Professionalism & Medical Ethics Ronald R. Burns, DO, FACOFP Member AOA Board of Trustees Member NBOME Board of Trustees Fellow Federation of State Medical Boards

Professionalism What is professionalism? How can it be implemented? How is it taught? How is it assessed?

The concept of professionalism includes the following values : Honesty Altruism Service Commitment Communication Commitment to excellence accountability Life-long learning

OSTEOPATHIC PLEDGE OF COMMITMENT I pledge to: Provide compassionate, quality care to my patients; Partner with them to promote health; Display integrity and professionalism throughout my career; Advance the philosophy, practice and science of osteopathic medicine; Continue life-long learning; Support my profession with loyalty in action, word and deed; and Live each day as an example of what an osteopathic physician should be. 4

Code of Ethics The American Osteopathic Association has formulated this Code to guide its member physicians in their professional lives. The standards presented are designed to address the osteopathic physician's ethical and professional responsibilities to patients, to society, to the AOA, to others involved in healthcare and to self. Further, the American Osteopathic Association has adopted the position that physicians should play a major role in the development and instruction of medical ethics.

OCC Continuous learning Practice improvement Proficiency evaluation Knowledge test

Ten Commitments to Professionalism

What is ethics? Ethics or moral philosophy is the systematic endeavour to understand moral concepts and justify moral principles and theories.

What the doctor as a teacher is able to do Attitudes, ethical understanding and Legal responsibility Medical informatics Decision making skills and clinical Reasoning and judgment Patient management Professionalism What the doctor as a teacher is able to do Basic, Social and clinical sciences Patient investigation Approach to task Performance Of task Clinical Skills Practical procedures Personal Development Health promotion and Disease prevention Role of the doctor within the health service and community

Osteopathic Medical Competencies Osteopathic Philosophy & OMT Required Elements: Knowledge Humanism Primacy of Patient Need Accountability Continuous Learning Ethics Cultural Competence Medical Knowledge Osteopathic Patient Care Interpersonal & Communication Skills Professionalism Practice-based Learning and Improvement Systems-based Practice

Self-Evaluation of Practice Performance Designed to force “a new way of thinking” about quality and QI Quality is not what the doctor does (but what the system produces) Quality improvement is not about working harder (or learning more) but is about diagnosing and treatment of system problems” Designed to promote adult (experiential) learning by creating a safe and credible mechanism for self-evaluation Now let’s turn to self-assessment of practice performance. The purpose of this component of MOC is for diplomates to demonstrate the quality of their clinical processes and outcomes of care, their patient experiences of care, and the practice structure and function. It also meets the ACOFP requirement to begin to demonstrate diplomate competence in applying quality improvement science in practice. The exercise directs diplomates in the use of quality measures, participation in an attempt to make systematic changes, and to re-measure the impact of that change.

Practice Improvement Module AOA’s “CAP” Practice Improvement Module Patient Data Practice Systems Performance Report Improvement Plan Act Do Impact Study

RESPONSIBILITIES OF PHYSICIANS Maintain skills through ongoing education. Seek help for any impairment issues Practitioner Resource Network: 1(800) 888-8PRN Know the Laws and Rules that govern the practice of medicine in Florida