deck_2326659 Flashcards
Define a profession
A type of occupation that is able to make distinctive claims about its work practices and status
What is professionalisation?
It describes the social and historical process that results in an occupation becoming a profession
What are the three elements of professionalisation?
- Asserting an executive claim over a body of knowledge or expertise2. Establishing control over the market and exclusion of competitors3. Establising control over professional work practice
How did the professionalisation of medicine occur?
- Doctors would only treat the wealthy- Apothecarys Act began a reform of the process- GMC formed in 1858 by the Medical Act- GMC had power of the registration of doctors- This formed the traditional mode of professional self-regulation
What is professional Socialisation?
The process through which new entrants acquire their professional identities
How is knowledge acquired by professional socialisation?
Formal curriculum – knowledge which is tested by examsInformal curriculum – attitudes and beliefs, where performance is noted but it is not formally examined– have to absorb the norms and the values that are a part of the profession
Define self-regulation
Believes that because there is a significant amount of knowledge and skill involved in professional work, that non-professional are unable to evaluate of regulate because they do not possess these skills or knowledge
Give some criticisms of self-regulation
- Favours the members of that profession rather than the things they work with (agent over principal)- Professional propriety means that doctors are encouraged not to report on one another- Control is mostly informal, such as a quiet chat or diverting patient flow - Bad Apple enquiries (people in authority fail to recognise unprofessional behaviour)
How has the GMC structure changed?
Used to “protect” doctors, now it is moving towards the role of protecting the patientsTomorrow’s Doctors has been published to set out standards for medical students and training doctors. Has both professional and lay-people as membersGMC is overseen by the Council of Healthcare Regulatory ExcellenceProactively set standards for doctors
What happens if there is a concern about a doctor’s conduct?
If their fitness to practice is under question, they are referred to the GMC. The GMC can be overruled by the Council for Healthcare Regulatory Excellence
Give some reasons as to why someones fitness to practice may be under question.
- misconduct- poor performance- criminal conviction or caution- physical or mental ill-health- ruling by a regulatory body (both UK and overseas)
What are some actions that can be taken by the GMC?
- agree plan with doctor to remedy cause- place conditions on registration- suspend registration- remove them from the medical register
How are doctors licenses controlled?
Previously, were kept on the register until removed. Now, you have to undergo revalidation every 5 years. This process is based on the values and principles of good medical practice
What are some main aims of revalidation?
- assures patients- maintains and improves practice- identifies concerns about a doctor in early stages- encourages patient feedback- helps doctors keep their practice up to date- helps to improve clinical governance and standards of patient care
What is the process of revalidation?
Local evaluation of a doctors practice though annual appraisals that consider the whole of their practice. Also have to maintain a portfolio of supporting information as evidence for the appraisals as well as bringing a recommendation from a responsible officer.
