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De-Professionalization

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Peritoneal Dialysis International, Vol. 23, pp. 523–527
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IS MEDICAL PROFESSIONALISM STILL RELEVANT?

T

reestablishing medical professionalism in the new environment (1).
PROFESSION, PROFESSIONAL, AND
PROFESSIONALISM: DEFINITIONS

Profession is a “calling requiring specialized knowledge obtained after a long and intensive academic preparation” (Webster’s dictionary). However, the concept of profession is linked to an ethical ideal without which it cannot exist. This ideal requires an effacement of self-interest when it is required for the good of the person seeking assistance. Clearly, a profession is much more than a job. It is more an identity.
Individuals give much of themselves to their professions and they receive much in return. The giving, however, always precedes and supersedes the receiving (6,7).
Professional is the individual conforming to the technical and ethical standards of the profession, and exhibiting a courteous, conscientious, and generally business-like manner in the workplace. Particular obligations of the professional include respect of the individual’s human worth, trustworthiness, and protection of important values (8).
As professionals, physicians should profess their values (2). They do so when they recite the Hippocratic oath, which stresses the importance of acquisition of knowledge and skills in order to serve others in an altruistic way (1). The professional also accepts responsibilities and duties not expected of members of society in general, such as confidentiality, compassion, integrity, interprofessional respect and collegiality, public service, self-policing, and a commitment to progress (9).
To be successful as professionals, physicians should commit themselves to a

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