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Professional responsibility to peers
Honour is not
accorded to virtue because of the office held,
but to the office
because of the virtue of the beholder.’
Boethius
People,
by and large, make rash assumptions about professionals. They generally assume
that there is no greater sense of intellectual degradation that after an
interview with a doctor. That white coats hide ivory hearts. That all scientist
have had personality-bypasses. And that all veterinarians love animals. What we
can say about professionals in general is that generally they are people, and
thus susceptible to a multitude of personalities, interests, ambitions and
beliefs. Not all scientists are atheists, and not all vets drive Pajeros.
However, personalities aside, the profession as a whole has expectations for
those under its employ.
Recently, the American Academy of Paediatrics proposed that
‘professionalism’ be taught to undergraduate medical students as part of
their curriculum studies. They defined professionalism as including such things
as honesty, integrity, reliability, responsibility, respect for others,
compassion, empathy, self-improvement, self-awareness, knowledge of limits,
communication, collaboration, altruism and advocacy.[i]
Such a model of professionalism is integrating slowly into professional fields
including veterinary science. However, this model of professionalism does have
some limitations in veterinary science. These limitations include limited
human-animal interaction in a clinical setting, an entrenched Cartesian belief
in restricted/non-existent animal cognitive functions, and the role of some
animals as providers of food. With time, it is hoped that the veterinary
profession will fully embrace these aspects of professionalism, which the
medical fraternity has already included in its curriculum.
If promoted at all in our
profession, professionalism seems to have been taught to us as an ideal that
protects things and ideas such as: the integrity of the current database of
veterinary information, the use of technical jargon instead of the transparency
of everyday language, rules or creeds devoted to technical expertise, and rules
that exclude promotion (advertising)[ii].
Other issues, however, are equally important, including;
Ø
Suspension of self-interest
- this is very hard at the end of the day after seeing many difficult cases.
The last patient, even the one that comes in late, deserves our best efforts.
This applies to veterinary technicians, staff and everyone else at your
hospital.
Ø
Honesty and justice -
the reputation of a clinic and the profession hinges on your integrity and
fairness.
Ø
Technical competence –
we have graduated technically competent from university, but our professional
reputation depends on a continually growing technical competence through
continuing education. Our profession, unfortunately, has many who do not feel
continuing education is a priority.
Ø
Authority and accountability
- authority and responsibility go hand in hand. What we provide is a service not
just a market commodity. Although we are accountable to our vendors and
employees, our major focus must be on our patients and clients.
Ø
Communication - teaching
and listening to our clients is vital. Busy practitioners should never be so
engaged in the process so as to neglect to inform and be informed.
Ø
Humility – all
university degrees promote intellectual superiority. In some individuals,
intellectual abilities can go to their head (‘I have a right to be heard,
respected, praised’). Our profession has a good reputation for graduating
down-to-earth professionals, largely because the patients we are dealing within
are not entirely disconnected from nature. (It’s hard to be arrogant mucking
about in a pig pen). However, the sterile clinical environment can divorce us
from the reality which is a pet’s life. It pays to be on guard against
pomposity and hubris.
[i]
Klein EJ, et
al. (2003) Teaching professionalism to residents. Acad Med. Jan;78(1):26-34.
[ii]
Lane, D. (2003). Professionalism - with thoughts from Bacon and Churchill. DVM Newsmagazine. September Edn.
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