As a collective whole, doctors are regarded as “professionals” both by the public and by their peers. They remain the most trusted profession among the public, which has been the case for many years. Individually, some doctors may fall short of the mark. But what do we mean by professionalism? And how much bearing does this definition have on the behaviours expected of a doctor? Firstly, we need to be clear about exactly what a profession is.

Today’s doctors are working in a constantly evolving environment, where many of the old expectations regarding the role of doctors, nurses and patients are being replaced by new ones. The roles themselves are changing – doctors are clinicians, leaders, teachers, managers, commissioners and purchasers of services.

Any doctor who specialises in a particular field would be expected to keep up-todate in that area. This would apply to all fields of medicine. Surgeons with a special interest would be expected to keep up-to-date with developments both in the field of general surgery and their area of special interest.

Patient A: I’ve got a very good GP now, I have got a GP who actually knows what fibromyalgia is, he’s prepared just to sit and listen, he listens a lot, he’ll let me try new medications, obviously because of my science background I probably know more about fibromyalgia than he does because I read so much in research papers, but he’s very willing to let me be a guinea pig and to work with me, which I think is important with a doctor/patient relationship, you’ve got to work on this path of chronic pain together.

Sometimes, when an adverse incident occurs, the GMC can take action if a doctor’s fitness to practise is called into question, which could be due to:

It is one of the great ironies that healthcare professionals are, generally, poor at taking care of their own health. Yet it is one of the core set of guidelines in Good Medical Practice that you have a responsibility to look after your health - if not for your own sake, then at least for your patients.

Honesty and integrity are central to probity and define how any professional person should act: being upstanding and law-abiding, and respectful of the trust placed in you by others.

Around 7% of allegations heard at fitness-to-practise hearings in 2011 were with regards to relationships with patients. As a doctor’s profession is defined by the duty of care to patients, it follows that standards of professionalism are entwined with the strength of the relationship between doctor and patient.

It is perhaps an understatement to say that teamwork is integral to the safe delivery of care within medicine, and the professional approach to good teamwork centres on good communication, mutual respect for others and proactively responding to any deficiencies in the team.

The GMC and the doctor in question are both invited to attend. The GMC is normally represented at the hearing by a barrister and the doctor is usually present and legally represented. Both parties may call witnesses to give evidence, who may be crossexamined by the other party. The Panel may also put questions to the witnesses.

Key decisions, observations and incidents that have influenced expectations around standards of professionalism over the years...

General practice is an increasingly challenging and high-risk environment in which to practise medicine. Chief Executive Simon Kayll, explains how we assess those risks and calculate GP membership subscriptions

The Care.data programme that was due to be rolled out in 2014 was delayed following criticism of the way the information campaign supporting it was implemented.

The CQC is the regulator for health and social care in England. It monitors, inspects and regulates general practices to make sure they meet fundamental standards of quality and safety.

You can get direct assistance from Medical Protection by requesting a Clinical Risk Self Assessment (CRSA), which is a systematic approach that identifies risk and develops practical solutions, as one of the benefits of membership. Our experience has been that a CRSA is invaluable in assisting practices in preparing for their CQC inspection and also post-CQC inspection, to assist with issues raised by the CQC inspector.

The CQC wants to define what good quality care looks like in order to be able to effectively inspect and rate practices.

An information portal can simplify the storing, sharing and management of local information held by your practice and is an important device for reducing risk. We’ve teamed up with the National Association of Sessional GPs (NASGP) to help you find a simple and effective solution.

Endurance athlete and GP Dr Andrew Murray reflects on working in Mongolia and why he decided to run from Scotland to the Sahara

In this issue we share a case where a locum GP raised concerns about patient safety in a practice he had worked at for three months

Prescribing can be a risky business, especially when prescribing for different kinds of patients such as older people or children who can be particularly vulnerable. Charlotte Hudson talks about the risks and what you can do to make sure you avoid them.

Dr Euan Lawson, a locum GP from Cumbria, explains why every GP, including locums, should have an open door when not consulting.