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

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

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

4. 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

5. 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.

6. OCC Continuous learning Practice improvement Proficiency evaluation
Knowledge test

7. Ten Commitments to Professionalism

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

9. 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

11. 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

12. 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.

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

14. 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