Skip to main content

Supporting the Development of Professionalism in Surgeons in Practice: A Virtues-Based Approach to Exploring a Surgeon’s Moral Agency

  • Chapter
  • First Online:
Advancing Surgical Education

Part of the book series: Innovation and Change in Professional Education ((ICPE,volume 17))

Overview

The intentions of this chapter are to refresh and clarify how we might construe and facilitate the continuing development of professionalism in surgical practitioners in the twenty-first century. Firstly, we consider the current concept of professionalism in surgery and then attend to two aspects of supporting the development of professionalism in practitioners who are members of a profession that serves vulnerable fellow human beings. Secondly, we share our experience of facilitating one way of beginning those deep but very sensitive considerations about the person the professional brings to their work. We conclude that all this requires members of the profession of surgery to be willing and able to articulate what it means to them to be a member of a profession and that surgical teachers take time to become well developed educators in the moral mode of educational practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fish, D., & de Cossart, L. (2007). Developing the wise doctor. London: Royal Society of Medicine Press.

    Google Scholar 

  2. Fish, D., & Coles, C. (Eds.). (1998). Developing professional judgement in health care: Learning through the critical appreciation of practice. Oxford: Butterworth Heinemann.

    Google Scholar 

  3. Carr, D. (2000). Professionalism and ethics in teaching. London: Routledge.

    Google Scholar 

  4. Hilborne, N. (2015) Jackson: ‘Professional negligence’ could disappear as attitudes to professionals change. Legal Futures (Online). Available at: http://www.legalfutures.co.uk/latest-news/jackson-professional-negligence-could-disappear-as-attitudes-change. Accessed 7 Oct 2016.

  5. Fish, D. (2012). Refocusing postgraduate medical education: From the technical to the moral mode of practice. Cranham: Aneumi Publications.

    Google Scholar 

  6. Drane, J. F. (1995). Becoming a good doctor: The place of virtues and character in medical ethics (2nd ed.). Kansas: Sheed and Ward.

    Google Scholar 

  7. The Jubilee Centre for Character and Virtues’ statement on character, virtue and practical wisdom in the professions. http://www.jubileecentre.ac.uk/userfiles/jubileecentre/pdf/Statement_Character_Virtue_Practical_Wisdom_Professional_Practice.pdf. Accessed 15 Oct 2015.

  8. Blond, P., Antonacopoulou, E., & Pabst, A. (2015). In professions we trust: Fostering virtuous practitioners in teaching, law and medicine. London: ResPublica Available via: http://www.respublica.org.uk/wp-content/uploads/2015/02/In-Professions-We-Trust.pdf.

    Google Scholar 

  9. Fish, D. (2015). Starting with myself as doctor and a supervisor. Booklet 1 of Medical Supervision Matters. Cranham: Aneumi Publications.

    Google Scholar 

  10. Cruess, R. L., Cruess, S. R., & Steinert, Y. (2010). Teaching medical professionalism. Cambridge: Cambridge University Press.

    Google Scholar 

  11. Montgomery, K. (2006). How doctors think: Clinical judgment and the practice of medicine. Oxford: Oxford University Press.

    Google Scholar 

  12. Gelhaus, P. (2012). The desired moral attitude of the physician: 1 empathy. Medical Healthcare and Philosophy, 15(2), 103–113. https://doi.org/10.1007//s11019-011-9366-4 Published 14 December 2012.

    Article  Google Scholar 

  13. de Cossart, L., & Fish, D. (2005). Cultivating a thinking surgeon: New perspectives on clinical teaching, learning and assessment. Shrewsbury: TfN Publications.

    Google Scholar 

  14. Eraut, M., & du Bouley, B. (2000). Developing the attributes of medical professional judgement and competence: A review of the literature (Cognitive Sciences Research Paper 518). University of Sussex, 2000. Online version. Sections 3.1 and 3.2 reprinted on CD as part of Module 1 of the Human Face of Medicine. London: BMJ Publishing Group.

    Google Scholar 

  15. Canter, R. (2016, January). The new professionalism. 98(1), 10–13.

    Google Scholar 

  16. Non-technical skills for surgeons (NOTSS). http://www.notss.org/. Accessed 13 Oct 2016.

  17. Freidson, E. (2001). Professionalism, the third logic. Chicago: University of Chicago Press.

    Google Scholar 

  18. Keogh, B. (2013). The Keogh review. NHS England. http://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review-final-report.pdf. Accessed 15 Oct 2016.

  19. Arthur, J., Kristjansson, K., Thimas, H., Kotzee, B., Ignatowicz, A., & Qui, T. (2015). Virtuous medical practice: Research report Birmingham University Jubilee Centre. www.jubileecentre.ac.uk/userfiles/jubileecentre/pdf/Research%20Reports/Virtuous_Medical_Practice.pdf. Accessed 13 Oct 2016.

  20. Hansen, D. (2001). Exploring the moral heart of teaching: Towards a teacher’s creed. London: Teachers College Press.

    Google Scholar 

  21. Fish, D., de Cossart, L., & Wright, T. (2015). Practical dilemmas about supervision and teaching. Booklet 2 of Medical Supervision Matters. Cranham: Aneumi Publications.

    Google Scholar 

  22. Fish, D., de Cossart, L., & Wright, T. (2015). Practical dilemmas about the learner and learning. Booklet 3 of Medical Supervision Matters. Cranham: Aneumi Publications.

    Google Scholar 

  23. Fish, D., de Cossart, L., & Wright, T. (2015). Practical dilemmas about assessment and evaluation. Booklet 4 of Medical Supervision Matters. Cranham: Aneumi Publications.

    Google Scholar 

  24. Brown, J., Leadbetter, P., & Clabburn, O. (2016). Evaluation at East Lancashire Hospitals Trust (ELHT) of the impact of the project: ‘Supervision Matters: Clinical Supervision for Quality Medical Care’.

    Google Scholar 

  25. Thomé, R. (2012). Educational practice development: An evaluation (An exploration of the impact on participants and their shared organisation of a postgraduate certificate in education for postgraduate medical practice 2010–2011). Cranham: Aneumi Publications.

    Google Scholar 

  26. Thomé, R. (2013). Educational practice development: An evaluation of the second year 2011–12 (An exploration of the impact on participants and their shared organization of year two of the postgraduate masters in education for postgraduate medical practice). Cranham: Aneumi Publications.

    Google Scholar 

  27. Annas, J. (2011). Intelligent virtue. Oxford: Oxford University Press.

    Book  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

de Cossart CBE, L., Fish, D. (2019). Supporting the Development of Professionalism in Surgeons in Practice: A Virtues-Based Approach to Exploring a Surgeon’s Moral Agency. In: Nestel, D., Dalrymple, K., Paige, J., Aggarwal, R. (eds) Advancing Surgical Education. Innovation and Change in Professional Education, vol 17. Springer, Singapore. https://doi.org/10.1007/978-981-13-3128-2_27

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-3128-2_27

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3127-5

  • Online ISBN: 978-981-13-3128-2

  • eBook Packages: EducationEducation (R0)

Publish with us

Policies and ethics