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Professionalism, altruism, and overwork.

K Ritchie

    The Journal of Medicine and Philosophy
    |November 1, 1988
    PubMed
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    Overworking medical residents is ethically unjustifiable and harmful to both doctors and patients. Long working hours are not essential for maintaining professionalism in medicine, according to established definitions.

    Area of Science:

    • Medical Ethics
    • Professionalism in Medicine
    • Resident Physician Well-being

    Background:

    • The ethical implications of extended working hours for resident physicians are a significant concern.
    • Evidence suggests that overwork negatively impacts resident well-being and patient care quality.
    • The traditional argument linking long working hours to professional status in medicine warrants critical examination.

    Purpose of the Study:

    • To ethically evaluate the justification of overworking resident physicians.
    • To analyze the claim that long working hours are necessary for maintaining medical professionalism.
    • To assess the validity of this claim against established definitions of professionalism.

    Main Methods:

    • Ethical analysis of resident work hours.
    Keywords:
    Bioethics and Professional EthicsProfessional Patient Relationship

    Related Experiment Videos

  • Review of literature on physician overwork and patient safety.
  • Examination of historical and contemporary definitions of medical professionalism, including the Flexner Report.

    • Main Results:

    • Overworking residents lacks ethical justification.
    • Detrimental effects of overwork on residents and patients are documented.
    • Definitions of professionalism do not support the necessity of long working hours for residents.

    Conclusions:

    • The practice of overworking resident physicians is ethically indefensible.
    • Professionalism in medicine does not mandate excessively long working hours.
    • Altruism, a component of professionalism, is only obligatory when contractually required, not as a justification for overwork.