Title

Physician Views on Practicing Professionalism in the Corporate Age

Publication Title

Qualitative Health Research

Publication Date

7-2000

Document Type

Article

DOI

10.1177/104973200129118598

Keywords

Arnold Relman, double agency, medical ethics, Interpersonal relations

Disciplines

Interprofessional Education | Medical Education | Medicine and Health | Medicine and Health Sciences | Social and Behavioral Sciences | Sociology

Abstract

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.

Publisher

Sage

Publisher Location

Newbury Park, CA


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