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Results for “Professional Competence”

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At least 127 records · Page 7Linked to original sources
PubMed1999

Culturally competent professionals in therapeutic alliances enhance patient compliance.

Medical training has traditionally focused on diagnosis and treatment of disease, with the notion that if these two factors are satisfactorily managed, the desired outcome will inevitably follow. When it does not, failure is often blamed on patient noncompliance. Failure of patients to return for follow-up visits or comply with medication regimens has been shown to be a major barrier to the delivery of effective medical care. However, effective clinical decision making requires that physicians skillfully address not only the biomedical aspects of diseases and their management, but also the sociobehavorial characteristics of patients. The authors maintain that patient participation is necessary for compliance and that a naturally occurring therapeutic alliance between physician and patient incorporates factors such as lifestyle, family, and living circumstances and an awareness of the culturally unique needs of minority patients. Integration of these factors into professional decision making and practical management plans will enhance patient compliance.

Clinical Competence↗
PubMed1977

Reexamination/recertification: measurement of professional competence and relation to quality of medical care.

Over the past half decade, there has been an increment in forces moving the profession toward recertification and a decrement in the restraining forces. The whole process will be catalyzed by available funding through grants to implement continuing medical education, development of performance-, and competency-based assessment measures and recertification. Specialty boards serving relatively small numbers of candidates have serious difficulty funding certification, to say nothing of recertification. An adequate mechanism to implement recertification can emerge only from the profession itself, working through the American Board of Medical Specialties and specialty boards. The means to discharge this responsibility should, at the outset, come from public and private sources. Eventually the system may become self-supporting through evaluation and certification fees. The public interest will be best served when there are adequate mechanisms to assess continuing competence of all physicians. As a minimum, there must be a system to guard against incompetence through obsolescence of any of the practicing professionals.

Certification↗
PubMed2003

Improving professional competence--the way ahead?

Globally, there has been considerable interest from the public, medical profession, and governments in ensuring that doctors are fit for practice. Appropriate accountability for the profession has become an important contemporary issue. With doubts emerging on the effectiveness of professionally led regulation, a variety of different mechanisms have been devised to ensure that patients receive appropriate and good quality care. This paper reviews regulation of the medical profession and indicates the way in which doctors in the UK are held accountable for their practice.

Clinical Competence↗
PubMed1993

Perceptions of professional competence: cross-disciplinary ratings of psychologists, social workers, and psychiatrists.

Psychiatrists, psychologists, social workers, and nurses rated members of the first three disciplines on effectiveness of intervention for six hypothetical clients representing a range of mental health problems. Results revealed within-group bias, with perceptions that professionals sharing raters' own professional affiliation would be more helpful, expert, and warm, as well as the preferred recipient of referrals. Clinical social workers were rated highest on warmth by all raters but lowest on referral intent by raters from other disciplines.

Adult↗
PubMed2006

Competing professionalism values among community-based family physicians.

BACKGROUND: Professionalism has received considerable attention in recent years, mostly within academic settings. Little attention has been given to the perspectives of practicing physicians on professionalism. This study was designed to determine whether prevailing definitions of and guidelines for professionalism accurately reflect the perspectives and experiences of practicing community-based family physicians. METHOD: Eighteen practicing family physicians in Seattle were recruited from nonacademic settings to participate in focus groups during 2003. Transcripts were analyzed for content themes related to professionalism. RESULTS: Analysis revealed several tensions among values that the physician participants described balancing in their practices. Balancing organizational expectations and individual physician or patient values was a major source of tension. CONCLUSIONS: Practicing family physicians describe various tensions as they attempt to balance their own values with competing values of their patients, the organizations for which many work, and stated values of their profession. Such tensions among values have seldom been described in past literature and should be considered in designing medical curricula at all levels.

Attitude of Health Personnel↗
PubMed1999

[Professional competency in community psychiatry--the role of the psychologist].

In reorganization of psychiatric service there is necessity for multidisciplinary teamwork, in which actively participate social worker, nurse, doctor and psychologist. The mental problems of the patients caused by biological, psychological or social factors could than be handled in shorter time and with higher quality. The comprehensive reorganization of psychiatric care is based on teamwork as one important principle. In addition to psychologists and social workers also other professionals such as physiotherapists and occupational therapists could participate in a multidisciplinary team enabling a complete approach to the needs of the patient. Active participation of all members of the multidisciplinary team in planing, decision making and delegation of responsibilities among team members is the base of teamwork. These ideals are discussed in detail.

Community Mental Health Services↗
PubMedDate not supplied

Parenting and professionalism: competing and enriching commitments.

The goals, format, curriculum, and faculty of a first-year medical school elective focusing on balancing commitments to a medical career and family are described in order to encourage replication at other institutions. While the course is offered to both men and women, the issues discussed have particular relevance to women physicians, the majority of whom continue to carry the major responsibilities for family and household in addition to their medical careers. Topics include: the rewards of being a parent, parent-child attachment, the dual-career family at different developmental stages, physicians' life-styles, family planning, child care and training options, specialty choice and practice alternatives. The eight sessions are presented through a combination of seminar, videotapes, readings, and interviews of physicians, their spouses and children.

Conflict, Psychological↗
PubMed2005

Determination of professional competency in a rapidly changing environment.

The recently published American College of Cardiology/American Heart Association/American College of Physicians Clinical Competency Statement for cardiac computed tomography/cardiac magnetic resonance (CCT/CMR) will be of great value to hospital medical staff organizations that grant privileges in the exciting new fields of CCT/CMR. More evidence is needed to document the number of hours of continuing medical education (CME) and minimum case loads required to maintain competence. This ongoing experience should be integrated into comprehensive imaging and clinical education, including vascular imaging as well as cardiac. Mandating hours of CME and minimum case loads does not, by itself, assure quality. Assessment of competency should employ measurable performance standards, identify areas needing improvement, and emphasize continuous quality improvement principles.

Cardiology↗
PubMed2002

1.3 Development of professional competences.

Competency-based education, introduced approximately 10 years ago, has become the preferred method and generally the accepted norm for delivering and assessing the outcomes of undergraduate (European) or predoctoral (North America) dental education in many parts of the world. As a philosophical approach, the competency statements drive national agencies in external programme review and at the institutional level in the definition of curriculum development, student assessment and programme evaluation. It would be presumptuous of this group to prescribe competences for various parts of the world; the application of this approach on a global basis may define what is the absolute minimum knowledge base and behavioural standard expected of a 'dentist' in the health care setting, while respecting local limitations and values. The review of documents and distillation of recommendations is presented as a reference and consideration for dental undergraduate programmes and their administration.

Competency-Based Education↗