0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Dwindling Community Involvement:  A Sign of Professional Failure to Thrive?

Modena H. Wilson, MD, MPH
Arch Pediatr Adolesc Med. 2008;162(7):695. doi:10.1001/archpedi.162.7.695.
Text Size: A A A
Published online

Extract

In this issue, Minkovitz et al1 document pediatricians' decreased community involvement. I recommend this article as a must read, not so much for its methodology and statistics but as a stimulus to reflection by both individual pediatricians and our profession on the questions “Why?” and “So what?”

Lying open on my desk is the AMA Code of Medical Ethics. I have read and reread principle VII: “A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health.”2 The greatest privilege of my professional life was spending 20 years delivering pediatric care in the Harriet Lane Clinic of Johns Hopkins Hospital in Baltimore. For me, that experience is a vivid reminder of the responsibility of which principle VII speaks. In the after-clinic hours of particularly discouraging days, I remember thinking often that our devoted health care team could do little in the end to improve the health—in the most meaningful sense of that word—of the children of East Baltimore if we confined our activities within the walls of the health care site. Indeed, I sometimes pondered whether what we were doing could best be described as trivial and distracting compared with the needs of the children and families in their communities and as neglectful of the real leverage points for change.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
A multicenter study on Leigh syndrome: disease course and predictors of survival. Orphanet J Rare Dis Published online Apr 15, 2014.;
Heiner syndrome mimicking an immune deficiency. WMJ 2013;112(5):215-7; quiz 218.
Jobs
brightcove.createExperiences();