Professionalism in Psychiatry
Glen O. Gabbard, M.D., Laura Weiss Roberts, M.D., M.A., Holly Crisp-Han, M.D., Valdesha Ball, M.D., Gabrielle Hobday, M.D., and Funmilayo Rachal, M.D.
Physicians and psychiatrists typically see themselves as true professionals. But in the past, some displayed behavior far beneath the confines of professionalism, including exploding at nurses, not returning calls, or conducting insensitive interactions with patients, that was usually tolerated and seldom disciplined. Today, the rise of professionalism in medicine in general and psychiatry in particular has prompted a quiet revolution in how doctors are trained and how they are expected to behave in the workplace. The Accreditation Council for Graduate Medical Education (ACGME) has now advanced professionalism to be one of the core competencies all emerging practitioners must have.
While almost all physicians believe in professionalism, the movement toward making it a core competency has challenged doctors everywhere to accept the practice of monitoring, observing and assessing what is not always welcome in a field where autonomy is so highly valued. In Professionalism in Psychiatry, the authors identify and expand on professional behaviors, such as being a good team player, being accountable, pursuing improvement in an ongoing way, and behaving compassionately toward patients and families. The importance of treating all co-workers with respect and of being attuned to the management of healthcare resources in a way that reflects fairness and integrity is also thoroughly reviewed. Important features of this book are:
- Tailoring professionalism principles from medicine to the unique features of psychiatry in order to enhance educators’ teaching and improve the behaviors of psychiatrists and residents in the work setting.
- Development of guidelines for professionalism in cyberspace to provide psychiatrists with an ethical framework for dealing with patients in the online realm.
- Discussion of the ethical principles that apply when academic departments approach donors.
- Focus on cultural competency and empathy in an effort to improve patient care through greater understanding and sensitivity to ethnic, racial, gender and sexual orientation issues encountered in clinical practice.
- Use of numerous clinical examples to articulate the new professionalism in psychiatry, which illustrates the importance of going beyond “one size fits all” thinking.
Professionalism in Psychiatry is an important contribution toward beginning to characterize the ever-evolving professional behaviors and clinical strategies of the contemporary psychiatrist and place them in a systematic framework.
Introduction. Professionalism in medicine and psychiatry. Professionalism and ethics: from values to action. Professionalism and the clinical relationship: boundaries and beyond. Professionalism and boundaries in cyberspace. Professionalism commitments. Sensitivity to culture, race, gender, and sexual orientation. Overlapping roles and conflicts of interest. Interprofessional and intercollegial relationships. Light and shadow in the “hidden curriculum”. Challenges inherent in teaching and evaluating professionalism. References. Index.
"Dr. Gabbard and his colleagues call our attention to a key issue in psychiatry—professionalism, one of the six core competencies in residency training for psychiatrists defined as “The body of qualities or features, as competence, skill, etc., characteristic of a professional.” This text is chocked full of pearls on boundaries in physical contact; self-disclosure; cyberspace; balancing altruism with self-care; sensitivity to race, culture, gender, and sexual orientation; etc. that every psychiatrist needs to take to heart and practice to be worth their salt."—Carl C. Bell, M.D., President/C.E.O. Community Mental Health Council, Acting Director, Institute for Juvenile Research and Professor, Department of Psychiatry and School of Public Health
Glen O. Gabbard, M.D.,
is Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York; Clinical Professor of Psychiatry at Baylor College of Medicine in Houston, Texas; and Training and Supervising Analyst at the Center for Psychoanalytic Studies in Houston, Texas.
Laura Weiss Roberts, M.D., M.A., is Chairman and Katharine Dexter McCormick and Stanley McCormick Memorial Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.
Holly Crisp-Han, M.D., is Clinical Assistant Professor of Psychiatry at Baylor College of Medicine in Houston, Texas; and Candidate at the Center for Psychoanalytic Studies in Houston, Texas.
Valdesha Ball, M.D., is Clinical Assistant Professor of Psychiatry at Baylor College of Medicine in Houston, Texas.
Gabrielle Hobday, M.D., is Clinical Assistant Professor of Psychiatry at Baylor College of Medicine in Houston, Texas.
Funmilayo Rachal, M.D., is Forensic Psychiatry Fellow in the Department of Psychiatry and Behavioral Sciences at Emory University School of Medicine in Atlanta, Georgia.