Physician Views on Practicing Professionalism in the Corporate Age

Bibliographic Data

ID4701032
AuthorsBrian Castellani (0000-0002-8763-8052, Department of Behavioral Sciences at North-eastern Ohio Universities College of Medicine), Delese Wear (Department of Behavioral Sciences at Northeastern Ohio Universities College of Medicine)
Year2000
Volume10
Issue4
Pages490-506
Publication date2000-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/104973200129118598
PMID11010074
OpenAlexW2138458622
LanguageEN
Citations received1
References cited43

Arnold Relman argues that medical education does not prepare students and residents to practice their profession in today's corporate health care system. Corporate health care administrators agree: Physicians enter the workforce unskilled in contract negotiation, evidence-based medicine, navigating bureaucratic systems, and so forth. What about practicing physicians? Do they agree as well? According to this study, they do. Feeling like decentered double agents and unprepared, physicians find themselves professionally lost, struggling to balance issues of cost and care and expressing lots of negativity toward the cultures of medicine and managed care. However, physicians are resilient. A group of physicians, who may be called proactive , are meeting the professional demands of corporate health care by becoming sophisticated about its bureaucratic organization and the ways in which their professional and personal commitments fit within the system. Following the lead of proactive physicians, the authors support Relman's thesis that education for both students and physicians requires a major overhaul

Medical education · Ethics in medical practice · Legal Education and Practice Innovations · Medical Malpractice and Liability Issues · Medicine · Nursing · Psychology