PROFESIONALISMEdr Merry Indah Sari

Tujuan pembelajaranMengetahui definisi profesi dan profesionalismeMengetahui atribut dalam profesionalismeMengetahui ancaman dalam profesionalismeMemahami peranan profesionalisme dalam praktek kedokteran.

Learning to be a doctor may not be just an academic challenge but also a social challenge where other important skills such as communication skills should be mastered

No one to tell you what to do, a lot of pressure to get things right. Its not just a question of learning material for marks but you have to know the material, understand and be able to aply itThere is responsibility now. What happens in the next five years will shape my attitude to medicine

Profesi A profession is any group sharing a special body of knowledge, standards of education and practice, professional associations, and an ethical framework based in a social contract that permits a high degree of self-regulationAn occupation that regulates its self through systematic, required training and collegial discipline, that has a service rather than profit oriention, enshrined in its code of ethics.

AKUNTABILITAS PROFESI DIDASARKAN PADA KONTRAK SOSIALKontrak antara kelompok profesi dengan masyarakat umum. Profesi diberi monopoli dalam menggunakan keahliannya dalam pelayanan kpd masyarakat, dengan menimbang otonominya, prestige dan imbalan finansialnyaDan sebaliknya profesi harus menjamin kompetensi mereka, memberikan layanan yang altruistik, berperilaku yang bermoral dan berintegritasCruess SR et al: MJA 2002 177 (4): 208-211

Profesionalisme Profesionalinternalisasi nilai nilai, berperilaku sesuai standar dan akuntabel .Profesionalisme : nilai, perilaku, pengetahuan, keterampilan untuk kepentingan masyarakat dan mendapat kepercayaan masyarakat.

Profesionalism is the basis of medicine contract with societyIt demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of healthEssential to this contract is public trust in physicians, which depends on the integrity of both individual physicians and the whole profession

Atribut ProfesionalismeGeneral Medical Council : providing good clinical care, maintaining good clinical practices, teaching and training, probity and health, working with collegesAmerican board of internal medicine : altruisme, accountability, excellence, duty, honour/ integrity and respect for others.Van luijk : honesty, responsibility, leadership, caring and compassion,

Arnold and Stern : Profesionalism is demonstrated through foundation of clinical competence, communication skills, ethical and legal understanding, upon which build the aspiration to and wise aplication of the principle : excellence, humanism, accountability, and altruism

True professionalism means the pursuit of excellence, not just competenceProfessionalism is predominantly an attitude, not a set of competenciesA real professional is a technician who caresProfessional is not a label you give yourself. Its a description you hope others will apply to youMaister DH: True Professionalism, The Free Press, 1997

Paul StarrProfesionalism :Cognitive knowledgeMoral componentCollegial responsibility

Ancaman terhadap profesionalismeIndustrialisasi dari sistem layanan kesehatanPerkembangan teknologi, perubahan dalam tuntutan pasar dan globalisasi.

ANCAMAN PROFESIONALISME DI INDONESIASistem Pendidikan Kedokteran yg mahalSistem Pembiayaan yg fee for serviceSistem Pelayanan Kedokteran yg for profit: komoditi ekonomiSistem liberalisasi pengadaan obat/alkesMasyarakat yang semakin materialistikPeraturan yang tidak lengkap

Ketidakpercayaan masyarakat terjadi apabila masyarakat menilai bahwa profesi kedokteran gagal melakukan swa-regulasi yang menjamin kompetensi, dan meletakkan kepentingannya di atas kepentingan pasienAtau bila kedokteran melindungi anggotanya yg tidak kompeten dan tidak etis atas nama kolegialitas

Tanggung jawab profesionalKomitmen terhadap kompetensi profesionalKomitmen terhadap kerahasiaan pasienKomitmen terhadap peningkatan kualitas layanan kesehatanKomitmen terhadap akses layanan kesehatanKomitmen untuk menjaga kepercayaan.

Profesionalisme

Meningkatkan kualitas layanan kesehatanMencegah terjadinya malpraktikMeningkatkan kepercayaan dalam kontrak sosial praktek kedokteran.