Med Ethics II // Dra.

Mariano
The Medical Profession

07 January 08

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

No Comment Girl 1 of 2
 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