Surgeon's core values: legitimizing the team concept in surgery
Jason Park and Peter T Scardino
This article has no abstract so we have provided the first paragraph of the full text.
Ethical models of professional responsibility in surgery have traditionally been highly individualistic. Patient ownership is accepted as part of the surgical culture, with an expectation that surgeons individually care for, and attend to, their own patients. A recent qualitative study of surgeons and surgical residents in academic settings (Park et al. [2007] Surgery 142: 111–118), however, found professional responsibility to be a much more complex construct, with an evolving perception of patient care as a collective responsibility. The responsibility for patient care was largely enacted through teamwork, with surgeons and residents referencing the overarching concept of teamwork and specific factors that were considered an integral part of the teamwork process, including adherence to on-call schedules, safe and efficient mechanisms to transfer patient care responsibilities, effective communication between team members, and the development of a trusting relationship with colleagues.
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