来源:中国医师协会
新世纪医师职业精神——医师宣言(以下简称《医师宣言》),系由美国内科学委员会、美国医师学院和欧洲内科医学联盟共同发起和倡议。《医师宣言》首次发表于2002年《美国内科医学年刊》和《柳叶刀杂志》。
目前为止,包括美国、英国、法国、德国、加拿大等国在内,已有30多个国家和地区的130个国际医学组织认可和签署该宣言,并被翻译成12种语言,在30多家医学杂志发表。
TO OUR READERS: For most of us, the word "professional"
conjures up an image of an individual with expertise in a discrete area of knowledge and a commitment to use this expertise judiciously. The word "doctor" has similar connotations, but also suggests the altruism of service to patients and society.
Of late, however, medical professionalism has been buffeted by the tumultuous changes affecting the industrialised world. These include the explosion of information technology, the increasing dominance of corporatism and of government management of social services, and the ascendancy of individualism.
These changes, and their attendant uncertainty, have been accompanied by a questioning of the purpose and values of the medical profession. At the same time, these very stressors have also awakened an interest in medical professionalism, particularly in North America and the United Kingdom. This interest has yet to reach Australia.
In view of this, the Medical Journal of Australia is pleased to introduce the Charter on Medical Professionalism to its readers. The charter first appeared in the Annals of Internal Medicine and the Lancet earlier this year, and is the outcome of the Medical Professionalism Project, which involved the American Board of Internal Medicine, the American College of Physicians-American Society of Internal Medicine and the European Federation of Internal Medicine. The charter should be read by all in our profession, and individual doctors will have to decide whether they will subscribe and adhere to its precepts. These include the principles of social justice, improving the quality of care and sustaining and strengthening the research base of medicine.
The Charter on Medical Professionalism should not only be advocated by our medical schools, learned colleges or politico-professional bodies, but by all in our profession
As noted by Harold Sox, editor of the Annals of Internal Medicine, in his prologue to the charter, "...the challenge will be to live by the precepts and to resist efforts to impose corporate (or government [my words]) mentality on a profession of service to others... The responsibility for acting on these principles and commitments lies squarely on our shoulders."
Martin B