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Although ethics is increasingly integrated in the curriculum of U.S. medical schools, it remains not well integrated with system issues, and social and structural contexts of illness. Moreover, ethical analysis is not often taught as a clinical skill. To address these issues, an outcomes driven course in Social Sciences, Humanities, Ethics and Professionalism (SHEP) was created. Within the course, a web-based concept mapping device, SHEP Case Analysis Tool (SCAT), was created which schematizes the structure and flow of clinical cases from diagnosis to treatment options, to shared decision making to outcome, and includes key stakeholders, influences, and structural features of the health system. In the course, each student analyzes a case in which they were directly involved using SCAT and presents their analysis to faculty and peers. This exercise 1) reinforces knowledge-based portions of the course pedagogy, 2) supports meta-cognition and critical thinking through concept mapping, 3) applies multidimensional analysis to identify ethical, social, and system issues that impact patient-care. 4) develops problem solving skills, 5) counters the hidden curriculum/support professional identity formation, and 6) develops skills in reflective discourse. This paper outlines the development and use of this concept mapping case analysis tool in an undergraduate medical education curriculum.
The issue of professionalisation of English Language Teaching (ELT) remains underexplored in academic discourse. Written by experienced teacher educators, this book presents a timely guide to professional teacher development in ELT, showing how teacher educators and classroom practitioners can develop their practice. It scrutinises key topic areas for teacher education, detailing the specific competences that professional teachers need to demonstrate in the 21st century, including transforming English language classrooms, engaging in ongoing debates that examine theory, research and practice, responding to managerial and policy discourses on English language instruction, and playing a leading role in regulating the entire teaching profession. It highlights how meaningful, impactful, transformative, and sustainable language education requires high-quality teachers who are lifelong learners, classroom ethnographers, and educational leaders. It is essential reading for pre- and in-service teachers, teacher educators and professional development providers, educational researchers, as well as policy makers in the field of ELT.
Moving beyond narratives of female suppression, and exploring the critical potential of a diverse, distinguished repertoire, this Companion transforms received understanding of women composers. Organised thematically, and ranging beyond elite, Western genres, it explores the work of diverse female composers from medieval to modern times, besides the familiar headline names. The book's prologue traces the development of scholarship on women composers over the past five decades and the category of 'woman composer' itself. The chapters that follow reveal scenes of flourishing creativity, technical innovation, and (often fleeting) recognition, challenging long-held notions around invisibility and neglect and dismissing clichés about women composers and their work. Leading scholars trace shifting ideas about composers and compositional processes, contributing to a wider understanding of how composers have functioned in history and making this volume essential reading for all students of musical history. In an epilogue, three contemporary composers reflect on their careers and identities.
This article raises the question of whether bioethics qualifies as a discipline. According to a standard definition of discipline as “a field of study following specific and well-established methodological rules” bioethics is not a specific discipline as there are no explicit “well-established methodological rules.” The article investigates whether the methodological rules can be implicit, and whether bioethics can follow specific methodological rules within subdisciplines or for specific tasks. As this does not appear to be the case, the article examines whether bioethics’ adherence to specific quality criteria (instead of methodological rules) or pursuing of a common goal can make it qualify as a discipline. Unfortunately, the result is negative. Then, the article scrutinizes whether referring to bioethics institutions and professional qualifications can ascertain bioethics as a discipline. However, this makes the definition of bioethics circular. The article ends by admitting that bioethics can qualify as a discipline according to broader definitions of discipline, for example, as an “area of knowledge, research and education.” However, this would reduce bioethics’ potential for demarcation and identity-building. Thus, to consolidate the discipline of bioethics and increase its impact, we should explicate and elaborate on its methodology.
Secondary use of clinical data in research or learning activities (SeConts) has the potential to improve patient care and biomedical knowledge. Given this potential, the ethical question arises whether physicians have a professional duty to support SeConts. To investigate this question, we analyze prominent international declarations on physicians’ professional ethics to determine whether they include duties that can be considered as good reasons for a physicians’ professional duty to support SeConts. Next, we examine these documents to identify professional duties that might conflict with a potential duty of physicians to support SeConts.
Black Rhodesian soldiers’ loyalties – as opposed to motivations for initial enlistment – were premised upon a shared sense of professionalism. Inherent to this ethos was their soldierly prowess, honed through continuous training and operational experience, which was also co-constitutive of a deep, emotive sense of mutual obligation between fellow soldiers. Furthermore, these soldiers were socialised into a distinctive military culture, which created a powerful, emotive regimental loyalty that incorporated traditions to create an accentuated sense of in-group belonging and homogeneity that bound them to their regiment, and thereafter the wider army. professionalism and regimental loyalties of these troops ensured that they remained steadfast during combat and in the face of the surge in popularity of the nationalist challenge to white settler-colonial rule.
This book has contributed to a new understanding of the loyalties of black Rhodesian soldiers during the era spanning the terminal years of the Federation of Rhodesia and Nyasaland, Zimbabwe’s war of liberation, and the tumultuous first two years of independence from 1980. That these black soldiers fought for white-minority rule in Rhodesia appears, superficially, both paradoxical and extraordinary, and it has led to their characterisation as supporters of the RF, mercenaries, or ‘sell-outs’ in neo-Rhodesian and nationalist literatures.
Once the RAR was an established, regular force, new forms of micro-level solidarities particular to regular soldiers took root, which fundamentally differentiated these soldiers from other combatants. professionalism of the Rhodesian Army was institutionalised and embedded during its transformation to a regular army, and was modelled upon British practice, doctrine, and traditions. This chapter thus uses a literature which has studied the British practice of creating soldierly cohesion and loyalty. Incorporating the arguments of military sociologists, particularly the work of Anthony King, and historians, it shows how a soldierly identity was shaped, which itself fed into an ideal of soldierly professionalism which become co-constitutive. Through extensive training, black RAR soldiers acquired great confidence not only in their own abilities, but also those of their peers, whom they could expect to fight for them in difficult situations. Underpinning these professional norms was a system of military discipline that relied upon a quasi-juridical form of oversight, which my interviewees attested was rational and fair.
The British colonisers introduced urban planning in Zimbabwe in 1890. The 1933 Planning Act, situated largely in the realities of Britain at the time, institutionalised planning as a practice for adoption by urban local authorities. The legislation was amended in 1945 to embrace changes noted in the countryside so that it became a Town and Country Planning Act. Noticing that some of the developments were exceeding one district, in 1976 the Planning and Country Act was revised to become the Regional, Town and Country Planning Act. It was revised in 1995 and still retains the title. The legislative instrument guides planning practice, directing regional, master and local planning. It covers aspects of development control, subdivision and consolidation. It would appear that all was going well until the practice began to be challenged in the 2000s, as retaining colonialist rigidity made development cumbersome if the necessary approvals were not in place. The 2005 Operation Murambatsvina was perhaps one of the worst human disasters in the land, with the planned city displacing the poor. A host of challenges exist, yet opportunities are there to improve planning in Zimbabwe.
Situational judgement test (SJT) scores have been observed to predict actual workplace performance. They are commonly used to assess non-academic attributes as part of selection into many healthcare roles. However, no validated SJT yet exists for recruiting into mental health services.
Aims
To develop and validate an SJT that can evaluate procedural knowledge of professionalism in applicants to clinical roles in mental health services.
Method
SJT item content was generated through interviews and focus groups with 56 professionals, patients and carers related to a large National Health Service mental health trust in England. These subject matter experts informed the content of the final items for the SJT. The SJT was completed by 73 registered nurses and 36 allied health professionals (AHPs). The primary outcome measure was supervisor ratings of professionalism and effectiveness on a relative percentile rating scale and was present for 69 of the participating nurses and AHPs. Personality assessment scores were reported as a secondary outcome.
Results
SJT scores statistically significantly predicted ratings of professionalism (β = 0.31, P = 0.01) and effectiveness (β = 0.32, P = 0.01). The scores demonstrated statistically significant incremental predictive validity over the personality assessment scores for predicting supervisor ratings of professionalism (β = 0.26, P = 0.03).
Conclusions
These findings demonstrate that a carefully designed SJT can validly assess important personal attributes in clinicians working in mental health services. Such assessments are likely to represent evidence based, cost-effective tools that can support values-based recruitment to mental health service roles.
This chapter considers some of the legal and professional implications of social media use. These are discussed from two perspectives: firstly, how the law is changing to help ensure harmful and false information is not distributed, and secondly how professionals should responsibly use social media. To illustrate each of these, the chapter focuses on proposed reforms to the UK law and the UK General Medical Council’s (GMC) guidance for doctors. The principles discussed will apply to other jurisdictions and professional groups, but individual professionals should ensure they are familiar with the frameworks within which they practise.
Intelligence, as measured by grades and/or standardized test scores, plays a principal role in the medical school admissions process in most nations. Yet while sufficient intelligence is necessary to practice medicine effectively, no evidence suggests that surplus intelligence beyond that threshold is correlated with providing higher quality medical care. This paper argues that using perceived measures of intelligence to distinguish between applicants, at levels that exceed the level of intelligence required to practice medicine, is both unfair to applicants and fails to serve the interests of patients.
Adaptation by
Adrian Evans, Monash University, Victoria,Richard Wu, The University of Hong Kong,Shenjian Xu, China University of Political Science and Law, Beijing
‘Negligence’ is frightening to think about, but accepting the possibility of making mistakes as lawyers does not mean we ought to give up on a desire to perform to the best of our ability, and at the peak of our moral consciousness. This chapter applies morality to our technical competence. In the hothouse atmosphere of competitive law firms, the underlying conflict between commercialism and professionalism leads to moral as well as financial risk. Only true professionalism – which emphasizes the dual virtues of integrity and competence – will sustainably support your future. Too much concentration on the business of law and profit can and does lead to the temptation to ‘borrow’ clients’ money and to carelessness. There are extensive conduct and accounting rules that focus on accounting honestly for clients’ money, especially for lawyers who practise across international borders, and we should back that up by arranging professional indemnity (malpractice) insurance against any negligence. In addition, risk management, continuing legal education and specialist accreditation courses are all available through the internet to support you, even if not available through a bar association
This chapter considers how the structure and processes of the regulatory systems that govern the legal profession are relevant to lawyers’ ethics and behaviour – that is, the significance of institutions for lawyers’ ethics. In this chapter we consider ways in which the ethics demonstrated by the legal profession as a whole are likely to affect lawyers’ individual and personal ethics. We begin by discussing how our current approaches to regulating the legal profession might, or might not, embody and engender the values that should characterise legal practice. We then focus on the ‘law of lawyering’ – rules and regulatory regimes that have been created to apply specifically to lawyers under the legislation and case law governing the legal professions of each of the States and Territories. The next section provides a brief history of the development of Australian legal professional regulation, before contrasting this with a different regulatory approach that sees market competition as the fairest and most efficient form of professional regulation.
In acknowledging that ethics should be regarded as the cornerstone of healthcare practice and the significance of professional regulation for healthcare practitioners providing patient care, it is vital to develop an understanding of how and why this is the case. This chapter has been written to support all perioperative practitioners in developing this knowledge in the context of the operating theatre. The chapter includes discussion of some of the key moral theories and frameworks that may be used to guide reflective, ethical decision making before moving on to consider the role of professional codes and regulation in prescribing and enforcing standards of professional conduct and directing ethical decision making.
The demand for family mediation to adapt and change has risen sharply in the contemporary English and Welsh family justice system. This paper focuses on a crucial, yet overlooked, barrier to reform: the tensions felt within the family mediator profession. It first provides an important overview of the introduction of family mediation in the late twentieth century, highlighting the distinction between the traditional therapeutic mediator and the subsequent lawyer mediator. Recent anecdotal evidence suggests that friction exists amongst the two mediator sub-groups, similar to earlier tensions felt between lawyers and mediators. The remainder of this paper is based on an empirical study, comprising 17 interviews with family mediators, which confirms these tensions, as well as a lack of national identity across the profession. However, the data also reveal mediators’ desire for collaboration and community within the profession. The paper is hopeful that regulatory reform can help mediators to ‘mediate themselves’ going forward, and questions whether this transition is supported by a new hybrid mediator.
This paper examines the story, hitherto neglected by scholarship, of the antiquarian artist and architect John Buckler (1770–1851) through a remarkable cache of his letters at the Bodleian Library. Most of the letters relate to Buckler’s attempts to be elected a Fellow of the Society of Antiquaries. Having twice been blackballed in 1808 and 1809, he canvassed Britain’s leading antiquarian figures for support. With the blackballing of the architect James Wyatt in 1797 frequently alluded to, Buckler’s blackballing was the result of a cabal against him led by Sir Joseph Banks and Samuel Lysons, which had to do with both factionalism – ie his closeness to the preservationist faction led by Richard Gough and John Carter, termed the Carter school – and the Society’s onslaught against professionals. His eventual success in 1810 institutionalised his practice, allowed him entry into polite society and brought him closer to aristocratic patronage. The remainder of the Bodleian letters relate to Buckler’s topographical work recording medieval buildings across the UK, showing how he took on the revisionist medievalist project promoted by the Carter school. The article will explain Buckler’s role in the developing discourses of antiquarianism and the Gothic Revival, and how his association with the Carter school laid the foundations for the work of the Buckler dynasty. Over three generations, in line with the family name (meaning ‘to protect’), they sought to embody the idea of the architect-antiquary as a protector.
This chapter explores what it means for cleaners to enter the upperworld. It discusses how cleaners approach the upperworld, and interact with upperworlders. Forays into the upperworld constitute both blessing and curse. Through access, cleaners may gain insight, and stories, and the upperworld’s exclusivity may rub off onto cleaners. More often than not, however, the opposite is true. The more exposure cleaners get to the upperworld, the more they come face-to-face with an inflexible status hierarchy that poses a serious ongoing threat to their dignity. The issue is not just stigmatization and abuse by customers, but denial of the cleaners’ personhood. Cleaners are not passive victims, though. They frame their situation and debunk their environment in ways that provide them with a defensive superiority. To varying degrees, they confront upperworlders, sometimes just by making themselves seen and heard. As to escape from the indignities in the upperworld, cleaners also turn to the invisible underworld. Call it the Potsdamer Platz paradox: encounters between those who work and live in the upperworld and those who labor there out of sight tend to drive the worlds further apart.
Do you believe that “thinking like a lawyer” is an important professional skill, but by no means all that there is to being a lawyer? Do you think that being a professional calls for the development of a wide range of competencies? Do you seek to understand those competencies better? Do you think that being a professional should involve the exploration of the values, guiding principles, and well-being practices foundational to successful legal practice?1 Are you interested in new and effective ways to build these competencies, values, and guiding principles into a law school’s curriculum? Would you like a framework for improving your own law school’s attention to these competencies, guiding principles, and values along with practical suggestions you can consider? Would you like to help better prepare students for gratifying careers that serve society well?
Since the late nineteenth century, teachers have come together to found associations and unions in Europe and beyond. Drawing on oral histories, primary and secondary documents, and media reports, this paper delves into this rich historical background, leading to the founding of Education International in 1993. In particular it explores the relationships and tensions within and between these predecessor organizations, as well as the ways in which they interacted with the larger political forces of their times. Education International is now a significant organization, representing teachers and related workers situated across 178 countries. This paper attempts to provide a critical historical background for the development of this institution.