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System Citizenship: Re-Envisioning the Physician Role as Part of the Sixth Wave of Professionalism
Journal article   Peer reviewed

System Citizenship: Re-Envisioning the Physician Role as Part of the Sixth Wave of Professionalism

Jed D. Gonzalo, Ami L. DeWaters, Britta Thompson, Lindsay Mazotti, Nardine Riegels, Robert Cooney, James B. Reilly, Terry Wolpaw and Daniel R. Wolpaw
The American journal of medicine, v 136(6), pp 596-603
Jun 2023
DOI: https://doi.org/10.1016/j.amjmed.2023.03.001
PMID: 36889491
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.amjmed.2023.03.001View
Published, Version of Record (VoR) Open

Abstract

Graduate medical education System citizen Systems-based practice
The past century has seen a steady expansion of the physician role within complex health care delivery systems. Beyond clinical expertise, physicians are becoming leaders and change agents in social determinants of health, high-value care, patient safety, and health system improvement. Critical advances in medical education, notably through the Accreditation Council for Graduate Medical Education (ACGME) systems-based practice (SBP) competency and the American Medical Association (AMA) Accelerating Change in Medical Education and Reimagining Residency work in health systems science education, have created important opportunities for alignments among complex health systems, the clinical learning environment, medical schools, and a new conception of the physician role. This evolving landscape directly challenges the medical community to reimagine a 21st-century physician identity that includes the knowledge, skills, and mindset to work effectively within systems to improve patient and population health. The goal of this article is to address this challenge, establishing the concept of system citizenship and the role of system citizen as a unifying framework for this expanded professional identity. We explore the driving factors that necessitate the development of physicians as system citizens, define and describe the system citizen physician, and articulate the essential and reciprocal role of the clinical learning environment as the “country” that nurtures and coproduces a supporting culture for system citizens. This conceptual framework can provide the foundation for developing the kind of empowered, resilient, and collaborative roles that physicians will need as they navigate a landscape of change during their careers.

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5 Record Views
10 citations in Web of Science
9 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#4 Quality Education

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
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