Concepts

Question 1

Autonomy

Answer 1

The right the patient has to make decisions according to their beliefs.

Question 2

Fiduciary Duty

Answer 2

LEGAL duty to act in another party’s interest.

Question 3

Competence

Answer 3

The ABILITY to make a specific decision for ONESELF as determined by the COURTS.

Question 4

Capacity

Answer 4

The ABILITY to make a specific decision for ONESELF as determined by the CLINICIANS

Question 5

What are the four principles of Medical Ethics?

Answer 5

Autonomy
Beneficence
Non-maleficence
Justice

Question 6

What is the principle of Beneficence?

Answer 6

Obligation to provide benefit to the patient, based on what is considered to be their best interests.

Question 7

What is the principle of Non-Maleficence?

Answer 7

Obligation to avoid causing harm to the patient.

Question 8

Justice

Answer 8

Fair distribution of benefits and harms within a community

Question 9

What is the best way to provide a good therapeutic relationship?

Answer 9

By a full and open exchange of information between patient and physician.

Question 10

If suspected Child abuse, who do you report to?

Answer 10

Child’s Aid Society

Question 11

Who do you report to in case of Communicable disease?

Answer 11

The LOCAL public health authority.

Question 12

Who do you report if someone is unfit to drive or fly?

Answer 12

To the PROVINCIAL Ministry of Transportation.

Question 13

What is the duty to warn?

Answer 13

The obligation that physicians have to reveal someone’s motives to actively harm a third party.

Question 14

Consent

Answer 14

Autonomous authorization of a medical intervention by a patient.

Question 15

What are the characteristics of valid consent?

Answer 15

1 - Voluntary (free of coercion)
2 - Capable (patient must be able to understand and appreciate the nature and effect of treatment)
3 - Specific (relating to only of treatment or procedure)
4 - Informed (there must have been sufficient information and time to allow the patient to choose according to their wishes)

Question 16

What 5 things should be provided in order to adequately inform the patient about a procedure?

Answer 16

1 - The nature of treatment
2 - The proposed outcomes/effects
3 - All significant risks
4 - Alternative treatments
5 - Answer any doubts the patient may have.

Question 17

What is a practical and simple assessment of a patient’s capacity?

Answer 17

Can the patient recite back to you what you have disclosed to them in their own words?

Question 18

Description of palliative care

Answer 18

Care aimed towards maximizing quality of life for the patient, family and loved ones through the prevention and relief of SUFFERING, including treating pain, physical and psychosocial concerns.

Question 19

*What are the 7 CanMEDS competencies?

Answer 19

1 - Communicator
2 - Collaborator
3 - Health advocate
4 - Leader
5 - Professional
6 - Scholar
7 - Medical Expert

Question 20

What are the three principles of research Ethics?

Answer 20

1 - Beneficence
2 - Justice
3 - Respect for Persons

Question 21

What are the 5 main points of being a MEDICAL EXPERT?

Answer 21

1 - To provide high-quality, safe and patient-centered care.

2 - Maintain their knowledge up-to-date

3 - Be within their scope of practice, and understand the limits of their expertise.

4 - Have a decision-making process that is backed-up by best practices and research evidence.

5 - Actively contribute to the continuous improvement of health care quality and patient safety.

Question 22

What are the 4 main points of being a COMMUNICATOR?

Answer 22

1 - To adequately explore the patient’s symptoms by ACTIVELY listening to the patient’s experience of their illness.

2 - To explore their Fears, ideas and concerns, as well as their expectations about the treatments.

3 - To integrate their knowledge into the patient’s context.

4 - To provide a shared decision-making strategy

Question 23

What are the 5 main points of being a COLLABORATOR?

Answer 23

1 - To work effectively with other health care professionals to provide the best care possible.

2 - To build relationships based in trust, respect and shared-decision making among the professionals with complementary skills.

3 - To share knowledge.

4 - Be willing to learn together.

5 - Hand over the care of a patient to another professional to facilitate the CONTINUITY of safe patient care.

Question 24

What are the 4 main points of being a LEADER?

Answer 24

1 - To engage with others to contribute to a VISION of the best health care system possible.

2 - To demonstrate collaborative leadership within the health care system.

3 - To work to continuously improve the healthcare system.

4 - To apply evidence and management processes to achieve cost-appropriate care.

Question 25

What are the 4 main points of being a HEALTH ADVOCATE?

Answer 25

1 - To contribute with their expertise and influence to improve health within the communities.

2 - Work alongside patients to understand their needs and support the mobilization of resources.

3 - Promote healthy habits by influencing the system.

4 - To engage with other health care professionals, administrators and even politicians.

Question 26

What are the 3 main points of being a SCHOLAR?

Answer 26

1 - To have a LIFELONG commitment to EXCELLENCE in practice.

2 - To dedicate yourself to continuous learning by teaching, evalutating evidence and contributing to scholarship.

3 - To actively seek feedback in the interest of quality and patient safety.

Question 27

What is the main point of being a PROFESSIONAL?

Answer 27

To maintain the highest standards of ethical practices, behaviour, accountability to the profession and physician-led regulations.

Question 28

What is integrity?

Answer 28

The ability to carry out the ethical principles in our daily lives and activities.

Question 29

What is honesty?

Answer 29

Showing respect towards others, having integrity and self-awareness.

Question 30

What is humility?

Answer 30

Having an awareness of moral fallibility.