Faculty values.
Faculty values.
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教师价值观。
DOI：
10.1007/s11606-010-1331-z
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发表时间：
2010
影响因子：
5.7
通讯作者：
Smith,WallyR
中科院分区：
文献类型：
--
作者：
Poses,RoyM;Smith,WallyR
致编辑：-由Pololi等人撰写的文章提供了令人着迷的数据。我们很高兴它证实了我们在2003年发表的研究结果，尽管最近的文章使用了更复杂的方法，从更大、更明确的研究人群中获取数据。我们也发现，医生们被大型组织所困扰，这些组织的领导层与他们的价值观不一致，有时消息不灵通，无能，自私，甚至腐败。Pololi等人总结的两个引人注目的访谈是对那些机构领导似乎将收入置于患者护理、教学和研究之上的教师进行的，从而放弃了医生和学术界的核心价值观。其中四次采访的对象是那些被指控为个人和职业利益而使用欺骗手段的教员（比如，“一种不道德使用资金的情况”，“为研究项目伪造数据”，“我们对负责学校评估的人撒谎，我们把我们做的事情写在纸上，我们没有做”，“我认为他觉得他必须这么做——藏钱，在钱的问题上撒谎，或者至少做一点假账”）。然而，我们对这篇文章的结论感到好奇，它提出了“个人价值观和制度价值观”之间更好的一致性，但没有具体说明哪些价值观是由哪些个人持有的。文章中描述的教师似乎珍视传统的专业和学术价值观。然而，一些教师认为，他们的一些领导更看重利润，而不是病人护理、教学或研究。一些教师认为，他们的一些领导把自身利益看得比诚实更重要。为什么要提倡与这些领导人的价值观更一致的制度价值观呢？相反，为什么不提倡正直的领导，支持传统的专业价值观和组织的传统使命？Roy M. pose，医学博士，医学诚信与责任基金会，沃伦，罗德岛，美国；(电子邮件：roy_poses@brown。edu);
To the Editors:—The article by Pololi et al. 1 presented fascinating data. We were gratified that it corroborated findings we published in 2003 2, although the recent article used much more sophisticated methods to get data from a larger and better defined study population. We too found that physicians were beset by large organizations whose leadership did not share their values, and were at times ill-informed, incompetent, self-interested, and even corrupt. Two of the striking interviews summarized by Pololi et al. were with faculty whose institutional leadership appeared to put revenues ahead of patient care, teaching, and research, thus forsaking the core values of physicians and academia. Four of the interviews were with faculty whose leaders allegedly used deception for personal and professional gain (ie,“a situation of major unethical use of funding,”“fraudulently creating data for a research project,”“we’re lying to the people who are doing our school evaluations, we’re putting things on paper that we do that we don’t do,”“that’s what I think he felt he had to do—hide money, lie about money, or at least cook the books a little bit.”) We were curious, however, about the conclusion of the article, suggesting better congruence between “individual and institutional values,” without specifying which values were held by which individuals. The faculty portrayed in the article seemed to hold traditional professional and academic values dear. However, some faculty felt that some of their leaders valued profit more than patient care, teaching, or research. Some faculty felt that some of their leaders valued self-interest over honesty. Why promote institutional values that are more congruent with such leaders’ values? Instead, why not promote leadership with integrity who support traditional professional values and their organizations' traditional missions? Roy M. Poses, MD, Foundation for Integrity and Responsibility in Medicine, Warren, RI, USA;(e-mail: roy_poses@ brown. edu);
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