ADA Principles Flashcards
(108 cards)
1
Q
Second Opinions
A
Nonmaleficence (adv)
2
Q
Emergency Service
A
Justice
3
Q
Competence:
A
Acquiring and maintaining the high level of special knowledge, technical ability, and professional behavior necessary for the practice of dentistry and for effective functioning in the dental education environment
4
Q
Profession
A
Occupation involving relatively long and specialized preparation on the level of higher education
5
Q
Qualities of a professional
A
- Respect for human beings
- Competent
- Integrity
6
Q
Professionalism extends to include: (3)
A
conduct
aims
qualities
7
Q
Community Service
A
Beneficence
8
Q
Ethics:
A
: The moral principles or virtue that govern the character and conduct of an individual or grou
9
Q
Top 10 ethical Issues in Dentistry
A
- Unethical or illegal use of auxiliaries
- Patients making bad choices for care
- Students “practicing” on patient
- Failing to refer
- Academic integrity
- Dealing with “bad” dentists
- Pressures in “corporate” dentistry
- Misleading advertising
- Letting insurance dominate
- Over treatment
10
Q
Pt Autonomy
A
self-governance
11
Q
Confidentiality of Patient Records within which Principle?
A
Autonomy
12
Q
Patient Records
A
Autonomy
13
Q
- Don’t recognize the ethical issue
- Defective reasoning
- Lack of clarity about professional obligations
A
why professionals sometimes fail
15
Q
You cannot do any treatment without talking to your patient about it.
A
Autonomy
16
Q
Don’t just give one option. No treatment is also an option.
A
Autonomy
17
Q
Education- Keeping knowledge and skills current (competence)
A
Nonmaleficence
18
Q
You cannot hold records as hostage for failure to pay. If the patient requests them, you must give it to him no matter what unless you want to get sued
A
Autonomy
19
Q
Autonomy
A
Duty to respect the patient’s right to self-determination and confidentiality
19
Q
Do NO harm
A
Nonmaleficence
20
Q
Duty to protect the patient from harm
A
Nonmaleficence
21
Q
Dental Amalgam and Other Restorative Materials
A
Veracity (adv)
22
Q
Consultation and Referral
A
Nonmaleficence
24
Q
dentistry is self-regulating falls under the category of ..?
A
Beneficence
25
Q
Personal Impairment
A
Nonmaleficence
26
Ability to Practice--> Contracts disease/becomes impaired…limit activities to those areas that do not endanger
Nonmaleficence (adv)
27
May provide expert testimony when is essential to just and fair disposition of a judicial or administrative action
Justice
29
Do not tell a patient that you need to remove an amalgam restoration for the purpose of removing a toxic substance from the body
Veracity
30
Postexposure, Bloodborne Pathogens
Nonmaleficence
30
Primary obligation is service to the patient and public at large
Beneficence
31
i. Inform patient
ii. Refer
iii. Provide information
iv. Submit to testing
Nonmaleficence
33
Personal Relationships with Patients
Nonmaleficence
34
Use of Auxiliary Personnel
Nonmaleficence
35
Your obligation to inform a patient if you have some sort of bloodborne pathogen IF that patient was exposed to it.
Nonmaleficence
36
Duty to promote the patient’s welfare
Beneficence
38
Government of a Profession
Beneficence
38
Research and Development
Beneficence
39
Abuse and Neglect ; and reporting abuse and neglect
Beneficence (adv)
40
Representation of Care
Veracity
41
duty to treat people fairly
Justice
42
Furnishing copies or records within which Principle?
Autonomy
42
Professional Demeanor in the Workplace
Beneficence
43
Dental Procedures- Do not claim you did an MOD composite to an insurance company when you just did an Occlusal composite
Veracity (adv)
44
COMPETENT and TIMELY delivery of dental care within the bounds of clinical circumstances, consideration needs, desires, values of patient
Beneficence
46
The prohibition against a dentist’s accepting or tendering rebates or split fees applies to business dealings between dentists and any third party, not just other dentists. Thus, a dentist who pays for advertising or marketing services by sharing a specified portion of the professional fees collected from prospective or actual patients with the vendor providing the advertising or marketing services is engaged in fee splitting.
Justice
47
will influenced by desire and emotions of others, allow others to be the source of our actions
Heteronomous will
48
Patients with Bloodborne Pathogens
Justice (adv)
49
If you discover something that reduces caries risk you can’t just keep it to yourself.
Beneficence
50
Primary obligations include dealing with people justly and delivering dental care without prejudice
Justice
52
4 responsible uses of professional social media
1. Information dissemination,
2. education
3. advocacy
4. Marketing
53
Patient Involvement in which Principle?
Autonomy
53
Patient Selection
Justice
54
Obliged to return patient to regular dentists unless patient expressly reveals different preference
Justice
56
Justifiable Criticism
Justice
57
Know your limits and know when to refer
Nonmaleficence
57
i. Obliged to report instances of gross or continual faulty treatment by other dentists
Justice
59
1. Excellence
2. Humanism
3. Accountability
4. Altruism
Structure of Professionalism
60
Rebates and Split Fees
Justice
62
The prohibition against fee splitting is also applicable to the marketing of dental treatments or procedures via “social coupons” if the business arrangement between the dentist and the concern providing the marketing services for that treatment or those procedures allows the issuing company to collect the fee from the prospective patient, retain a defined percentage or portion of the revenue collected as payment for the coupon marketing service provided to the dentist and remit to the dentist the remainder of the amount collected
Justice
63
f you are going to pay an ad agency, you need to pay them just for the add. You do not pay the ad agency a percentage for the type of procedures done or the number of patients they bring in. Placing an ad on Groupon in some instance would fall in this category
Justice
64
cannot discriminate a patient based race, creed, color, sex, national origin, etc. If the patient is HIV positive
Justice
65
contingent fees- Fees not contingent upon favorable outcome of litigation in exchange
Justice (adv)
66
Patient Abandonment
i. Once a dentist has undertaken a course of treatment, the dentist should not discontinue that treatment without giving the patient adequate notice and the opportunity to obtain the services of another dentist. Care should be taken that the patient’s oral health is not jeopardized in the process
Nonmaleficence
66
If a random guy calls you and says my tooth fell, can you I go to your office now to get it fixed, you can say NO, but you MUST tell the patient to either go to the ER or tell him where he can get treatment. If you do see such patient, you must again return him to his original provider.
Justice
67
Duty to communicate truthfully
Veracity
68
difference between Rebates and Split Fees and Advertisting
SPLIT FEES:
If you are going to pay an ad agency, you need to pay them just for the add. You do not pay the ad agency a percentage for the type of procedures done or the number of patients they bring in. Placing an ad on Groupon in some instance would fall in this category
ADVERTISING::
Published Communications. Unearned, Nonhealth degrees incl. Honorary degrees
Referral Service
You can pay an agency to be listed in a directory to be referred. However, you can only pay that agency for their service and is not dependent on how many patients they bring you.
69
c. Primary obligations:
i. Respecting the position of trust inherent in the dentist-patient relationship
ii. Communicating truthfully and without deception
iii. Maintaining intellectual integrity
Veracity
70
Overbilling
Veracity (adv)
71
Treatment Dates---incorrect treatment dates for the purpose of assisting a patient in obtaining benefits under a dental plan, which benefits would otherwise be disallowed, is engaged in making an unethical, false or misleading representation to such third party.
Veracity (adv)
72
represent the fees being charged for providing care in a false or misleading manner
Veracity
73
Patents and Copyrights
Beneficence
73
*Summary* If your pt has insurance, then you must understand that there is an agreement between not just the patient but also the insurance company. You cannot waive a copayment and collect the full payment from the insurance company. You must treat both the patient and the insurance company equally.
Veracity
74
Unsubstantiated Representations - Don’t tell a patient that a certain treatment will fix something is there is no scientific evidence stating such a thing
Veracity
76
• Lack of courage or “know-how” to resolve a problem effectively or
failure to act
• Lack of commitment to professional ideals
• Deficiencies of character and competence
why professionals sometimes fail
77
respond to your emails within
24hrs
77
4 characteristics of a life-long learner:
1.
2.
3.
4.
78
Best time to send an email
Weekday morning
78
4P’s of Neville’s situational judgement:
Pause
Privacy
Proactive
and Professional
78
reflective cycle ?
Do → Review → Learn → Apply
79
Fee differential --If you are going to charge a self-paying $130 for a cleaning, you must also cite that price to insurance companies
Veracity (adv)
82
Self-assessment vs Reflection
Self-assessment vs Reflection
83
How to Reflect?
Describe → Evaluate → Analysis → Alternative → Action Plan
84
Priority of treatment* (Most urgent to Least):
1. Pt’s life and ; general health
2. Pt’s oral health
3. Pt autonomy
4. Dentist’s preferred pattern of practice
5. Esthetic values
6. Efficiency in use of resources (cost containment)
85
White coat ceremony was started at
Columbia University
85
4 Component Model of Morality by James Rest
1. Moral Commitment
2. Moral Judgement
3. Moral motivation
4. Moral sensitivity
85
will that is free and independent, own logic and decision making
Autonomous will:
86
Acting from a place of true intent
• Rely on reason to make a decision
• Be concerned with the intent of an action and not the outcome
• Be honest with yourself to recognize when your own interests begin to influence your decisions
Always act from Duty
87
1. Therefore, when informing a patient of the status of his or her oral health, the dentist should exercise care that the comments made are truthful, informed and justifiable. This should, if possible, involve consultation with the previous treating dentist(s), in accordance with applicable law, to determine under what circumstances and conditions the treatment was performed. A difference of opinion as to preferred treatment should not be communicated to the patient in a manner which would unjustly imply mistreatment.
Justice
88
tooth worms”
5000 BC Text from Sumer
89
500-300 BC Writings about teeth, extractions with forceps, wiring loose teeth and fractured jaws by
Hippocrates
| and Aristotle
90
1530 First book on dentistry
Little
Medicinal Book for All Kinds of Diseases
and Infirmities of the Teeth (Artzney
Buchlein)
91
1723 Known as Father of Modern Dentistry, publishes
first book that describes comprehensive practice of dentistry: The SurgeonDentist, A Treatise on Teeth (Le
Chirurgien Dentiste)
Pierre Fauchard
92
1790 First dental foot engine
John
Greenwood adapts mother’s foot treadle
spinning wheel to rotate drill. First chair
made for dental patients by dentist Josiah
Flagg
93
1840 First dental school:
Baltimore College of Dental Surgery (DDS)
94
ADA formed in?
1859
95
ADA Code of Ethics written in?
1866 ( also First woman earns dental degree
Lucy Beaman Hobbs at Ohio College of
Dental Surgery)
96
1869
First African-American earns dental degree Robert Tanner Freeman at Harvard
97
Forced to give up Christianity ; refused —> they pulled out all her teeth jumped into the falmes
Saint Apollonia
98
Founded in 1882 at the University of
| Michigan School of Dentistry in Ann Arbor
Delta Sigma Delta was the world’s
| first dental fraternity
99
```
1917—Xi Xi Chapter 1944
• Honor Society
– Scholarship
– Professionalism
– Ethics
```
OKU
100
1868 Boston Dental College later, TUSDM
Dr. Isaac J. Wetherbee served as the
president of the Boston Dental College
from its founding in 1868 until his
death in 1899
101
copies of records
Autonomy ( adv)
102
confidentiality of records
Autonomy ( adv)
103
Disruptive behavior in the workplace
Beneficence (ADV)
104
Unsubstantiated Representation
Veracity (adv)
105
Wavier of copayment
veracity (adv)
106
Published Communications. Unearned, Nonhealth degrees incl. Honorary degrees
Veracity ( adv of Adverstising)
107
Name of practice--> dentist leaving
Veracity --> adve
108
Specialist annoucement
Veracity
