Medical professionalism matters. #gooddoctors

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Jacob Ramsey
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1 Medical professionalism matters #gooddoctors

2 Niall Dickson Chief Executive and Registrar General Medical Council

3 Our partners This programme has been developed by the GMC in partnership with an advisory group:

4 Medical professionalism Medical professionalism signifies a set of values, behaviours, and relationships that underpins the trust the public has in doctors Royal College of Physicians of London

5 The compassionate doctor #gooddoctors

7 The compassionate doctor #gooddoctors

8 Who are we? 1. Patient or carer/relative 2. Consultant 3. GP 4. Doctor in training 5. SAS/other doctor 6. Medical student 7. Medical educator/trainer 8. Employer (including Responsible Officer) 9. Other health professional 10. Other 3% 10% 14% 5% 5% 6% 3% 5% 13% 38%

9 Doctors today are less compassionate than 20 years ago. Do you? 1. Agree it s the product of too little time, increasing patient demand and expectations 2. Agree it s the product of pressure on organisational performance and management demands 19% 15% 3. Agree the way we train doctors removes much of the idealism and compassion that attracted them to medicine in the first place 6% 4. Disagree whatever the pressures, compassion still motivates the vast majority of doctors 59% 5. Not sure 1%

10 If I were to raise a serious concern in my institution I would be 1. Reasonably confident that I would be supported by clinical and other leaders 59% 2. Unsure as to whether I would be supported by clinical and other leaders 3. Not at all confident that I would be supported by clinical and other leaders 15% 23% 4. Not sure 3%

11 Is it possible to teach empathy? 1. Yes 59% 2. No 35% 3. Not sure 6%

12 Professor Terence Stephenson Chair, General Medical Council

Doctors as professionals A professional is a highly trained person who you go to for independent, expert advice or help and the advice given is not influenced by the benefit, commercial or otherwise,

13 Doctors as professionals A professional is a highly trained person who you go to for independent, expert advice or help and the advice given is not influenced by the benefit, commercial or otherwise, to the expert. Professionalism has both technocratic skills specific to each profession, which should be demonstrably up to date, and generic capabilities - eg communication skills, honesty, probity, compassion.

14 Types of Fitness to Practise allegations

15 What patients and the public tell us they want from their doctor From 200+ patient responses to GMP consultation 2011/2012

16 Francis Report The common culture of caring requires a displacement of a culture of fear with a culture of openness, honesty and transparency, where the only fear is the failure to uphold the fundamental standards and the caring culture. Francis 2013

17 Can compassion be taught?

Generic Professional Capabilities Developed with the Academy In addition to a mastery of their particular speciality doctors will need to show they are capable of

18 Generic Professional Capabilities Developed with the Academy In addition to a mastery of their particular speciality doctors will need to show they are capable of exercising good professional judgement and decision making in complex and uncertain situations, including: showing insight, managing risk and complexity and communicating effectively

19 Revalidation

20 Barriers and obstacles

21 Thank you

22 If I were struggling to cope as a result of pressures on the service, I am confident that I could ask for and receive help without being penalised in any way. 1. Strongly agree 18% 2. Agree 35% 3. Neither agree nor disagree 4. Disagree 19% 24% 5. Strongly disagree 4%

23 Don Berwick said the NHS should continually and forever be reducing patient harm by embracing wholeheartedly an ethic of learning. How far is the health system achieving that? 1. Huge progress has been made, though obviously more to do 8% 2. Some progress has been made, a great deal more to do 62% 3. No more than rhetoric, system does not yet realise the extent of change required 23% 4. I don t agree that s the way to go about it 2% 5. Not sure 5%

24 Medicine is a tough career; we need doctors trained to be resilient and better capable to deal with adversity. Do you? 1. Agree current selection and undergraduate programmes do not produce students who are adequately prepared for a challenging career 14% 2. Agree but most of the problems lie in the organisations in which or with which doctors have to work 3. Disagree doctors are already resilient the focus should instead be on providing proper levels of support for hard pressed practitioners 4. Disagree resilience comes largely from experience 5. Not sure 0% 9% 38% 39%

25 Table discussions We would like each table to cover one or two of the following topics: Maintaining empathetic relations with patients The values of medicine The values of medical students and how we recruit for these Small changes can make for more compassionate care

26 Dinner Please fill in a card for our solutions wall

27 The compassionate doctor #gooddoctors

28 Question Time Panel Dr Daniel Baker Welsh Clinical Leadership Fellow Mark Butler Director, The People Organisation and co-author of Trusted to Care Professor the Baroness Finlay of Llandaff Chair, The National Council for Palliative Care Jackie Smith Chief Executive, Nursing and Midwifery Council Mike Spencer Person Centred Care Lead, 1000 Lives Improvement Service, Public Health Wales Professor Terence Stephenson Chair, General Medical Council

29 Continue the discussions at

30 Thank you #gooddoctors

Medical professionalism matters. #gooddoctors

Medical professionalism matters #gooddoctors Professor Terence Stephenson DM, FRCPCH, FRCP, FRACP, FRCPI, FRCS, FHKAP, FRCGP, FRCA, FCAI, FRCS Edin, FRCOG, FAcadMEd, FRCP Edin Chair General Medical Council