Problems with Medical "Professionalism"
/The challenge of what professionalism means and how definitions affect different groups has met the medical profession. The topic may interest business communication students, who will see similar issues in their own fields.
Professionalism as a work standard has been criticized for some time for its vagueness and disparate impact. Ideas about professionalism, for example, focusing only on work and not bringing personal (non-work) issues into the workplace, vary by culture and may be unevenly applied to women and men. Others think of professionalism as sameness or conformity and lash out at the inherent privilege and impact of demands about “image, dress, politeness and emotional regulation” on the working class. Some view professionalism as a racial construct, for example, in the legal profession: “While professionalism seemingly applies to everyone, it is used to widely police and regulate people of color in various ways including hair, tone, and food scents.”
A retracted article illustrates the issue in the medical profession. The October 2019 Journal of Vascular Surgery article, “Prevalence of Unprofessional Social Media Content Among Young Vascular Surgeons,” was retracted in August 2020. The retraction notice includes this explanation:
In addition, the methodology, analysis and conclusions of this article were based on published but not validated criteria, judging a series of behaviors including attire, alcohol consumption, controversial political and religious comments like abortion or gun control, in which significant conscious and unconscious biases were pervasive. The methodology was in part predicated on highly subjective assessments of professionalism based on antiquated norms and a predominantly male authorship supervised the assessments made by junior, male students and trainees. The authors did not identify biases in the methodology, i.e., judging public social media posts of women wearing bikinis on off-hours as “potentially unprofessional.” The goal of professionalism in medicine is to help ensure trust among patients, colleagues and hospital staff. However, professionalism has historically been defined by and for white, heterosexual men and does not always speak to the diversity of our workforce or our patients.
If students don’t relate to the potentially discriminatory impact of a professionalism standard, they might feel the effect of their social media accounts being used to determine whether they measure up. As we encourage students to be their authentic selves, this story highlights some of the potentially negative consequences.
