Ética y profesionalismo en un mundo cambiante

Abstract

While medicine is in a fairly constant state of change, the same could be said about the organisation and provision of healthcare, which can lead to conflicting obligations as regard ethics, professionalism and the standards to which clinicians are generally held to account. Additional complexity arises if there is confusion as to what these two domains comprise, and while there is plenty of literature on ethics and professionalism in medicine, much less has been written about the relationship between them. A lay observer could be forgiven for having little sense of where one ends and the other begins. It is also possible that few practicing professionals have pondered specifically on these issues, and not only should it help educators (whose task it is to design, implement and assess programmes and curricula) to have greater clarity on these issues, but it could potentially be of benefit to patients as well.Ethics and professionalism are not the same, even though they are closely connected. If ethics and professionalism are to become part of the DNA of practicing clinicians, it should be clear to everyone of what the domains comprise, and what the terminology means. This could make a difference in how doctors behave towards each other, and more importantly, towards their patients; attitudes define behaviours, which in turn influence the way in which individual episodes of care are given, so this is far more than simply a question of semantics. All Rights Reserved © 2015 Universidad Nacional Autónoma de México, Facultad de Medicina. This is an open access item distributed under the Creative Commons CC License BY-NC-ND 4.0. PALABRAS CLAVEÉtica; Profesionalismo; Medicina; Cultura; Cuidados de la salud Ética y profesionalismo en un mundo cambianteResumen La medicina se encuentra en un estado constante de cambio, y lo mismo podría decirse de la organización y la prestación de servicios de salud, lo que puede dar lugar a obligaciones contradictorias en cuanto a la ética, el profesionalismo y las normas a las que los clínicos generalmente se enfrentan. La complejidad aumenta si hay confusión en cuanto a lo que comprenden estos 2 dominios, y si bien hay mucha literatura sobre la ética y el profesionalismo en la medicina, menos se ha escrito acerca de la relación entre ellos. Un observador lego podría Peer Review under the responsibility of Universidad Nacional Autónoma de México. -NC-ND 4.0. 176 R.P. Worthington ser perdonado por tener poco conocimiento sobre dónde termina uno y empieza el otro; también es posible que pocos profesionales hayan reflexionado específicamente sobre estos temas, y no solo puede ayudar en el caso de los educadores (cuya tarea es diseñar, implementar y evaluar los programas y planes de estudios) para tener mayor claridad sobre estos temas, sino que potencialmente podría también beneficiar a los pacientes.La ética y el profesionalismo no son lo mismo, a pesar de que tienen una conexión íntima, y si la ética y el profesionalismo se convertirán en parte del ADN de la práctica de los médicos, debe...

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“…Ethics and professionalism are often used interchangeably but are not the same. According to Worthington [94] , ''the task of ethics (moral philosophy) is to answer systematically a range of questions concerning right and wrong conduct'' 4 " [p.176]. Professionalism, on the other hand, is "a concept applying to a particular category of persons that includes attitudes and behaviours in and out of the workplace'', its opposite being unprofessionalism, which is about ''behaviours that fail to conform to normative standards set by an independently regulated profession, such as medicine'' [94, p.176] Promoting professionalism and ethical values in training and practice is desired of all professionals and was identified as one of the top five competencies required for higher education in Africa by the Tuning Project [95] .…”

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“…Ethics and professionalism are used but are not the same. According to Worthington [94], ''the task of ethics (moral philosophy) is to answer systematically a range of questions concerning right and wrong conduct' '4" [p.176]. Professionalism, on the other hand, is "a concept applying to a particular category of persons that includes attitudes and behaviours in and out of the workplace'', its opposite being unprofessionalism, which is about ''behaviours that fail to conform to normative standards set by an independently regulated profession, such as medicine'' [94, p.176] Promoting professionalism and ethical values in training and practice is desired of all professionals and was identi ed as one of the top ve competencies required for higher education in Africa by the Tuning Project [95].…”