Clinical Topics Flashcards Preview

First Quarter > Clinical Topics > Flashcards

Flashcards in Clinical Topics Deck (52)
1

Profession

a vocaiton requiring knowledge of some department of learning or science

2

Learned Profession

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

3

Profession vs Trade

Training
Intellectualism
Autonomy
Judgement
High Stakes Decision
Service over self interest

4

Training
Profession vs Trade

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

5

Intellectualism
Profession vs Trade

integration of knowledge, skill and clinical thinking
use of rigorous self evaluation

6

Autonomy
Profession vs Trade

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

7

Judgement
Profession vs Trade

extrapolated from education and training
deferals are expected by peers

8

High Stakes Decision
Profession vs Trade

decision cannot be received elsewhere as a result imoproving society

9

Service over Self Interest
Profession vs Trade

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

10

Training
Who is a Professional

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

11

Intellectualism
WHo is a Professional

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

12

Autonomy
WHo is a Professional

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

13

Judgement
Who is a Professional

demonstrate skills and effectiveness over time

14

High Stakes Decision
Who is a Professional

able to demonstrate correctness and objectivity in difficult circumstances

15

Service over self interest
Who is a Professional

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

16

Patients - Baby Boomers

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

17

Professionals presenting themselves

with dignity integrity compassion and authority

18

Where to start professionalism

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

19

Professionlism in student-student interaction

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

20

Professionalisms in studnet campus interaction

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

21

Confronting Unprofessionalism

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

22

Confronting Unprofessional Behavior

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

23

Professionlism in student outsider interaction

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

24

Communication by audience

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

25

Communication by sender

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

26

Examples of non-verbal communication

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

27

What Non-verbal communication is conveying

empathy
caring
paying attention
agree or disagree
your judgement
boredom

28

Verball vs non- verbal

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

29

What is caring to patients

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

30

Empathy

- 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

31

Demonstrationg Empathy

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

32

Reflection/Name emotion

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

33

Validation and Understanding

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

34

Partnership/Support

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

35

Respect

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

36

Active Learning

eye contact
postural position
verbal quality
verbal messages

37

3 Components of Empathy

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

38

Patient Barriers to empathy

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

39

Dr. Barriers to empathy

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

40

Managing Empathy

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

41

Sympathy

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

42

Things that masquarade as empathy

sympathy
identification
pity

43

Identification

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

44

Pity

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

45

Ethical Foundation

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

46

Physician Duties of Informed Decision Making

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

47

PD of Informed Consent

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

48

PARQ

Procedures to be done
Alternative to those procedures
Risks
Questions

49

PD to Minimize Preventable Disease exposure

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

50

PD to keep a Health Record

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

51

PD to Third Party Evaluation and Expert Witnesses

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

52

Gift

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