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    Professionalism

    Explore this JAMA series discussing common behavioral and ethical dilemmas in the practice of medicine and ways to resolve them.

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    • Assessment of Perceptions of Professionalism Among Faculty, Trainees, Staff, and Students in a Large University-Based Health System
      JAMA Network Open
      Research
      November 23, 2020

      This qualitative study used a mixed-methods approach to analyze survey and narrative data on how professionalism standards are operationalized and perceived in diverse health care work and learning environments.

      Health Disparities Health Care Workforce Medical Education and Training Ethics Health Care Policy
      Full Text | pdf link PDF open access
    • Women Surgeons’ Experiences of Interprofessional Workplace Conflict
      JAMA Network Open
      Research
      October 8, 2020

      This qualitative study uses data from interviews via email and national surgical societies to investigate interprofessional workplace conflicts experienced by women surgeons.

      Health Disparities Surgery Professional Well-being
      Full Text | pdf link PDF open access
    • What Does It Mean to Be a Physician?
      JAMA
      Opinion
      March 17, 2020

      This Viewpoint provides a historical perspective on the evolution of the roles and responsibilities of physicians and proposes a response to the trends in dysfunctional health care systems, lifestyle changes that favor distancing from patients, disruptions in care continuity, and expectations that doctors manage social determinants of health that threaten physician identity.

      Professional Well-being
      Full Text | pdf link PDF
    • Can an Evidence-Based Approach Improve the Patient-Physician Relationship?
      JAMA
      Opinion
      January 7, 2020
      Shared Decision Making and Communication Health Care Quality Patient Care
      Full Text | pdf link PDF has multimedia
    • Connecting With Patients—The Missing Links
      JAMA
      Opinion
      January 7, 2020
      Electronic Health Records Geriatrics Health Care Safety Shared Decision Making and Communication Health Care Quality
      Full Text | pdf link PDF has multimedia
    • Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter
      JAMA
      Review
      January 7, 2020

      This study uses systematic reviews, interviews, and an expert consensus process to identify practices that promote clinician presence and connection during patient visits: preparation and listening with intent, agreeing on what matters most, connecting with the patient’s story, and exploring emotional cues.

      Shared Decision Making and Communication Health Care Quality Patient Care
      Full Text | pdf link PDF | CME & MOC is active quiz has multimedia
    • Value-Based Purchasing and Physician Professionalism
      JAMA
      Opinion
      November 5, 2019

      This Viewpoint discusses the importance of structuring value-based purchasing models around principles of physician professionalism to ensure that measures that lead to more payment are clinically meaningful, do not increase administrative burden, do not displace clinicians’ intrinsic motivation to help patients with financial motivations, and do not incentivize physicians to avoid sicker, more complicated patients.

      Health Care Reform Health Care Economics, Insurance, Payment Health Care Quality Health Policy
      Full Text | pdf link PDF
    • Physicians Talking With Their Partners About Patients
      JAMA
      Opinion
      October 15, 2019

      This Viewpoint discusses the phenomenon of physicians talking about patients with their partners and spouses, and the tensions between balancing patient privacy with having a personal outlet and support for processing challenging clinical experiences.

      Ethics
      Full Text | pdf link PDF
    • Time for Changes in the Surgical Community—Promoting Professionalism as #MeToo 2.0
      JAMA Surgery
      Opinion
      September 1, 2019
      Surgery
      Full Text | pdf link PDF
    • Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications in Their Patients
      JAMA Surgery
      Research
      September 1, 2019

      This cohort study assesses the association between surgeons with higher numbers of reports from coworkers about unprofessional behaviors and the risk for postoperative complications in their patients.

      Surgery Health Care Quality
      Full Text | pdf link PDF | CME & MOC free is active quiz has multimedia with quiz
    • Recognizing and Reacting to Microaggressions in Medicine and Surgery
      JAMA Surgery
      Review
      September 1, 2019

      This Special Communication elaborates on the concept of microaggressions and provides suggestions for how recipients or bystanders can respond to them.

      Medical Education and Training Surgery Professional Well-being
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Efficacy of Mindfulness-Based Cognitive Training in Surgery: Additional Analysis of the Mindful Surgeon Pilot Randomized Clinical Trial
      JAMA Network Open
      Research
      May 24, 2019

      This follow-up analysis of pilot randomized clinical trial data explores the potential benefits of mindfulness-based stress reduction for improving well-being among postgraduate year 1 surgery residents.

      Medical Education and Training Surgery Medical Education
      Full Text | pdf link PDF open access
    • Whatever Happened to Local Otolaryngology Societies?
      JAMA Otolaryngology–Head & Neck Surgery
      Opinion
      February 1, 2019

      This essay describes the importance of, and decline of membership in, specialty medical societies.

      Otolaryngology Professional Well-being
      Full Text | pdf link PDF
    • Prevalence of Sexual Harassment in Academic Medicine
      JAMA Internal Medicine
      Research
      January 1, 2019

      This cross-sectional internet-based survey study analyzes sexual harassment among physicians in an academic tertiary referral center in Germany.

      Full Text | pdf link PDF free
    • Professionalism, Performance, and the Future of Physician Incentives
      JAMA
      Opinion
      December 18, 2018

      This Viewpoint calls out the limited evidence supporting current pay-for-improvement incentives in the US, and argues that performance improvement programs that emphasize nonfinancial rewards, resources for quality improvement, and team-based recognition would be more consistent with physician motivation and professionalism and would be worth evaluating as a means to reduce health care costs and waste and improve quality.

      Health Care Reform Health Care Economics, Insurance, Payment Health Care Quality
      Full Text | pdf link PDF
    • Characteristics of Physicians Excluded From US Medicare and State Public Insurance Programs for Fraud, Health Crimes, or Unlawful Prescribing of Controlled Substances
      JAMA Network Open
      Research
      December 14, 2018

      This cross-sectional study examines the characteristics of physicians excluded from participation in US Medicare and state public health insurance plans between 2007 and 2017 owing to fraud, health crimes, or unlawful prescribing of controlled substances.

      Law and Medicine Health Care Safety Health Care Quality Health Policy
      Full Text | pdf link PDF open access
    • Politics and Health Care
      JAMA
      Opinion
      October 9, 2018
      Full Text | pdf link PDF
    • Mistreatment of Medical Trainees: Time for a New Approach
      JAMA Network Open
      Opinion
      July 27, 2018
      Medical Education and Training Medical Education
      Full Text | pdf link PDF open access
    • Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees
      JAMA Network Open
      Research
      July 27, 2018

      This review of 10 peer-reviewed studies and 5 program curricula evaluates published programs designed to prevent or decrease the mistreatment of medical trainees.

      Medical Education and Training Medical Education
      Full Text | pdf link PDF open access
    • Prognosis Is Guarded for California’s “Patient’s Right to Know Act”
      JAMA
      News
      July 24, 2018
      Law and Medicine
      Full Text | pdf link PDF free
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