Clinical Topics

Question 1

Profession

Answer 1

a vocaiton requiring knowledge of some department of learning or science

Question 2

Learned Profession

Answer 2

any of three vocations ot theology, law, and medicine commonly held to require highly advanced learning

Question 3

Profession vs Trade

Answer 3

Training
Intellectualism
Autonomy
Judgement
High Stakes Decision
Service over self interest

Question 4

Training

Profession vs Trade

Answer 4

extensive time
understanding
not obtainable unless by specialized school
skill set under scrutiny as training
complex work

Question 5

Intellectualism

Profession vs Trade

Answer 5

integration of knowledge, skill and clinical thinking

use of rigorous self evaluation

Question 6

Autonomy

Profession vs Trade

Answer 6

need to conduct work byself
members determine limits of rules
practice and compentency standards

Question 7

Judgement

Profession vs Trade

Answer 7

extrapolated from education and training

deferals are expected by peers

Question 8

High Stakes Decision

Profession vs Trade

Answer 8

decision cannot be received elsewhere as a result imoproving society

Question 9

Service over Self Interest

Profession vs Trade

Answer 9

client/patient first
have a central mission
pro bono are a part of sevice

Question 10

Training

Who is a Professional

Answer 10

undergrad is vetting process to see ability to withstand professional program through repetitive channels, internship and residency

Question 11

Intellectualism

WHo is a Professional

Answer 11

practice and day to day tasks
manage people and problems that are complex and uncertain
amendable to evaluation
continuous learner, always learning and improving
aware of areas of controvesy in profession
demonstarte mature tolerance for difference of opinions

Question 12

Autonomy

WHo is a Professional

Answer 12

function without guidance
abides by rules of conduct and compentancy
considers whats right over popular and profit

Question 13

Judgement

Who is a Professional

Answer 13

demonstrate skills and effectiveness over time

Question 14

High Stakes Decision

Who is a Professional

Answer 14

able to demonstrate correctness and objectivity in difficult circumstances

Question 15

Service over self interest

Who is a Professional

Answer 15

client / patient first
advocate for what is best
pro bono serice

Question 16

Patients - Baby Boomers

Answer 16

may not resonate with the traits and preferences you claim as your generational norms
your patients are impressed by smarts, but they want to connect
gain their trust

Question 17

Professionals presenting themselves

Answer 17

with dignity integrity compassion and authority

Question 18

Where to start professionalism

Answer 18

be comfortable in your own skin
practice on classmates
practice on campus community
see world outside thru lens of person who leads by example

Question 19

Professionlism in student-student interaction

Answer 19

cavility duty to offer respect and dignity, be tolerant, disagreement can be dialogue or debate rather than conflict, harassment

Question 20

Professionalisms in studnet campus interaction

Answer 20

learn to be circumspect
view the issude as a series of perspectives
express yourself with authority
be kind and respectful
public expects you to be dignified

Question 21

Confronting Unprofessionalism

Answer 21

be professional
privacy is essential part of respecting the person
inquiry to understand facts
clarity and circumspection in expression of your own facts
look for oppurtunity to resolve it

Question 22

Confronting Unprofessional Behavior

Answer 22

I AM NOT SURE I CAN HANDLE THIS
first be professional
objectively consider your state of agitation
inquire to understand facts,s perception and assumptions
look for opputunity to resolve the problem

Question 23

Professionlism in student outsider interaction

Answer 23

the state law and treating, diagnosing and other practice issues without supervision
practice without faculty supervision is illegal
recommendation of nutrictional supplements or other lifestyle changes is risky
providing diagnosis is illegal

Question 24

Communication by audience

Answer 24

non-directed communication

directed communication - Large group, small group, interpersonnal, intrapersonnal

Question 25

Communication by sender

Answer 25

verbal - monologue, dialogue, discussion, debate, arguement | non-verbal- body language and written

Question 26

Examples of non-verbal communication

Answer 26

``` facial expressivity figity or nervous twitch eye contact head nodding hand gestures postural position paralinguitic speech characteristics dialogue behaviors such as interuptions ```

Question 27

What Non-verbal communication is conveying

Answer 27

``` empathy caring paying attention agree or disagree your judgement boredom ```

Question 28

Verball vs non- verbal

Answer 28

75% of Dr/ Pt interactions 22% of human quality conveyed in tone 55% is conveyed by visual perception

Question 29

What is caring to patients

Answer 29

communicate effectivelty - active listening, give information in right doses, choose words carefully, direct and straightforeward, soft but confident be empathetic - offer measured empathy, empathetic statements arrange to meet health care needs - help move with next steps, preserve patients autonomy respectful and non-judgmental - know patient but focus on problem, offer hope

Question 30

Empathy

Answer 30

- to put oneself in anothers shoes - identify and recognize anothers emotional state - cognitive empathy, recognize anothers perspective or mental state and respond appropriately to that state - characteristics of empathy, recognize and understand anothers viewpoint, adopting or internalizing the perspective of the indivdual, ability to interact in way that honors the changing experience

Question 31

Demonstrationg Empathy

Answer 31

recognize patients feelings in moment imagine how they might be feeling reflect back to patient on these feelings make an effort to legitimize that feeling offer support and partnership

Question 32

Reflection/Name emotion

Answer 32

you sound upset you appear afraid this situation really seems to have you worried you seem uncomfortable am I reading you right

Question 33

Validation and Understanding

Answer 33

anyone would be upset about having to wait i can understand that your frustrated with the healing progess yes, healthcare is expensive

Question 34

Partnership/Support

Answer 34

perhaps we could work towards the goal I am ready and willing to put this situation behind us I understand importance and focus on this first

Question 35

Respect

Answer 35

Im interested with how they've handles dietary changes | while i respect the decision i hope you quit smoking

Question 36

Active Learning

Answer 36

eye contact postural position verbal quality verbal messages

Question 37

3 Components of Empathy

Answer 37

cognitive - enter patients perspective affective - put yourself in patients situation action - feedback that validates, clarity, respect

Question 38

Patient Barriers to empathy

Answer 38

uncomfortable with decision not in touch with or understand experience hard time expressing self worry about becoming emotionally overwhelmed identity roles conflict

Question 39

Dr. Barriers to empathy

Answer 39

``` to draining tiime consumption concern over loss of control uninterested in patients experience belief feeling they cant fix discomfort discussing emotions identity role conflicts ```

Question 40

Managing Empathy

Answer 40

Too much - burn out and boundaries | Too Little - patient compliance, unsatisfying, relationship, misunderstanding, increased potential for malpractice

Question 41

Sympathy

Answer 41

empathy at the next level emotional state not ebjective self perception and expression of pity or sadness feeling sorry for patient

Question 42

Things that masquarade as empathy

Answer 42

sympathy identification pity

Question 43

Identification

Answer 43

community or socilogical conectivity sense attributes of self as cahracteristics of patient personal identity into another losing objective attention personal association with experience of patient conter-transference with patient

Question 44

Pity

Answer 44

based out of sympathy elements of insincerity ot condenscension to patient sensed of negative version of empathy

Question 45

Ethical Foundation

Answer 45

Beneficence - doing whats best for patient Non-maleficence - avoiding deleterios things Autonomy - ensuring properly informed choices Justice - ensuring fairness in distribution of cost, quality and management

Question 46

Physician Duties of Informed Decision Making

Answer 46

must tell the truth explain comlicated health information at the appropriate levels be able to answer questions theraputic priviledges, witholding info that may be damaging

Question 47

PD of Informed Consent

Answer 47

difference from IDM, agreement to perform practice requires clear definition of PARQ Oregon Law requires informed consent

Question 48

PARQ

Answer 48

Procedures to be done Alternative to those procedures Risks Questions

Question 49

PD to Minimize Preventable Disease exposure

Answer 49

protect patient from uneccessary exposure to risk or disease | duty to protect self from uneccessary risk

Question 50

PD to keep a Health Record

Answer 50

health car record should be, accurate complete and organized, secure, confidential property of physician of employer but information belongs to the patient

Question 51

PD to Third Party Evaluation and Expert Witnesses

Answer 51

dissclosure to patient or court the exact role and who you are working for offering candid, honest and complete opinion accurate recount of credentials and skills avoidance of expression or partisan or biased outcomes

Question 52

Gift

Answer 52

context is everything Gift value is always significant what is the reason for the gift is it a personal gift