Personal and Professional Values of a Good Doctor
A good doctor should display eight core values when interacting with staff and patients: honesty and integrity, reliability and responsibility, respect for others, compassion/empathy, self-improvement, self-awareness of limits, communication and collaboration, and altruism and advocacy. 1
Core Professional Values
1. Honesty and Integrity
- Embody fairness and the ability to meet commitments
- Be intellectually honest and straightforward in all interactions
- Communicate errors in patient care transparently, including potential consequences 1
- Disclose potential conflicts of interest to patients 1
2. Reliability and Responsibility
- Demonstrate accountability to patients, families, colleagues, and society
- Accept responsibility for errors made, including willingness to acknowledge and discuss them 1
- Ensure continuous access to care through responsive on-call coverage and appropriate coverage during absences 1
3. Respect for Others
- Treat all persons with respect and regard for individual worth and dignity
- Show sensitivity to gender, race, and cultural differences
- Maintain patient confidentiality appropriately 1
- Hold confidential conversations in private settings 1
- Ask patients how they prefer to be addressed (nickname, Mr., Mrs.) 1
4. Compassion and Empathy
- Understand patients' and family members' reactions to pain, discomfort, and anxiety from their perspective 1
- Respond empathically when patients display emotion through verbal or nonverbal behavior 1
- Acknowledge and name emotions patients are experiencing 1
- Get to know patients as people, not just their medical conditions 1
5. Self-Improvement
- Commit to lifelong learning and education 1
- Continually incorporate new knowledge into practice 1
- Stay current with medical advances to provide optimal care
6. Self-Awareness and Knowledge of Limits
- Recognize when a problem involves knowledge or skills beyond your experience 1
- Ask for consultation or assistance in those situations 1
- Practice reflective skills to understand personal biases and limitations
7. Communication and Collaboration
- Work cooperatively with patients' families and healthcare team 1
- Communicate effectively to provide the best patient care 1
- Use simple language tailored to patients' educational level 1
- Check for understanding using "teach back" methods 1
- Introduce yourself and your role in the patient's care 1
- Make eye contact and maintain a calm demeanor 1
8. Altruism and Advocacy
- Place patient well-being as the primary motivating factor, ahead of personal interests 1
- Advocate for patients within the healthcare system 1
- Help reduce health disparities 2
Practical Applications with Staff and Patients
With Patients
- Treat patients as active partners in their care 1
- Provide information that is timely and oriented to patients' concerns 1
- Orient yourself to patients' understanding and concerns by asking what they know and want to know 1
- Avoid information overload by providing information in small doses 1
- Assure patients of your availability to answer future questions 1
With Staff and Colleagues
- Treat all healthcare professionals with integrity, honesty, and respect 1
- Raise concerns about colleagues directly with relevant parties instead of in front of patients or staff 1
- Respect the contributions of other healthcare professionals while acknowledging appropriate roles 1
- Incorporate input from colleagues into care plans to ensure effective, coordinated care 1
- Avoid verbal or physical abuse that undermines credibility and effectiveness 1
Bridging Perception Gaps
Research shows interesting differences in how physicians and patients perceive the attributes of a "good doctor":
- Physicians tend to emphasize humaneness and concern for patients 2
- The public often emphasizes professional and technical skills 2
- Internal medicine physicians are more likely than surgeons to emphasize humaneness, empathy, and professionalism 2
Common Pitfalls to Avoid
Failing to acknowledge errors - Good doctors take responsibility for mistakes and discuss them openly with patients and colleagues 1
Using medical jargon - Avoid terminology that patients won't understand, and explain medical terms when necessary 1
Information overload - Providing too much information at once can overwhelm patients; instead, check for understanding frequently 1
Dismissing emotions - When patients are emotional, recognize that they may have difficulty absorbing information 1
Lack of boundaries - While compassion is essential, maintaining appropriate professional boundaries is necessary for sustainable practice 3
Neglecting team communication - Poor communication among healthcare team members can lead to fragmented care and medical errors 1
By embodying these core values, physicians can build trust with both patients and colleagues, leading to improved patient outcomes, satisfaction, and a more fulfilling professional experience.