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Med Ethics II // Dra.

Mariano
The Medical Profession

07 January 08

Ideals of the Medical Profession according to Moore and Role of the Physician in the Personalization of the Medical
Rosenblum Profession
1. Professionals practice full-time occupations. 1. Psychoanalytical Model
2. They are committed to a calling, that is, they treat their  Clients come to trust the physician
occupation “as an enduring set of normative and  A recapitulation of the parental relationship but
behavioral expectations”. a healthy one
3. They are distinguished from the laity by various signs  Carl Rogers:
and symbols and identified with their peers – often in  Physician as a good mother has
formalized organizations. “unconditional benign acceptance”
4. They have esoteric but useful knowledge and skills  Physician as a good father in
through specialized education, which is lengthy and increasing the role of interpretation
difficult. and confrontation with reality
5. They are expected to have a service orientation so as to 2. Medical Model
perceive the needs of a client relevant to their
 The goal is to treat a physical illness so as to
competency.
restore normal physical functioning to the
6. They have autonomy of judgment and authority
degree possible
restrained by responsibility in using their knowledge and
skill.  Based on trust
 Three elements of the contract:
Causes of Depersonalization  Concern – for the patient’s well-being
1. Specialization  Knowledge and skill in medicine
 Depersonalization of clients  Communication – because patients
 Patient is treated as a collection of organs retain fundamental rights over their
rather than a complex organism own bodies
 Parts are healed, not the whole
2. Elitism/validity What makes us different from animals? Communication.
 Depersonalization of professional-client  Listening, speaking, writing, reading and gestures
relationship
 Socially destructive Are we depersonalizing the medical profession by not
listening? Yes, because by not listening, we will not be able to
 Elitism: belief that certain persons or members provide a proper solution to a given problem.
of certain classes or groups deserve favored
treatment by virtue of their perceived In handling patients, we must:
superiority, as in intellect, social status, or  Look
financial resources  Listen
3. Loss of identity  Watch for body language
 Depersonalization of professionals
 There is confusion as to the limitations of one’s Silence is also a message which means
specialization, eg. an eye doctor being “I’ll hear you first.”
consulted for headache, does this fall under his
job description?
 Tension between goals of research and goals of
practice
Goals of Research Goals of Practice
The Social Value of the Professional according to Robert Identify a problem and provide Identify the problem and
Merton a solution provide the solution
1. Knowing Experimental situation Patient-oriented
 Systematic knowledge and intellect
2. Doing Every one of us is especially made;
 Technical skill and trained capacity no two patients are alike.
3. Helping
 Conjoint knowledge and skill to work in the Industrialization
service of others  Depersonalizes professionals
 Is it wrong to be rich as a doctor? No.
Difference of Person Professions from Productive
Occupations  As long as making money is not prioritized
1. Person Professions  Patient comes first before personal needs
 Rooted in theory but aimed at practice
When endorsing a patient to a fellow professional, see to
 Do not act on clients nor dominate them but
it that your fellow professional is:
enable them to become fully, autonomously
themselves  In the mood
 Cannot properly be elitist  Listening
 Communicates power rather than enforces
Remember 2 important things:
dependency
1. Competence
2. Productive Occupations
2. Compassion
 Produce things
 Do not directly help people //end.

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Med Ethics II – The Medical Profession // Dra. Mariano Page 2 of 2

Hi friends!!
Yikes!! Super laki ng space. X_x Buti nalang walang pasok ng
Micro at nakagawa ako ng mejo mahabang trans ng Ethics!! Tinry ko na rin
dagdagan ng mga ibang info galing dun sa reading material, according sa
objectives nia. Kulang ng history nga lang di ko sure san ko un kkunin
haha! Basahin nio nalang rin pag sinipag kayo :D Kung di kayo nakinig sa
lecture, naku, dame nio namiss na maggandang points na for sure
magagamit sa future hehe! La lang. Sana wala na rin pasok sa Surg!!
Haha! Happy new year sa lahat!! Magbago na tayo!! Hahaha! :D Good
luck sa shiftings!! Mahal ko kayo!! Hihihi!

La Da Da Da Da
The smell of your skin lingers on me now
You're probably on your flight back to your home town
I need some shelter of my own protection baby
To be with myself and Center, Clarity
Peace, Serenity

I hope you know, I hope you know


That this has nothing to do with you
It's personal, myself and I
We've got some straightening out to do
And I'm gonna miss you like a child misses their blanket
But I've got to get a move on with my life
It's time to be a big girl now
And big girls don't cry

The path that I'm walking


I must go alone
I must take the baby steps 'til I'm full grown, full grown
Fairytales don't always have a happy ending, do they?
And I foresee the dark ahead if I stay

Like the little schoolmate in the school yard


We'll play jacks and UNO cards
I'll be your best friend and you'll be mine Valentine
Yes you can hold my hand if you want to
'Cause I want to hold yours too
We'll be playmates and lovers and share our secret worlds
But it's time for me to go home
It's getting late, dark outside
I need to be with myself and Center, Clarity
Peace, Serenity