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KLE FOCUS Aug 2019                                                                         Volume 13, Issue 2











                               ATTRIBUTES AND BEHAVIOUR OF THE PHYSICIAN

                 Physicians belong to a professional group of healers, and they have a special respectable place in the
         Society. From the  mes of Charaka and Sushruta, the a en on of the physicians has been drawn to maintain and
         prac ce high professional standards inpa ent care. Recognising the need to bring back the respect and reverence
         to the physician, the American Board of Internal Medicine (ABIM) took the lead 15 years ago campaigning for a rise
         in the standards of the medical profession. The ideals of this project have been brought out as a Charter, to which
         all medical professional can and should aspire (1).

                 The Professional commitments of the Physician include Professional competence, honesty with pa ents,
         pa ent  confiden ality,  maintenance  of  proper  rela onships  with  pa ents,  improvement  of  quality  of  care,
         appropriate alloca on of resources, scien fic knowledge, maintenance of trust and professional responsibili es.

                 This Charter has shown a way to the physicians to rise to the expecta on of the medical profession. Its
         principal focus is on the renewal of the physician’s dedica on to pa ents’ interests. Herold Sox, Editor of Annals of
         Internal Medicine, has rightly advised the physicians to put the interest of their pa ent before themselves and
         spend  me with the pa ent under their care to return to their health.  They have to be devoted to their duty and
         strive hard to achieve sa sfac on by carrying out their work with competence. Their love for the work will give
         dividends in the form of apprecia on by the pa ents.

                 The physician must conduct himself with dignity and decorum. The physician, who regards compassion for
                                                                                                             st
         living beings as his highest religion, fulfils his mission and obtains the highest happiness. The charter of 21 century
         highlights the ideals enunciated by Charaka long ago. ‘Physician who is the chief in the medical prac ce must be
         knowledgeable and resourceful, honest and pure in his purpose and conduct, and competent. It will go a long way
         in improving the quality of care provided to the pa ents. He must uphold scien fic standards and promote
         research, which is of benefit to the pa ents’.
                 American Board of Internal Medicine while describing a ributes and behaviour of Physicians has stated
         that he must have a commitment i) to the highest standards of excellence in his prac ce of medicine and
         genera on and dissemina on of knowledge, ii) to an a tude and behaviour that sustain the interest and welfare
         of the pa ents, and iii) to be responsible for the health needs of the Society. As a caregiver, the physician must
         rededicate himself to the commitment to professionalism.
                 It is appropriate to quote the statement of Harvard Physician, Francis Peabody (2) that states,  ‘The good
         physician knows his pa ent through and through, and his knowledge is brought dearly. Time, sympathy, and
         understanding must be lavishly dispensed, but the reward is to be found in the personal bond, which forms the
         greatest sa sfac on of the prac ce of medicine. One of the essen al quali es of the clinician is interest in
         humanity, for the secret of the care of the pa ent is in caring for the pa ent’.
                                                    Nadoja Dr P S Shankar, MD, FRCP (Lond), FAMS, DSc (Gul, NTR, RGUHS, TU),
                                                                              Visi ng  Professor of  Medicine, KAHER, Belagavi


         References:
         1.Medical Professionalism in the new millennium: a physician charter. Ann Intern Med. 2002; 136: 243-6
         2.Peabody PW. The care of the pa ent. J A M A. 1927; 88: 877-82
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