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Published in: Journal of General Internal Medicine 5/2007

Open Access 01-05-2007 | Editorial

R-E-S-P-E-C-T: Even More Difficult to Teach than to Define

Authors: Carla L. Spagnoletti, MD,MS, Robert M. Arnold, MD

Published in: Journal of General Internal Medicine | Issue 5/2007

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Excerpt

“Respect” is a word like “empathy”, “love”, and “compassion”, that everyone agrees connotes a positive attribute; however, there are innumerable ideas about what respect means. Perhaps the reason it is so difficult to define is because it can mean different things to different people, depending on whether it is being used as a verb or as a noun, on the person’s cultural background, and the context in which it is being discussed. For instance, when a parent tells a teenager “to show some respect” the meaning is somewhat different than when philosophers talk about “respect for persons”. Aretha1 put it very simply: “R-E-S-P-E-C-T, find out what it means to ME!” …
Literature
2.
go back to reference ABIM Foundation. American Board of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243–6. ABIM Foundation. American Board of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243–6.
4.
go back to reference Beach MC, Duggan PS, Cassel CK, Geller G. What does “respect” mean? Exploring the moral obligation of health professionals to respect patients. J Gen Intern Med. 2007, in press. DOI:10.1007/s11606-006-0054-7. Beach MC, Duggan PS, Cassel CK, Geller G. What does “respect” mean? Exploring the moral obligation of health professionals to respect patients. J Gen Intern Med. 2007, in press. DOI:10.​1007/​s11606-006-0054-7.​
5.
go back to reference Hilton SR, Slotnick HB. Proto-professionalism: how professionalisation occurs across the continuum of medical education. Med Ed. 2005;39:58–65.CrossRef Hilton SR, Slotnick HB. Proto-professionalism: how professionalisation occurs across the continuum of medical education. Med Ed. 2005;39:58–65.CrossRef
6.
go back to reference Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med. 1994;69:861–71.PubMedCrossRef Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med. 1994;69:861–71.PubMedCrossRef
7.
go back to reference Haidet P, Stein HF. The role of the student–teacher relationship in the formation of physicians: the hidden curriculum as process. J Gen Intern Med. 2006;21:S16–20.PubMedCrossRef Haidet P, Stein HF. The role of the student–teacher relationship in the formation of physicians: the hidden curriculum as process. J Gen Intern Med. 2006;21:S16–20.PubMedCrossRef
9.
go back to reference Branch WT, Kern D, Haidet P, et al. Teaching the human dimensions of care in clinical settings. JAMA. 2001;286:1067–74.PubMedCrossRef Branch WT, Kern D, Haidet P, et al. Teaching the human dimensions of care in clinical settings. JAMA. 2001;286:1067–74.PubMedCrossRef
10.
go back to reference Lempp H, Seale C. The hidden curriculum in undergraduate medical education: qualitative study of medical students’ perceptions of teaching. BMJ. 2004;329:770–3.PubMedCrossRef Lempp H, Seale C. The hidden curriculum in undergraduate medical education: qualitative study of medical students’ perceptions of teaching. BMJ. 2004;329:770–3.PubMedCrossRef
11.
go back to reference Sheehan KH, Sheehan DV, White K, Leibowitz A, Baldwin DC. A pilot study of medical student “abuse”: student perceptions of mistreatment and misconduct in medical school. JAMA. 1990;263:533–7.PubMedCrossRef Sheehan KH, Sheehan DV, White K, Leibowitz A, Baldwin DC. A pilot study of medical student “abuse”: student perceptions of mistreatment and misconduct in medical school. JAMA. 1990;263:533–7.PubMedCrossRef
12.
go back to reference Baldwin DC, Daugherty SR, Eckenfels EJ. Student perceptions of mistreatment and harassment during medical school: a survey of ten United States schools. West J Med. 1991;155:140–5.PubMed Baldwin DC, Daugherty SR, Eckenfels EJ. Student perceptions of mistreatment and harassment during medical school: a survey of ten United States schools. West J Med. 1991;155:140–5.PubMed
13.
go back to reference Van Ineveld CH, Cook DJ, Kane SC, King DB. Discrimination and abuse in internal medicine residency. J Gen Intern Med. 1996;11:401–5.CrossRef Van Ineveld CH, Cook DJ, Kane SC, King DB. Discrimination and abuse in internal medicine residency. J Gen Intern Med. 1996;11:401–5.CrossRef
14.
15.
go back to reference Elnicki MD, Linger B, Asch E, et al. Patterns of medical student abuse during the internal medicine clerkship: perspectives of students at 11 medical schools. Acad Med. 1999;74:S99–101.PubMedCrossRef Elnicki MD, Linger B, Asch E, et al. Patterns of medical student abuse during the internal medicine clerkship: perspectives of students at 11 medical schools. Acad Med. 1999;74:S99–101.PubMedCrossRef
16.
go back to reference Frank E, Carrera JS, Stratton T, Bickel J, Nora LM. Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey. BMJ. 2006;333:682–4.PubMedCrossRef Frank E, Carrera JS, Stratton T, Bickel J, Nora LM. Experiences of belittlement and harassment and their correlates among medical students in the United States: longitudinal survey. BMJ. 2006;333:682–4.PubMedCrossRef
18.
go back to reference Inui TS, Frankel RM. Hello, stranger: building a healing narrative that includes everyone. Acad Med. 2006;81:415–8.PubMedCrossRef Inui TS, Frankel RM. Hello, stranger: building a healing narrative that includes everyone. Acad Med. 2006;81:415–8.PubMedCrossRef
20.
go back to reference Smith RC, Lyles JS, Mettler J, et al. The effectiveness of intensive training for residents in interviewing: a randomized, controlled study. Ann Intern Med. 1998;128:118–26.PubMed Smith RC, Lyles JS, Mettler J, et al. The effectiveness of intensive training for residents in interviewing: a randomized, controlled study. Ann Intern Med. 1998;128:118–26.PubMed
21.
go back to reference Olson JM, Zanna MP. Attitudes and attitude change. Annu Rev Psychol. 1993;44:117–54.CrossRef Olson JM, Zanna MP. Attitudes and attitude change. Annu Rev Psychol. 1993;44:117–54.CrossRef
22.
go back to reference Larson EB, Yao X. Clinical empathy as emotional labor in the physician–patient relationship. JAMA. 2005;293:1100–6.PubMedCrossRef Larson EB, Yao X. Clinical empathy as emotional labor in the physician–patient relationship. JAMA. 2005;293:1100–6.PubMedCrossRef
24.
go back to reference Burack JH, Irby DM, Carline JD, Root RK, Larson EB. Teaching compassion and respect: attending physicians’ responses to problematic behaviors. J Gen Intern Med. 1999;14:49–55.PubMedCrossRef Burack JH, Irby DM, Carline JD, Root RK, Larson EB. Teaching compassion and respect: attending physicians’ responses to problematic behaviors. J Gen Intern Med. 1999;14:49–55.PubMedCrossRef
25.
go back to reference Cooper J, Mirabile R, Scher SJ. Actions and attitudes: the theory of cognitive dissonance. In: Brock TC and Green MC, editors. Persuasion: Psychological Insights and Perspectives. 2nd ed. Thousand Oaks, CA: Sage Publications, Inc.; 2005. p. 63–79. Cooper J, Mirabile R, Scher SJ. Actions and attitudes: the theory of cognitive dissonance. In: Brock TC and Green MC, editors. Persuasion: Psychological Insights and Perspectives. 2nd ed. Thousand Oaks, CA: Sage Publications, Inc.; 2005. p. 63–79.
Metadata
Title
R-E-S-P-E-C-T: Even More Difficult to Teach than to Define
Authors
Carla L. Spagnoletti, MD,MS
Robert M. Arnold, MD
Publication date
01-05-2007
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 5/2007
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-007-0164-x

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