Some core-attributes I miss today is the ability to listen, empathize and touch. Listen and empathize are blocked by modern time-management and the ability of touching is rare tody in general, not only under physicians because of too much inhibiting Pictures in the mind. But all the three competences are essential abilities to become aware of what is with a person I maybe treat in a certain way...
Good clinician need to patient in his beginning the road for get information from seniors until get knowledge which is cumulative information + experience. Also keeping on attending conferences, meetings, workshop and checking updates in scientific websites like Cochrane & plumbed. Clinician at least should has a certificate like diploma , master , or fellowship ( above bachelor so I mean not USMLE nor PLAB ) so he can mix between science and practical or applied science.
For example I got offer in one of Gulf countries and I have academic MPH , but the committee were need applied certificate like FETP ( Fellowship Epidemiology training program) which is confined only for clinicians and epidemiologists in ministry of health.
While academic researcher focus on teaching side according to the institute and research for paper publications, in clinical department of medical faculty also teaching students by examination & how to take medical histories from patients . Also how to appraise or criticize the paper with EBM (Based Evidence Medicine). Researcher in faculty of medicine may be asked to a tasks or duties correcting the answers of student exams ... Regarding application of medical science it is according to rules of the ministry of high education that responsible for university's education, only academic researcher be allowed to work outside college as a private after setting MD or PhD , or when working abroad. Opportunity to get MD is higher among academic researchers.
Academic researcher focuses on solving problems so having high skills in statistics and study designs.
Usually high opportunity for academic researchers to deal with quality of scientific research and education for ISO standards.
While clinicians may be under global technology need to learn quality of healthcare to get ISO or JCI
In USA , there is a good chance for medicine also which is physician assistance (PA) in many specialties with high salary.
So many countries are going on making 2 pathway in medical field, the board or fellowship for ministry of health ( for clinicians ), the other pathway is the academic like diploma, master degree, MD or PhD.
The qualified skills for researcher are like the following:-
1)Critical thinking
2)Creative thinking
3)Self-learning
4)Planning
5)Marketing
6)Presentation
7)How to use Word Office
8)How to use Reference package program as : Endnote & Readcure
9)Expert in English language
10)Ongoing up to date science
11)Check journals suitable for scientist sub-specialties , with journal impact factor
12)How to search in pub-med , google scholar , Cochrane library
13)eul.edu.eg ( it is a digital library in Egypt) , Egyptian Universities Libraries Consortium
14)Scimago Journal ( search for journals that related to the researcher)
15)No for plagiarism ( no for copy and paste , or make the same skeleton of previous paper) >> so researcher has to write the paragraph by his power of his English language.
16)Time management ability to decrease time consuming
17)Power of using statistical methods & its interpretation
Lekshi - for me - a good clinical practitioner is one with current practice relevancy. That they are practicing in the area that they are researching and have a recognised 'expertise' and standing in the field i.e. long-standing experience and high-level training/education/development in that clinical area. Av good clinical researcher looks to involve the multi-disciplinary team (that includes clients and families) - and seeks to research 'with' rather than 'on'.
Some core-attributes I miss today is the ability to listen, empathize and touch. Listen and empathize are blocked by modern time-management and the ability of touching is rare tody in general, not only under physicians because of too much inhibiting Pictures in the mind. But all the three competences are essential abilities to become aware of what is with a person I maybe treat in a certain way...
@kemal surji "Effective clinical practice requires qualities and values that reflect positive attitudes toward the profession." This is what I want to the bottom of. What are these qualities and values?
You are right. Without touching the patient's body to confirm a diagnosis, heart disease can be misdiagnosed.
Please read https://www.researchgate.net/project/What-are-the-best-preventive-healthcare-educations/update/5cb983a03843b01b9b9b1917. It listed misdiagnoses of the heart diseases.
There were other misdiagnoses that I encountered. It's not only a medical waste. But also not fair to the patient to put him under the drug's side effects for life.
In order to have qualified practice, many medical textbooks should be revised.
Such as
https://www.researchgate.net/project/What-are-the-best-preventive-healthcare-educations/update/5cb983a03843b01b9b9b1917. It listed misdiagnoses of the heart diseases.
https://www.researchgate.net/project/What-are-the-best-preventive-healthcare-educations/update/5cb983a03843b01b9b9b1917. It listed misdiagnoses of the heart diseases. Up to now, the maximum floating ribs as I know is 29 on each side.
Please read https://universaltcm.com/chinese-medicine/yang-qi-functions-relationship-health/. Without knowing the qi in western medicine. To well treat diseases is hard.
There is too much to say, please read my project https://www.researchgate.net/project/What-are-the-best-preventive-healthcare-educations
Without ancient Chinese medicine be taught in all kinds of medical schools, with the current technology, human beings will face another no humanitarian disaster in the near future. Please read https://www.researchgate.net/project/What-are-the-best-preventive-healthcare-educations/update/5cf7354fcfe4a7968da7499e. The same concern is for the implant of a chimera organ.
Let me stop here. Otherwise, I can stay here in my rest life before the medical system can be corrected.
In the mid-1990s, the General Medical Council (GMC) in the UK issued a document entitled, "Good Medical Practice." It set out the expectations for a good practitioner, expectations that on the one hand set a high bar but on the other hand could/should be expected for every practicing physician.
In the mid-2000s, a few leaders in American medicine put together a voluntary consortium of persons from organizations that could be considered stake-holders in the quality of medical practice. The members of this group met several times in various cities where they worked hard with a facilitator to develop an American product. The leaders had consulted with Sir Donald Irvine, who had chaired the GMC's effort and used the UK document as a model/starting-point. By 2008 there was a draft document, Good Medical Practice-USA version 1.0, that is still available as a pdf on the web. I'm attaching a copy.
In addition, one of the members of the consortium, James Guest, then the CEO of Consumer's Union, had drafted a document outlining patient expectations of a good medical practitioner. These, unfortunately, were not added to the draft of Good Medical Practice-USA.
Also very unfortunate is that the documents were never adopted formally. The 1.0 version was put on the web for comment, and the website for the comments was taken down a couple of years later.
Nonetheless, I believe that there is a lot of rich material in these documents. They not only address the question that initiated this discussion, but ought to be put into use in health professions education, granting of professional licenses, etc.