?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Trust%2C+professionalism+and+regulation%3A+a+critical+comparison+of+Medicine+and+Law&rft.creator=Knight%2C+L&rft.creator=Alexander%2C+K&rft.creator=Griffin%2C+A&rft.creator=O'Keeffe%2C+C&rft.creator=Tweedie%2C+J&rft.creator=Silkens%2C+M&rft.description=Background+%26+Aims%3A+Trust%2C+professionalism+and+regulation+are+complex+social+phenomena%2C+which+are+contextually+dependent+and+dynamic.+This+project+aims+to+explore+the+concept+of+%E2%80%98trust%E2%80%99+in+Law+and+Medicine+-+questioning+what+it+means+to+be+a+%E2%80%98trustworthy%E2%80%99+professional+and+how+these+understandings+relate+to+ideas+of+professionalism+and+regulation.+Methods%3A+This+study+draws+on+a+comprehensive+review+of+the+literature+and+interviews+with+thirty+participants+from+within%2C+or+related+to%2C+the+UK+legal+and+medical+professions.+Participants+included+practitioners%2C+those+creating+and+implementing+policy%2C+and+public+representatives.+Data+was+analysed+using+the+%E2%80%98logics+approach%E2%80%99+from+Political+Discourse+Theory+(PDT).+This+helped+us+draw+out+taken-for-granted+ideas+and+beliefs+about+trust%2C+professionalism+and+regulation+and+expose+these+to+critique.+Results%3A+Participants+highly+valued+patient%2Fclient+trust%2C+seeing+it+as+fundamental+to+the+functioning+of+their+professional+%E2%80%98service%E2%80%99.+Trust+was+seen+as+attributed+primarily+to+the+individual+practitioner+and+maintained+through+demonstrating+measurable+%E2%80%98professionalism%E2%80%99.+Practitioners+were+understood+to+be+individually+responsible+for+preserving+their+image+as+a+%E2%80%98good+professional%E2%80%99%2C+via+evidencing+their+%E2%80%98professionalism%E2%80%99+to+the+patient%2Fclient+and+the+regulator.+Discussion%3A+Current+ways-of-thinking+about+trust+permitted+trust+in+individuals+to+be+maintained%2C+even+when+trust+in+the+professions+as+a+whole+was+challenged.+However%2C+for+medical+professionals+particularly%2C+this+was+predicated+on+a+need+to+%E2%80%98evidence%E2%80%99+that+one+was+a+%E2%80%98good+professional%E2%80%99+through+intensive+and+continual+regulation.+This+created+an+increased+dependency+on+a+%E2%80%98trust-industry%E2%80%99+of+regulatory+bodies+and+systems.+This+project+critically+questions+how+regulation+shapes+and+impacts+trust+in+the+professions.+It+is+a+problem-driven+approach%2C+which+seeks+to+break+with+current+patterns+of+thinking+and+question%3A+%E2%80%98what+might+be+possible+instead%3F%E2%80%99+This+opens+up+an+ideological+space+and+new+viewpoints%2C+whereby+audiences+are+encouraged+to+consider+future+change.&rft.subject=political+discourse+theory%2C+Trust%2C+Professionalism%2C+Regulation%2C+Medicine%2C+Law&rft.publisher=UCL+Medical+School&rft.date=2020-02&rft.type=Report&rft.language=eng&rft.source=++++UCL+Medical+School%3A+London%2C+UK.+++++&rft.format=text&rft.identifier=https%3A%2F%2Fdiscovery.ucl.ac.uk%2Fid%2Feprint%2F10095840%2F1%2FFinal%2520Nuffield%2520Main%2520Report.pdf&rft.identifier=https%3A%2F%2Fdiscovery.ucl.ac.uk%2Fid%2Feprint%2F10095840%2F&rft.rights=open