Profesional Behaviour

dr. Amelia Dwi Fitri

Observable behaviour in which the standars and

value of professional practice are manifested

behaviours

Professional words

appearance

Importance for establishing the trust between professional and patient which is essensial for good doctor patient relationship

Kompetensi DokterKomunikasi efektif

Keterampilan klinis

Landasan ilmiah ilmu kedokteran

Pengelolaan masalah kesehatan

Pengelolaan informasi

Mawas diri dan pengelolaan diriEtika, Moral, Medikolegal dan Profesionalisme serta Keselamatan Pasien

Process

Input

Output

Medical student

Medical student

As a student

Professionalism categoriesCategory Might Also Include

1.Altruism

2. Honor and Integrity Honesty

3. Caring and Compassion Sensitivity, tolerance, openness, communication

4. Respect Respect for patient's dignity and autonomy, respect for other health care , professionals and staff including teamwork, relationship building

Professionalism categories

5. Responsibility Autonomy, self-evaluation, motivation, insight

6. Accountability Commitment, dedication, duty, legal/policy compliance, self-regulation, service, timeliness, work ethic

7. Excellence and Scholarship

8. Leadership Management, mentoring

Activities

Altruism• Offers to help : friends, team members

Honor and Integrity• Does not misuse resources

Caring and Compassion• Supports a balance in personal and professional activities

for peers

Respect• Does not disturb small group sessions• Respects faculty during teaching sessions• Respects institutional staff and representatives

Activities

Responsibility and Accountability

• Arrives on time• Cares for self appropriately and presents self in a

professional manner (ie, demeanor, dress, hygiene)• Takes responsibility for appropriate share of team work• Accountable for deadlines; completes assignments and

responsibilities on time• Demonstrates awareness of own limitations, and

identifies developmental needs and approaches for improvements

• Recognizes and reports errors/poor behavior in peers

Activities

Excellence and Scholarship• Masters techniques and technologies of learning• Takes initiative in organizing, participating, and

collaborating in peer study groups• Has internal focus and direction, setting own goals

Leadership• Teaches others• Helps build and maintain a culture that facilitates

professionalism

As a doctor

Integrity and respect

Information gathering

Adequat information giving

Handling emotion; emphatic professional attitude

Structuring communication

Insight into own emotion, standards, values

Adequat interaction with nurses and colleagues

Integrity and respect

• Good ersonal appearance• Greeting; introduce self• Ask permission for interview• Offers chair if appropriate• If possible : knows and uses patient’s name• Make eye contanct• Explain what is going to happen• Makes no false promises• Allow patient to ask question• Respecy doctor patient confidentiality• Respect patients right of access to information

• During physical examination–Gives clear instruction–Indicates what the examination will entail–Perform a careful examination–Keeps an apropriate professional distance–Does nit ask patient to expose more of the body than

necessary–Anticipates any feelings of shame, and shyness–Protects privacy

Information gathering

• Asks open ended and closed questions• Asks one question at time• Asks simple question• Timing• Exposes the patients request for help• Check out understanding• Use netral tone of voice• Shows interest in answer (doesnt interrupt or cut off at

once)• Summaries • Respon verbal and non verbal reactions

Adequate information giving

• Clear language• Short sentences• Used word the patient will understand• Explain what will be communicated• Repeat information• Asks if information has been understood• Checks whether patients has more questions • Explores emotional impact of information• Structures and summarises information

Structuring communication

• Explain • Discusses• State• Define problem• Check expectation• Summarises• Check whether patient has anything else to say• Ask patient’s permission to close interview

Insight into own emotion, standards, values

• Deals with sudden surges of emotion• When necessary express srtrong emotions in words

not in action• Refrains from value judgement of patient’s divergen

standard (religion, class, ras, sexual preference, dietary preferences)

• Controls not only negative but also positive (feelings of attraction to patient)

Adequate inteaction with nurses and colleagues

• Introduces self• Uses proper form of adress• Behaves in a respectful manner• Show willingness to learn from other disciplines• Express opinion clearly and not aggressively• Listen to what other have to say• Dont be afraid to adress differences of opinion• Flexible in deling with differences of opinion