Journal ArticleDOI
Perspective: Physician advocacy: what is it and how do we do it?
TLDR
The authors propose a definition and, using the biographies of actual physician advocates, describe the spectrum of physician advocacy, as first steps toward building a model for competency-based physician advocacy training and delineating physician advocacy in common practice.Abstract:
Many medical authors and organizations have called for physician advocacy as a core component of medical professionalism. Despite widespread acceptance of advocacy as a professional obligation, the concept remains problematic within the profession of medicine because it remains undefined in concept, scope, and practice. If advocacy is to be a professional imperative, then medical schools and graduate education programs must deliberately train physicians as advocates. Accrediting bodies must clearly define advocacy competencies, and all physicians must meet them at some basic level. Sustaining and fostering physician advocacy will require modest changes to both undergraduate and graduate medical education. Developing advocacy training and practice opportunities for practicing physicians will also be necessary. In this article, as first steps toward building a model for competency-based physician advocacy training and delineating physician advocacy in common practice, the authors propose a definition and, using the biographies of actual physician advocates, describe the spectrum of physician advocacy.read more
Citations
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Should health professionals participate in civil disobedience in response to the climate change health emergency
TL;DR: A framework is applied to guide decision making by considering whether climate change justifies civil disobedience by health professionals as part of the authors' duty of care, and it acknowledges that many people who relate to this paradigm are relatively protected from early climate– health effects.
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Should Health Professionals Speak Up to Reduce the Health Risks of Climate Change
TL;DR: A seven-part deliberative framework for making this determination about whether climate change is an appropriate-or even obligatory-arena for physician advocacy is proposed.
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What Does Professionalism Mean to the Physician
TL;DR: The meaning of professionalism and its role in the Southern California Permanente Medical Group (SCPMG) is discussed and how it may be applied to integrated care delivery systems such as Kaiser Permanent is considered.
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The values and ethical commitments of doctors engaging in macroallocation: a qualitative and evaluative analysis
TL;DR: The empirical bioethics approach enabled us to identify an ethical framework for medical work in macroallocation that was grounded in the values and ethical intuitions of doctors engaged in actions of distributive justice.
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Self-reported evaluation of competencies and attitudes by physicians-in-training before and after a single day legislative advocacy experience.
Kristin Huntoon,Colin J. McCluney,Colin J. McCluney,Elizabeth A. Wiley,Christopher A. Scannell,Richard Bruno,Matthew J. Stull +6 more
TL;DR: A one-time practical advocacy experience has a positive influence on students’ knowledge, skills and attitudes towards legislative advocacy.
References
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Medical Professionalism in the New Millennium: A Physician Charter
Troy Brennan,Linda L. Blank,Jordan J. Cohen,Neil J. Smelser,Risa Lavizzo-Mourey,Gunilla Brenning,Christopher Davidson,Philippe Jaeger,Alberto Malliani,Hein P Muller,Ziekenhuis Gooi-Noord,Daniel Sereni,Eugene Sutorius,Richard L. Cruess,Sylvia R. Cruess,Jaime Merino +15 more
TL;DR: The Charter on Medical Professionalism Project is the product of several years of work by leaders in the ABIM Foundation, the ACP‐ASIM Foundation, and the European Federation of Internal Medicine and consists of a brief introduction and rationale, three principles, and 10 commitments.
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Medicine. The NIH Roadmap.
TL;DR: The NIH Roadmap identifies the most compelling opportunities in three arenas: new pathways to discovery, research teams of the future, and reengineering the clinical research enterprise.
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The Developing Physician — Becoming a Professional
TL;DR: The problems with and success in trying to teach one of the core values of medicine, professionalism, are described and the authors say it becomes easier to teach.
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Primary Care Physicians' Experience of Financial Incentives in Managed-Care Systems
TL;DR: Incentives that depend on limiting referrals or on greater productivity apply selective pressure to physicians in ways that are believed to compromise care.
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Physician-citizens--public roles and professional obligations.
TL;DR: This work proposes a definition and a conceptual model of public roles that require evidence of disease causation and are guided by the feasibility and efficacy of physician involvement, and frames a public agenda for individual physicians and physician organizations that focuses on advocacy and community participation.