Anesthesia Obstetrics Coworkers
All CRNAs will naturally focus on acquisition of clinical skills andspecialty knowledge. CRNAs must be expected to acquire the essentials ofprofessionalism, including accountability, humanism, physical well being, CRNAs must place the needs of the patient above their own self-interest. The CRNA must recognize the value of being optimally prepared toprovide patient care, recognize the need to participate in the health careindustry as a whole, respond to the needs of society and to facilitate theoptimum performance of colleagues (Wolf, 1994). CRNAs must acquire the skills that allow appropriate doctor / patientrelationship. Elements include integrity, compassion, and understanding ofdiversity, excellent communication skills, dependability and fullparticipation in group goals (collegiality) (Newton, 1999). CRNAs must be aware of the need for physical and mental health forphysicians to be able to care for patients. They also must be clearly awareof the signs of physician impairment. This includes substance abuse,alcoholism, depression, psychiatric and organic disease and aging (AANA,
But thisrequirement goes further, the anesthesiologist must learn to read theliterature and identify flawed scientific method, commercialism and COI inscientific literature and avoid changing clinical behavior based on theseelements. Punctuality is an absolute requirement. Partnership with all members of the teamfor a common objective is the new way - driven by economics, regulation andthe common sense that has been demonstrated by these driving forces. If not presently required,eventually all anesthesiology residents will be required to completeresearch ethics courses. As always, theextremes are easily identified - the model resident is a "poster child" andthe difficult resident is often most defined by unprofessional behavior(Burns et al. But trueprofessionalism requires the commitment to learning - a natural extensionis life-long learning. Although the surgeonultimately chooses the surgical procedure, a consultant will be helpful. A rapid assessment of thecommunication skills of the patient, anxiety level, and ability tounderstand health care is a required element of the interview, one goal ofwhich is to provide reassurance to the patient. This means that patients with serious co-morbidities may be scheduled for elective surgery and the surgeon may beasking the consulting anesthesia service if the proposed surgery can beperformed without an exorbitant degree of risk, this is whereprofessionalism can be at its best or worst (World Medical Association,2000). How much risk is associated with the proposed surgicalprocedure is an example of where professionalism can be complicated (WorldMedical Association, 2000). Professionalism in anesthesiology requiressome familiarity with these unpleasant subjects. This kindof interaction can be the most challenging test of the lofty goals ofprofessionalism - an angry, unrealistic customer who is very likely to benever encountered again. Each provider has a role in the overall success withcompliance. Gradually, the role of the 'acquiredcharacteristics' has increased in importance, and in the present, anyresident rated unsatisfactory for acquired characteristics, must be ratedunsatisfactory overall (Frankford et al.
Common topics in this essay:
Medical Association,
Interaction Surgeons,
College Physicians,
Colleagues Professionalism,
Conflict-of-interest COI,
Board Anesthesiology,
Wear Castellani,
Failure CRNA,
Support Team,
Well-Being CRNAs,
element professionalism,
et al,
professionalism requires,
medical association,
association 2000,
roberts 2001,
world medical association,
medical association 2000,
professionalism anesthesiology,
world medical,
frankford et al,
professionalism interaction,
anesthesia team,
et al 1998,
burns et al,
|
Acceptance Essays
