TY - JOUR
T1 - Moving beyond nostalgia and motives
T2 - Towards a complexity science view of medical professionalism
AU - Hafferty, Frederic W.
AU - Levinson, Dana
PY - 2008/12/1
Y1 - 2008/12/1
N2 - Modern-day discourse on medical professionalism has largely been dominated by a "nostalgic" view, emphasizing individual motives and behaviors. Shaped by a defining conflict between commercialism and professionalism, this discourse has unfolded through a series of waves, the first four of which are discovery, definition, assessment, and institutionalization.They have unfolded in a series of highly interactive and overlapping sequences that extend into the present.The fifth wave-linking structure and agency-which is nascent, proposes to shift our focus on professionalism from changing individuals to modifying the underlying structural and environmental forces that shape social actors and actions.The sixth wave-complexity science-is more incubatory in nature and seeks to recast social actors, social structures, and environmental factors as interactive, adaptive, and interdependent.Moving towards such a framing is necessary if medicine is to effectively reestablish professionalism as a core principle.
AB - Modern-day discourse on medical professionalism has largely been dominated by a "nostalgic" view, emphasizing individual motives and behaviors. Shaped by a defining conflict between commercialism and professionalism, this discourse has unfolded through a series of waves, the first four of which are discovery, definition, assessment, and institutionalization.They have unfolded in a series of highly interactive and overlapping sequences that extend into the present.The fifth wave-linking structure and agency-which is nascent, proposes to shift our focus on professionalism from changing individuals to modifying the underlying structural and environmental forces that shape social actors and actions.The sixth wave-complexity science-is more incubatory in nature and seeks to recast social actors, social structures, and environmental factors as interactive, adaptive, and interdependent.Moving towards such a framing is necessary if medicine is to effectively reestablish professionalism as a core principle.
UR - http://www.scopus.com/inward/record.url?scp=58849126588&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=58849126588&partnerID=8YFLogxK
M3 - Review article
C2 - 18997361
AN - SCOPUS:58849126588
SN - 0031-5982
VL - 51
SP - 599
EP - 615
JO - Perspectives in Biology and Medicine
JF - Perspectives in Biology and Medicine
IS - 4
ER -