Professional Documents
Culture Documents
Praktek Kedokteran
dalam Perspektif Kode
Etik Kedokteran Indonesia
Prijo Sidipratomo
Ketua MKEK IDI Pusat
DISAMPAIKAN DALAM PIT VI PDUI
17 APRIL 2015
The Ritz Carlton Hotel, Pacific Place, SCBD
PENDAHULUAN
Di USA saat ini.
Todays culture of medicine is
hostile to altruism, compassion,
integrity, fidelity, and selfeffacement
Coulehan
Academic Medicine, Vol. 80, No. 10 / October 2005
http://en.wikipedia.org/wiki/World_
Health_Organization_ranking_of_he
alth_systems_in_2000
DIMANA INDONESIA ?
PROFESSIONALISM
The conduct, aims, or qualities that characterize
or mark a profession or a professional person
Professionalism: It's NOT the job you do, it's
HOW you do the job. Anonymous
Believing passionately in what you do, Never
compromising your standards and values,
Caring about your patients, your people and
your own career. David Maister
Professionalism is knowing how to do it, when
to do it, and doing it. Frank Tyger
http://cmsne.org/Documents
THE PROFESSIONAL
Patients first
Service/public leadership
Nonjudgmental care
Collaboration
Lifelong learning
THE NON-PROFESSIONAL
Dishonest
Greedy
Impaired
Abuses power
Lacks
interpersonal
skills
Conflict of
interest
Self-serving
THE APPRENTICESHIP OF
PROFESSIONALISM
Professionalism
Professionalism is the basis of
medicines contract with society
Professionalism demands placing the
interests of patients above those of
the physician
Professionalism demands setting and
maintaining standards of
competence and integrity
http://www.med.uottawa.ca/students/md/professionalism/eng/about.h
TEN PROFESSIONAL
RESPONSIBILITIES
Commitment to
Professional competence
Honesty with patients
Patient confidentiality
Maintaining appropriate relations with patients
Improving quality of care
A just distribution of finite resources
Scientific knowledge
Maintaining trust by managing conflicts of interest
Professional responsibilities
Improving access to care
http://cmsne.org/Documents
Altruism
Humanism
Excellence
Accountability
Professionalis
m
Fundamental Principles
Primacy of patient welfare
Altruism contributes to the trust that is
central to the physician patient
relationship.
Market forces societal pressures and
administrative exigencies must NOT
compromise this principle
healthcare-professionals.sw.org/resources/.../medicalprofessionalism.ppt
Fundamental Principles
Principle of patient autonomy
Physicians must have respect for patient
autonomy.
Physicians must be honest with their
patients and empower them to make
informed decisions about their
treatment
healthcare-professionals.sw.org/resources/.../medicalprofessionalism.ppt
Fundamental Principles
Principle of social justice
The medical profession must promote
justice in the health care system,
including fair distribution of health care
resources.
Physicians should work actively to
eliminate discrimination in health care.
healthcare-professionals.sw.org/resources/.../medicalprofessionalism.pp
Professional Responsibilities
Commitment to professional
competence
Physicians must be committed to life
long learning and be responsible for
maintaining the medical knowledge and
clinical and team skills necessary for the
provision of quality care.
The medical profession must strive to
see that all of its members are
competent
Professional Responsibilities
Commitment to honesty with patients
Physicians must ensure that patients are completely and
honestly informed before the patient has consented to
treatment and after treatment has occurred.
Physicians should also acknowledge that in health care,
medical errors that injure patients do sometimes occur.
Whenever patients are injured as a consequence of
medical care, patients should be informed promptly
because failure to do so seriously compromises patient
and societal trust.
Reporting and analyzing medical mistakes provide the
basis for appropriate prevention and improvement
strategies.
Professional Responsibilities
Commitment to patient
confidentiality
Earning trust and confidence of patients
requires that appropriate confidentiality
safeguard be applied to disclosure of
patient information.
Commitment to patient confidentiality
must occasionally yield to overriding
considerations in the public interest
healthcare-professionals.sw.org/resources/.../medicalprofessionalism
Professional Responsibilities
Commitment to maintaining
appropriate relations with patients
Given the inherent vulnerability and
dependency of patients, physicians
should never exploit patients for any
sexual advantage, personal financial
gain, or other private purpose.
Professional Responsibilities
Commitment to improving quality of care
Professional Responsibilities
Commitment to improving access to
care
Medical professionalism demands that
the objective of all health care systems
be the availability of a uniform and
adequate standard of care.
Physicians must strive to reduce barriers
to equitable health care.
Physicians must promote public health
and preventive medicine
Professional Responsibilities
Commitment to a just distribution of finite
resources
While meeting the needs of individual patients,
physicians are required to provide health care that
is based on the wise and cost effective
management of limited clinical resources.
The physicians professional responsibility for
appropriate allocation of resources requires
scrupulous avoidance of superfluous tests and
procedures.
Professional Responsibilities
Commitment to scientific knowledge
Much of medicines contract with society
is based on the integrity and appropriate
use of scientific knowledge and
technology.
Physicians have a duty to uphold
scientific standards, to promote
research, and to create new knowledge
and ensure its appropriate use
Professional Responsibilities
Commitment to maintaining trust by
managing conflicts of interest
Physicians have an obligation to
recognize, disclose to the general public
and deal with conflicts of interest that
arise in the course of their professional
duties and activities.
Professional Responsibilities
Commitment to professional responsibilities
Physicians are expected to work collaboratively to
maximize patient care, be respectful of one another
and participate in the processes of self regulation,
including remediation and discipline of members
who have failed to meet professional standards.
Physicians should define and organize the
educational and standard setting process and
engage in internal assessment and accept external
scrutiny of all aspects of their professional
performance
hcare-professionals.sw.org/resources/.../medicalprofessionalism.ppt
baru
lama
Pasal 8 : Profesionalisme
Seorang dokter wajib, dalam setiap
praktik medisnya, memberikan
pelayanan secara berkompeten
dengan kebebasan teknis dan moral
sepenuhnya, disertai rasa kasih
sayang (compassion) dan
penghormatan atas martabat
manusia.
RANGKUMAN
STANDAR DARI PROFESIONALISME
DALAM KEDOKTERAN TELAH
TERTULIS DI DALAM KODE ETIK
KEDOKTERAN INDONESIA.
ETIKA KEDOKTERAN MENJADI DASAR
DALAM PROFESIONALISME
KEDOKTERAN
TERIMAKASIH