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Tiny Moments Matter: Promoting Professionalism in Everyday Practice.

Elizabeth C Bernabeo1, Benjamin Chesluk, Lorna Lynn

  • 1American Board of Internal Medicine, Philadelphia, PA.

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Physician professionalism involves connecting with patients and colleagues, serving as role models, and continuous learning. Understanding these everyday experiences offers a more complete view beyond just addressing lapses.

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Area of Science:

  • Medical Education
  • Professional Ethics
  • Physician Behavior

Background:

  • Professionalism is shaped by individual, environmental, and societal factors.
  • Focusing solely on physician lapses provides an incomplete understanding of professionalism.
  • Everyday experiences significantly contribute to positive professional behavior.

Purpose of the Study:

  • To explore professionalism in practicing internal medicine physicians within their daily practice.
  • To highlight how typical experiences foster positive, often overlooked, professional conduct.
  • To offer insights beyond traditional remediation and lapses perspectives.

Main Methods:

  • In-depth interviews were conducted with 13 physicians.
  • Grounded theory approach was used for data collection and analysis.
  • Explored physicians' most meaningful experiences of professionalism.

Main Results:

  • Physicians feel most professional when connecting with patients and colleagues.
  • Serving as positive role models is a key aspect of physician professionalism.
  • Professionalism is viewed as a dynamic, evolving competency requiring lifelong commitment and learning.

Conclusions:

  • Physician professionalism encompasses more than just avoiding lapses; it involves active engagement and connection.
  • Physicians' dedication to connecting with patients and colleagues can impact work-life balance.
  • Viewing professionalism as developmental emphasizes its lifelong, evolving nature.