Teaching and learning ethics
Reflective professionalism: interpreting CanMEDS’ "professionalism"
1 University Medical Center Groningen, University of Groningen, Expertisecenter for Ethics and Care, Groningen, The Netherlands
2 University Medical Center Groningen, University of Groningen, Department of Obstetrics and Gynaecology, Groningen, The Netherlands
Correspondence to:
Professor M A Verkerk, University Medical Center Groningen, University of Groningen, Expertisecenter for Ethics and Care, PO Box 196, 9700 AD Groningen, The Netherlands; m.a.verkerk{at}med.umcg.nl
Residency training in the Netherlands is to be restructured over the coming years. To this end a general competence profile for medical specialists has been introduced. This profile is nearly the same as the Canadian CanMEDS 2000 model, which describes seven general areas of medical specialist competence, one of which is professionalism. In order to establish a training programme for residents and their instructors based on this competence, it is necessary to develop a vision that does justice to everyday medical practice. The two most prevailing views of professionalism—as personal, or as a behavioural characteristic—fall short of this. Only when professionalism is understood as reflective professionalism does it encompass the fundamental contextuality of medical treatment. This means that the focus of training and assessment must be shifted to accountability for treatment.
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