trust in a physician. The empirical setting for this study is the Irish health care system where GPs receive income through a unique mix of private fee income and state funded capitation. GPs’ income per patient has fallen by 33% under state schemes between 2008 and 2013 due to changes in health policy and national fiscal constraints.AimThis paper examines how general practitioners conceptualise and operationalise medical professionalism and financial self-interest in the Irish healthcare system.MethodTo address this research aim, a historical documentary analysis (2009–2016) of national and medical newspapers was used to investigate GPs’ expressions of medical professionalism and financial self-interest.ResultsThe vagueness of language in differing definitions of medical professionalism may lead to a GP having a fluid interpretation depending on the situation. While general practitioners expressed core humanistic values, such as empathy and compassion, the expression of altruistic values were limited when practitioners indicated there was constraint on the financial resources of a practice.ConclusionCentral to the analysis of a medical practitioner’s treatment of patients and receipt of fee income is the tension between medical professionalism and financial self-interest. Developing an understanding of this tension has implications for those undertaking healthcare policy initiatives and the recruitment and retention of general practitioners in primary care.


2020 ◽  
Vol 01 ◽  
Author(s):  
Aaron Han

: Social media is increasingly used as a platform by medical providers. The positive contribution is also balanced by risks and governed by codes of professionalism by the medical community. The values of medical professionalism include universal tenets and also those unique to the Arab world and the United Arab Emirates. We propose that institutional guidelines and self governance in the medical community is important, as well as further dialogue on this important subject.


Author(s):  
Kenneth Borris

Despite the centrality of Spenser’s faery queen for his Faerie Queene and its Platonically idealized mode of mimesis, most studies do not define her symbolic scope or address her transcendental implications, though the poem explicitly evokes them. Elizabeth I was typically represented as God’s image and proxy, and Spenser extrapolates Gloriana from her through Platonic idealization of the beloved (I.pr.4). Just as Gloriana never directly appears in the action and Arthur cannot find her despite his continuing searches, so she is definitively beyond representation. Her role reflects divinity’s paradoxical immanence yet transcendence in Platonic and Judeo-Christian traditions: to some extent mediated, rather as Gloriana’s agents somewhat express her nature; yet still beyond apprehension. Spenser’s engagement with these issues of theology and representation approximates Florentine Platonism’s serio-ludic “poetic theology” involving paradox, wordplay, and riddling fables. By creating this deliberately inconclusive fiction, he audaciously rejected the prevailing requirements of literary narrative so as to adumbrate sublimities beyond the ordinary scope of language.


2009 ◽  
Vol 25 (1) ◽  
pp. 47-70
Author(s):  
Paul Fallon

This essay analyzes how, marginalized by national literatures and threatened by the rise of regional mass media in the 1980s and 1990s, northern Mexican border authors and their texts consistently concerned themselves with the temporalities of representation——particularly in literary narrative. Through their treatment of temporal issues, these writers directed themselves toward a local, transnational reading community and enacted a critical regionalism that articulates local signification within larger processes reshaping the role of literature in contemporary Latin America.


2012 ◽  
Vol 46 (5) ◽  
pp. 523-524 ◽  
Author(s):  
Kelly McGarry ◽  
Carol Landau

The Lancet ◽  
2021 ◽  
Vol 398 (10303) ◽  
pp. 817
Author(s):  
The Lancet

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