PATIENT CARE AND PROFESSIONALISM This page intentionally left blank PATIENT CARE AND PROFESSIONALISM Edited by Catherine D. DeAngelis 1 3 Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offices in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Oxford is a registered trademark of Oxford University Press in the UK and certain other countries. Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016 © Oxford University Press 2014 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by license, or under terms agreed with the appropriate reproduction rights organization. Inquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above. You must not circulate this work in any other form and you must impose this same condition on any acquirer. Library of Congress Cataloging-in-Publication Data Patient care and professionalism / edited by Catherine D. DeAngelis. pages cm Includes bibliographical references and index. ISBN 978–0–19–992625–1—ISBN 978–0–19–992626–8 1. Medical personnel and patient. 2. Physician and patient. 3. Physicians—Professional ethics. 4. Medical laws and legislation. I. DeAngelis, Catherine, 1940– R727.3.P3634 2013 610.7306′9—dc23 2013004978 1 3 5 7 9 8 6 4 2 Printed in the United States of America on acid-free paper To patients everywhere and to the people who care for them. This page intentionally left blank CONTENTS Foreword ix Uwe E. Reinhardt Acknowledgements xvii Contributors xix Introduction xxiii Catherine D. DeAngelis 1. Medical professionalism from the patient’s perspective: Is there an advocate in the house? 1 Martha E. Gaines , Rachel Grob , Mark J. Schlesinger , and Sarah Davis 2. Th e Hippocratic Oath as an example of professional conduct 19 Howard Markel 3. Professionalism and politics in the United Kingdom 31 Carol Black , Cyril Chantler 4. Th e role of specialty boards in promoting professionalism: Th e case of the American Board of Internal Medicine 46 Clarence H. Braddock III , Eric S. Holmboe , Christine K.Cassel CONTENTS 5. Medical professionalism in the twenty-fi rst century 61 Catherine D. DeAngelis 6. Professionalism and nursing—A quest or an accomplishment? 77 Kathleen M. White 7. Public health: Th e “population” as patient 99 Lawrence O. Gostin 8. Exploring the role of law and legal systems in the therapeutic relationship 112 James G. Hodge, Jr. 9. Professionalism and fi duciary responsibilities in health care leadership 131 Phil B. Fontanarosa 10. Professionalism, medicine, and religion 148 Patricia M. Fosarelli 11. Professionalism: Th e science of care and the art of medicine 163 James C. Harris Index 185 viii FOREWORD Uwe E. Reinhardt, PhD Th is much must be said fi rst: Th e editor of this volume and the other distinguished authors who have contributed to it are to be congrat- ulated and thanked for illuminating the role of professionalism in the care of patients in this unique way. Th e medical literature on professionalism all too oft en pres- ents only the introspective, and usually defensive, perspective of a profession under siege by the growing commercialism of modern medicine, by the oft en skeptical consumerism enabled by new infor- mation technology, and by a growing, general distrust of authority of any kind, including the authority traditionally reposing in the self-regulating professions such as medicine. Refreshingly, this volume illuminates the topic from a variety of diff erent perspectives, including those of physicians, patients, ethi- cists, legal experts, and practitioners in population health. Cast in this tradition of the liberal arts, the volume is the ideal platform for a course or a series of seminars that all schools for health profession- als should off er their students. But this must be said also: It is bold, if not reckless, for the editor and the authors to invite a blasphemous member of the