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Accountability as a virtue in medicine: from theory to practice
John R Peteet1, Charlotte V O Witvliet2, Gerrit Glas3
1Department of Psychiatry, Harvard Medical School, Boston, USA.
Philosophy, Ethics, and Humanities in Medicine : PEHM
|March 22, 2023
Summary
Embracing accountability in medical practice involves welcoming responsibility and feedback. This virtue can reduce moral distress and improve patient care through a learning culture.
Area of Science:
- Medical Ethics
- Healthcare Professionalism
Background:
- Accountability is a fundamental norm in medical practice.
- Distinguishing between accountability as a virtue and being held accountable is crucial.
Purpose of the Study:
- To explore the benefits of explicitly focusing on accountability as a virtue.
- To understand how accountability influences moral distress and learning cultures in medicine.
Main Methods:
- Conceptual analysis of accountability as a virtue.
- Exploration of its implications for medical practice and professional development.
Main Results:
- Accountability as a virtue entails welcoming responsibility and feedback.
- Practicing accountability can mitigate moral distress stemming from institutional pressures.
- A feedback-receptive mindset enhances the learning culture in healthcare.
Conclusions:
- Fostering accountability as a virtue is beneficial for individual practitioners and the healthcare system.
- Analyzing failures in accountable practice provides avenues for clinical care improvement.
- Promoting accountability supports a robust ethical framework in medicine.
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