Gmc

Question 1

What does GMC do?

Answer 1

Regulators set the professional standards expected of a profession. They can also take action when individuals seriously depart from the standards, to minimise the risk to the public.

Question 2

How we make sure concerns raised with us are appropriate and fair - Referrals from employers:

Answer 2

We’ve developed guidance to support employers and responsible officers (ROs) when they’re considering raising a concern with us. It explains that they must tell us:

about all the steps they’ve taken to make sure referrals are fair and inclusive
what impartial checks have been carried out and how they’ve considered systemic issues
what support they’ve provided locally to the doctor in question

Question 3

How we make sure concerns raised with us are appropriate and fair - Concerns from patients and the public

Answer 3

We support patients and the public by signposting to organisations that might be better placed to deal with their concerns. We aim to help them raise their concern in the right place, so it’s addressed appropriately, and they get the answers they’re looking for.

Question 4

We have a range of support that we offer to all doctors who are in the fitness to practise processes, including:

Answer 4

asking doctors at the start of an investigation if we can call them rather than just writing them a letter. We let them know we are investigating a concern that has been raised and outline what will happen next

giving every doctor a single point of contact so they can speak to the same person about their case

making sure specially trained colleagues are available to talk to any doctor we know to be vulnerable

funding an independent confidential support service run by the British Medical Association (BMA). This includes out of hours access to a 24 hour helpline. The service is for all doctors in our fitness to practise processes.

Question 5

Medical Act 1983 and raising concerns

Answer 5

We have a legal duty under the Medical Act 1983 to protect the public. The Act splits public protection into three distinct parts. It says that we must act in a way that:

protects, promotes and maintains the health, safety and wellbeing of the public
promotes and maintains public confidence in the profession
promotes and maintains proper professional standards and conduct for members of the profession.

Question 6

What do the GMC consider hen receiving a concern?

Answer 6

When we receive a concern, we’re legally required to assess if the doctor may pose any current and ongoing risk to one or more of the three parts of public protection. We do this by considering the following,:

a doctor’s overall ability to perform their individual role

their professional and personal behaviour

the impact of any health condition on their ability to provide safe care.

Question 7

When is there a concern about a doctors fit to practice?

Answer 7

This includes looking at how far a doctor has departed from the professional standards set out in Good medical practice. Or if relevant, it includes considering if a health condition is having an impact on their ability to practise safely.

Question 8

How the doctor has responded to the concern

Answer 8

insight into their own practice and behaviour

taken steps to remediate any issues, such as participating in training, supervision, coaching or mentoring relevant to the concern raised

kept their knowledge and skills up to date

been working within their area of competence.

Question 9

What is fitness to prctice?

Answer 9

doctor’s ability to practise safely and effectively.
It includes considering a doctor’s overall ability to perform their individual role, their
professional and personal behaviour, and the impact of any health condition on their
ability to provide safe care.

Question 10

This assessment of risk includes considering

Answer 10

 the seriousness of the concern - extent of the doctor’s departure from the professional standards

 any relevant context, and

 how the doctor has responded to the concern

Question 11

Good Medical Practice‡ sets out:

Answer 11

the principles, values, and standards of care and
professional behaviour expected of all doctors registered with the GMC. It is an ethical
framework, which supports doctors to deliver safe care to a good standard, in the interests of patients.

Question 12

The seriousness of the concern- Impact of a health condition

Answer 12

• Having a health condition does not mean that a doctor
  will present any risk to public protection.
• The impact of a doctor’s health condition will only be serious where the health condition
  is not managed and poses a risk to patients because the doctor is working or likely to
  work. This also applies where there are also concerns about the doctor’s performance or
  behaviour and their health condition may be a contributory factor

Question 13

important ways of making sure doctors can deliver safe and effective care to patients.

Answer 13

Effective cultures, team working, communication and
referral channels, good quality inductions, mentoring schemes and access to other
support mechanisms

Question 14

barriers to making sure doctors can deliver safe and effective care to patients.

Answer 14

this can be toxic cultures, breakdowns in
team working, ineffective communication and referral channels and lack of support.

Question 15

interpersonal factors affecting fitness to practice

Answer 15

the culture of the organisation
-how engaged, positive and accessible the leadership team is
-how they respond when things go wrong (blame versus learning culture)
-how they encourage an inclusive and fair working environment,

the support, supervision and learning experiences provided, or made available

the approach to giving and receiving effective, honest and timely feedback to help
the doctor address any concerns early

Question 16

Systems factors to fitness of practice

Answer 16

physical working environment where the doctor is
practising
their immediate workplace
- the quality of induction
- workload issues, such as unmitigated gaps in resources, a crisis or unexpected surge in demand

Question 17

How the doctor has responded to the concern - fitness to practice

Answer 17

-first recognise there is a concern and try to understand
-then take steps to address the concern and learn from it with the aim of mitigating against the likelihood of repetition.
- Evidence a doctor has insight, has taken steps to
remediate, has been keeping their knowledge and skills up to date and has been working
within their area of competence

Question 18

How the doctor has responded to the concern steps

Answer 18

insight - recognising there is a concern,
understanding how it arose, e impact their condition could have on patient safety

Apologies- A doctor must be open and honest if things go wrong. In cases where a patient has
suffered harm or distress a doctor should offer an apology*. The apology should
demonstrate sincere regret that something has gone wrong

Remediation-doctor actively addresses concerns about their behaviour, performance, or the impact of a health condition.

Question 19

four domains of GMC-good medical practice

Answer 19

Knowledge, skills and performance
Safety and quality
Communication, partnership and teamwork
Maintaining trust

Question 20

Domain 1: Knowledge, skills and
performance

Answer 20

-Apply knowledge and experience to practice
-Record your work clearly, accurately and legibly
-Contribute to and comply with systems to protect patients

Question 21

Domain 2: Safety and quality

Answer 21

Respond to risks to safety
Protect patients and colleagues from any risk posed by your health
Communicate effectively

Question 22

Domain 3: Communication, partnership and teamwork

Answer 22

-Work collaboratively with colleagues to maintain
or improve patient care
-Teaching, training, supporting and assessing
-Continuity and coordination of care
-Establish and maintain partnerships with patients

Question 23

Domain 4: Maintaining trust

Answer 23

-Treat patients and colleagues fairly and without
discrimination
-Act with honesty and integrity

Question 24

Good doctors do what

Answer 24

make the care of their patients their first concern:
competent,
keep their knowledge and skills up to date,
establish and maintain good relationships with patients and colleagues,
are honest and trustworthy
act with integrity and within the law.
in partnership with patients
respect their rights to privacy and dignity
They treat each patient as an individual.
do their best to make sure all patients receive good care and treatment
support them to live as well as possible, whatever their illness or disability

Question 25

Domain 1: Knowledge, skills and performance
Develop and maintain your professional performance

Answer 25

• competent in all aspects of your work
• keep your professional knowledge and skills up to date
• take part in activities that maintain and develop your
  competence and performance
• willing to find and take part in structured support
  opportunities
  -keep up to date with, and follow, the law, our guidance and other regulations relevant to your work.
• steps to monitor and improve the quality of your work

Question 26

Domain 1: Knowledge, skills and performance
Apply knowledge and experience to practice

Answer 26

• recognise and work within the limits of your competence
• provide a good standard of practice and care
• satisfied that you have consent or other valid authority
  before you carry out anything

Question 27

Apply knowledge and experience to practice:
In providing clinical care you must

Answer 27

• prescribe treatment, only when you have adequate knowledge of the patient’s health and are satisfied that it serve the patient’s needs
  -provide effective treatments based on the best available evidence
• all possible steps to alleviate pain and distress
  -consult colleagues where appropriate
  -respect the patient’s right to seek a second opinion

Question 28

Apply knowledge and experience to practice:
You must provide a good standard of practice and care. If you assess, diagnose or treat patients, you must

Answer 28

-adequately assess the patient’s conditions, taking account of their history (including the symptoms and psychological, spiritual, social and cultural factors), their views and values; where necessary, examine the patient
-y provide or arrange suitable advice, investigations or
treatment where necessary
refer a patient to another practitioner when this serves the
patient’s needs.

Question 29

Domain 1: Knowledge, skills and performance
Record your work clearly, accurately and legibly

Answer 29

• your work must be clear, accurate and legible
• keep records that contain personal information about
  patients, colleagues or others securely, and in line with any data protection law requirements.

Question 30

Domain 2: Safety and quality
Contribute to and comply with systems to protect patients

Answer 30

• You must take part in systems of quality assurance and quality improvement to promote patient safety (reviews and audits, responding constructively. regularly reflecting on your standards of practice)
• help keep patients safe

Question 31

D2-Contribute to and comply with systems to protect patients
To help keep patients safe you must

Answer 31

-contribute to confidential inquiries
-contribute to adverse event recognition
-report adverse incidents involving medical devices that put or have the potential to put the safety at risk
-report suspected adverse drug reactions
-respond to requests from organisations monitoring public health.

Question 32

Domain 2: Safety and quality
Respond to risks to safety

Answer 32

• promote and encourage a culture that allows all staff to raise concerns openly and safely
• prompt action if you think that patient safety, dignity or
  comfort is or may be seriously compromised.
• t offer help if emergencies arise in clinical settings or in the community,

Question 33

Domain 2: Safety and quality
Risks posed by your health

Answer 33

• you have a serious condition that you could
  pass on to patients, or if your judgement or performance could be affected by a condition or its treatment, you must consult a suitably qualified colleague. You must follow their advice about any changes to your practice they consider necessary. You must not rely on your own
  assessment of the risk to patients
• mmunised against common serious communicable
  diseases

Question 34

Domain 3: Communication, partnership and teamwork
Communicate effectively

Answer 34

• listen to patients, take account of their views, and respond honestly to their questions
• must give patients the information they want or need to know in a way they can understand. make sure that arrangements are made, to meet patients’ language and communication needs
  -considerate to those close to the patient and be sensitive
  and responsive in giving them information and support
• be readily accessible to patients and
  colleagues seeking information, advice or support

Question 35

Domain 3: Communication, partnership and teamwork
Working collaboratively with colleagues

Answer 35

-You must work collaboratively with colleagues, respecting their skills
-treat colleagues fairly and with respect.
-must be aware of how your behaviour may influence others within and outside the team.

Question 36

Domain 3: Communication, partnership and teamwork
Teaching, training, supporting and assessing

Answer 36

• to contribute to teaching and training doctors
  and students.
• make sure that all staff you manage have appropriate
  supervision
• You must be honest and objective when writing references
• to take on a mentoring role for more junior
  doctors and other healthcare professionals.
  -support colleagues who have problems with their
  performance or health

Question 37

Domain 3: Communication, partnership and teamwork
Continuity and coordination of care

Answer 37

• contribute to the safe transfer of patients between
  healthcare providers and between health and social care providers.
• when delegate the care of a patient to a colleague,
  you must be satisfied that the person providing care has the appropriate
  qualifications, skills and experience to provide safe care

Question 38

Domain 3: Communication, partnership and teamwork
Establish and maintain partnerships with patients

Answer 38

• be polite and considerate
• treat patients as individuals and respect their dignity and privacy
• treat patients fairly and with respect whatever their life
  choices and beliefs
• work in partnership with patients, sharing with them the
  information they will need to make decisions about their care
• treat information about patients as confidential
• support patients in caring for themselves to empower them to
  improve and maintain their health

Question 39

D3- Establish and maintain partnerships with patients

You must work in partnership with patients, sharing with them the information they will need to make decisions about their care, including

Answer 39

• their condition, its likely progression and the options for treatment, including associated risks and uncertainties

-the progress of their care, and your role and responsibilities in the team

• who is responsible for each aspect of patient care, and how information is shared within teams and among those who will be providing their care
• any other information patients need if they are asked to agree to be involved in teaching or research

Question 40

D3- Establish and maintain partnerships with patients
What do you do if you object to a patients procedure?

Answer 40

You must explain to patients if you have a conscientious objection to a particular procedure.

You must tell them about their right to see another doctor and make sure they have enough information to
exercise that right.

In providing this information you must not imply or express disapproval of the patient’s lifestyle, choices or beliefs.

If it is not practical for a patient to arrange to see another doctor, you must make sure that arrangements are made for another suitably qualified colleague to take over your role

Question 41

Domain 4: Maintaining trust
Show respect for patients

Answer 41

• must not use your professional position to pursue a sexual or improper emotional relationship with a patient or someone close to them
• You must not express your personal beliefs to patients in ways that exploit their vulnerability or are likely to cause them distress
• be open and honest with patients if things go wrong

Question 42

D4- Show respect for patients
You must be open and honest with patients if things go wrong. If a patient under your care has suffered harm or distress, you should:

Answer 42

-put matters right (if that is possible)
-offer an apology
-explain fully and promptly what has happened and the likely short-term and long-term effects.

Question 43

Domain 4: Maintaining trust
Treat patients and colleagues fairly and without
discrimination

Answer 43

-give priority to patients on the basis of their clinical need if these decisions are within your power
-The investigations or treatment you provide must be based on the assessment you and your patient make of their needs and priorities, and on your clinical judgement about the likely effectiveness .
-You must not refuse or delay treatment if you believe that a patient’s actions or lifestyle have contributed to the condition
- consider and respond to the needs of disabled patients and make reasonable adjustments
-respond promptly, fully and honestly to complaints and
apologise

Question 44

D4 - Treat patients and colleagues fairly and without
discrimination

When can you end a professional relationship with a patient

Answer 44

only when the breakdown of trust between you and the patient means you cannot provide good clinical care to the patient

Question 45

Domain 4: Maintaining trust
Act with honesty and integrity

Answer 45

• You must make sure that your conduct justifies your patients’ trust in you and the public’s trust in the profession.
• always be honest about your experience, qualifications and current role
• act with honesty and integrity when designing, organising or carrying out research

Question 46

Domain 4: Maintaining trust
Act with honesty and integrity
Communicating information

Answer 46

• honest and trustworthy in all your communication with
  patients and colleagues. you must make clear the limits of your knowledge and make reasonable checks to make sure information is accurate.
• when communicating publicly you must maintain patient confidentiality.
• be honest and trustworthy when writing reports

Question 47

Domain 4: Maintaining trust
Act with honesty and integrity
Openness and legal or disciplinary proceedings

Answer 47

-honest and trustworthy when giving evidence to courts
or tribunals
- cooperate with formal inquiries and complaints procedures and must offer all relevant information
- make clear the limits of your competence and knowledge when giving evidence

Question 48

Domain 4: Maintaining trust
Act with honesty and integrity
Honesty in financial dealings

Answer 48

• must be honest in financial and commercial dealings with patients, employers, insurers and other organisations or individuals.
• must not allow any interests you have to affect the way you prescribe for, treat, refer or commission services for patients.
• conflict of interest, you must be open about the conflict, declaring your interest formally
• You must not ask for or accept – from patients, colleagues or others – any gift that may affect or be seen to affect the way you prescribe or treat patients.

Question 49

True professionalism is about striving for excellence – to achieve this you’ll need to learn to:
med student

Answer 49

• develop healthy ways to cope with stress and challenges (resilience)
• deal with doubt and uncertainty
• apply ethical and moral reasoning to your work
• work effectively in a team, including being able to give constructive and honest feedback
• manage your own learning and development
• be responsive to feedback
• prioritise your time well and ensure a good work-life balance
• promote patient safety and be able to raise concerns
• work collaboratively with patients and other professionals
• deal with and mitigate against personal bias.

Question 50

a medical student: Develop and maintain your professional performance - D1

Answer 50

you’ll learn the basic skills and knowledge you
need to treat patients, but you are also developing your ability to learn and acquire future skills. As you move through medical school and into postgraduate education and training, you’ll continue to build on what
you have learnt. For you, this aspect of good medical practice is about participating fully in this learning process.

Question 51

Domain 1: Knowledge, skills and performance
Develop and maintain your professional performance
You must:
med student

Answer 51

• engage with your medical course by attending educational activities, including lectures, seminars and placements, and by completing coursework
• listen to the advice of your lecturers and trainers
• comply with the regulations and other systems or structures provided by your medical school or university in relation to your studies
• respond constructively to feedback from patients, lecturers, clinicians and members of the MDT by critically reflecting on the feedback and making an action plan to improve where necessary
• reflect on what you have learnt and look at ways to improve your own performance

Question 52

What is reflection? GMC: achieving good medical practice
med student

Answer 52

refection is thinking about what you’ve done, what you did well and what you could do better next time. To do this, you need to think about what effect your actions have on yourself and on others, including patients and colleagues, across all aspects of your education and training.

also means responding constructively to feedback from your teachers, trainers and colleagues. Think about what you have been told you can improve and aim to put those improvements into action

Question 53

Domain 1: Knowledge, skills and performance
Apply knowledge and experience to practice (med student)
med student

Answer 53

• doctors must recognise and work within the limits of their competence.

It also means you should only treat patients or give medical advice when you are under the supervision of a registered healthcare practitioner. You must not carry out procedures on friends or your family

-If you are not sure you are able to carry out a procedure competently, you should ask for help from a more experienced colleague. only attempt practical procedures
if you have been trained to do so, and only under supervision

• consent

Question 54

D1-Apply knowledge and experience to practice
To work within the limits of their competence.
You must:
med student

Answer 54

-recognise the limits of your competence and ask for help when necessary

-make sure you clearly explain your level of competence to anyone who supervises you on a placement, so you are not asked to do anything you are not trained to do

-make sure patients, carers and colleagues are aware that you are a medical student and not a registered doctor

-take action if you think you’re not being effectively supervised on a clinical placement

• engage in a timely fashion with routine evaluation systems provided by your medical school or university (for example, end of placement questionnaires or staff-student liaison committees)

Question 55

Domain 1: Knowledge, skills and performance
Being professional on placements – practical steps
med student

Answer 55

• introduce yourself to patients, letting them know your name and you are medical student.
• When you meet a patient, check if they have any objections to having a student present.
• If you have been given an ID badge or similar, make sure it is visible at all times.

-Dress smartly and in line with dress codes

-Arrive on time for your placement and do not leave your placement early unless agreed .

-Attend induction sessions if they’re offered.

-Attend all mandatory training arranged for you while on a placement.

• Make sure you know about and follow the rules and guidance specific to your placement, If in doubt, make sure you ask

-Be honest with patients if you don’t know the answer to their questions

• u know who is responsible for directly supervising
  you on your placement and who has the overall responsibility for med students.

Question 56

Apply knowledge and experience to practice - D1
Consent - things to remember
med student

Answer 56

Patients need to know that you are a student so they can make an informed decision. Once they know you are a student, you can ask if they’re happy for you to talk to them about their health or carry out a procedure.

• if you have any concerns about whether a patient has given consent to you being involved talk to your supervisor
• sometimes patients might not have the capacity to give consent.
• you should not carry out any procedure on a patient without their consent for that specific procedure.

-you must respect the decision of patients who do not want you to be involved in their care.

Question 57

Domain 1: Knowledge, skills and performance
Record your work clearly, accurately and legibly
student

Answer 57

• As a medical student, you must make sure that the notes you write are clear, accurate and legible

Question 58

D1:Record your work clearly, accurately and legibly
Recording your work – dos and don’ts

Answer 58

Do:
-make it clear that you’re a medical student when you add anything to a patient’s notes
- make sure the notes you take are dated, clear, accurate and legible
- make sure your notes are recorded as soon as possible after your interaction with a patient
- get rid of your notes carefully

Don’t:
- write anything you would not want to be made public in notes
- submit work that is diffcult to read or poorly presented
- store confdential material in places that aren’t secure

Question 59

Domain 2: Safety and quality
Contribute to and comply with systems to protect patients
med student

Answer 59

• you learn about quality improvement and
  quality assurance, and have the opportunity to take part in audits and reviews. You’ll also be in clinical settings and must tell your supervisor when things go wrong and when these affect patient care.

-you may be involved in something going wrong with a patient’s care, and you may be asked to contribute to an internal inquiry. you should contact senior staff (for example, your year director or personal tutor) at an early
stage, so they can arrange support for you.
- You must contribute honestly and openly to the proces- duty of candour

Question 60

Domain 2: Safety and quality
Respond to risks to safety
You must:
MS

Answer 60

-raise any concerns you have about patient safety, dignity or comfort promptly

-follow your medical school’s policy on raising concerns,
wherever possible.

But as a student choosing to join a regulated profession, it is your duty to put patients frst and this includes patients you see on placements and those treated by your fellow students in the future.

Question 61

Domain 2: Safety and quality
How to raise a patient safety concern
MS

Answer 61

As a medical student, you may not feel comfortable raising issues with supervisors who may be responsible for making assessments of your performance on the placement. You may also feel uncomfortable raising
concerns with senior clinicians. This is why you should, wherever possible, follow your medical school’s formal policy on raising concerns, which will help you understand how to deal with diffcult issues like these.

Question 62

Domain 2: Safety and quality
Protect patients and colleagues from any risk posed
by your health
ms

Answer 62

• Registered doctors must protect patients from any risk posed by their health.they must ask for help and follow their advice about any changes to their practice
  -If you have a condition that could be passed on to others, you must follow your medical school’s guidance
• if you are concerned about your levels of anxiety, you should seek help from your GP and other appropriate sources to address any issues at an early stage. This may include making adjustments to your training
  -be aware that some conditions that are usually minor may have a disproportionate impact on some patients
• must comply with the occupational health policies and procedures
  -engage with the occupational health referral process if yourhealth has deteriorated

Question 63

Domain 2: Safety and quality
Protect patients and colleagues from any risk posed
by your health
Getting independent medical advice
med student

Answer 63

As a medical student, you also need to seek independent and objective advice from a GP and not rely on what you have learnt as a medical student or the views of other students, medically qualifed family members or
friends.

It is important that you have access to independent advice and you should register with a GP who is local to your medical school

Question 64

Domain 2: Safety and quality
Your health – dos and don’ts

Answer 64

Do:
- tell your medical school if you have a health condition or you experience significant changes
- get appropriate support
- register with a GP local
- make sure you follow any treatment plan you are given, and don’t
make changes to your treatment without consulting
Don’t
-hide it
-diagnose or treat yourself

Question 65

Domain 2: Safety and quality
Protect patients and colleagues from any risk posed
by your health
Informing your medical school
MS

Answer 65

-must tell your medical school about any aspect of your health or personal circumstances that could affect your training (especially your placements) or your relationship with colleagues.

This is so that your medical school can support you, and it can only do this if it knows that you have a health condition.

Telling your medical school shows you
have insight into the impact your condition may have on patients, your fellow students and yourself

Question 66

Domain 3: Communication, partnership and teamwork
Communicate effectively
When communicating with patients you must:
MS

Answer 66

• be honest when you don’t know something. You
  should do your best to find out the answers to the patient’s questions yourself
• take into account the patient’s language and communication needs and other potential barriers to effective communication

-be polite and considerate to anyone close to the patient

Question 67

Domain 3: Communication, partnership and teamwork
Work collaboratively with colleagues to maintain or improve patient care
MS

Answer 67

• When on clinical placements, you must be aware of and contribute and collaborate fully to the work of the healthcare team.
• You must treat your colleagues with respect.

Question 68

D3- Work collaboratively with colleagues to maintain or improve patient care
You must:

Answer 68

• work collaboratively with your teachers, trainers, administrative or support staff and fellow students, including those from other healthcare professions
• treat all peers and colleagues fairly and with respect
  -understand that your own behaviour can influence how well a team works

Question 69

Domain 3: Communication, partnership and teamwork
Teaching, training, supporting and assessing
MS

Answer 69

• As a medical student, you may be expected to mentor other students or be asked to give feedback, you must do so in an honest, constructive, open and fair way.
• you’ll be asked to give feedback on the quality of
  your placements and teaching. You must give this feedback when asked, as it will help your medical school to improve the overall quality of the education it provides

Question 70

Domain 3: Communication, partnership and teamwork
Continuity and coordination of care MS

Answer 70

• They must be satisfed that when they hand over or delegate care, it is to someone with the appropriate qualifcations, skills and experience to provide safe care for the patient.
• When you are transferring the care of a patient, you must make sure you transfer care to an appropriate person and that you share relevant information with them.

Question 71

Domain 3: Communication, partnership and teamwork
Establish and maintain partnerships with patients

Answer 71

being polite and considerate and treating patients
as individuals. It also means respecting their dignity and privacy and treating patients fairly and with respect

Question 72

D3-Establish and maintain partnerships with patients
As a medical student, you’ll learn how to develop a partnership with patients. Therefore you must:

Answer 72

-be polite and considerate at all times

-listen and respond to patients’ views and concerns

-respect patients’ dignity, confdentiality and privacy

• treat patients fairly and with respect, no matter what your own thoughts are about their life choices or beliefs
• be clear with patients about the role you’ll take in their care

Question 73

Domain 3: Communication, partnership and teamwork
Maintaining patient confdentiality
MS

Answer 73

-you must never share confdential information about a patient with anyone who is not directly involved in their care without the patient’s permission.
- You must not share identifable information about a patient where you can be overheard
- You must be clear about what confdential
information a patient has agreed can be shared with friends and family before you discuss their care.

Question 74

Domain 3: Communication, partnership and teamwork
Making a conscientious objection

Answer 74

you also have the right to hold a conscientious
objection to some types of treatment and you should discuss this with your medical school.

Question 75

Domain 4: Maintaining trust
Show respect for patients
MS

Answer 75

-contact with patients who can be physically and emotionally vulnerable. Because of this, and the fact that you’ll be joining a trusted profession, you must not use your position to pursue a sexual or improper emotional relationship with them

-Treating patients with respect includes not expressing your personal beliefs to patients in ways that exploit their vulnerability or would cause them distress.

Question 76

Domain 4: Maintaining trust
Treat patients and colleagues fairly and without
discrimination
MS

Answer 76

• Doctors must not refuse or delay treatment because they believe a patient’s actions or lifestyle have contributed to their condition
• you mustn’t let your own opinions or views
  affect the way you treat patients and others or the information you give them
• Medical students must treat their colleagues with respect

-You must not unfairly discriminate against patients or colleagues on the basis of their lifestyle, culture, or social or economic status.

Question 77

Domain 4: Maintaining trust
Act with honesty and integrity

Answer 77

• Doctors hold a trusted position in society and must make sure their conduct – both professionally and personally – justifes their patients’ trust in them and the public’s confdence in the profession.

Question 78

Domain 4: Maintaining trust
Act with honesty and integrity
How can I demonstrate honesty?
MS

Answer 78

Don’t pass off the work of others as your own.

Don’t self-plagiarise by submitting your own previously assessed work.

Be honest about your experience and qualifcations. This means you must not give your supervisors or teachers any misleading or false information about your qualifcations

When you carry out research, make sure you report fndings accurately

Be honest and trustworthy in all your communications with patients and colleagues. This means you must make clear the extent of your knowledge and check that the information you provide is correct.

Be open and truthful about your health

Don’t say you have attended teaching sessions if you haven’t. And don’t ask another student to sign in for you.

Be honest and open in any fnancial and commercial dealings

Question 79

Domain 4: Maintaining trust
Openness and legal or disciplinary proceedings

Answer 79

• cooperate with medical school ftness to practise
  procedures that involve you or your colleagues.

Question 80

Domain 4: Maintaining trust
Openness and legal or disciplinary proceedings
tell your medical school immediately, and the GMC
when you apply for provisional registration, if you:

Answer 80

• accept a caution† for a criminal offence while you are at medical school
• have been charged with or found guilty of a criminal offence while at medical school
• have any serious concerns about the impact your health condition might have on your ability to practice.

Question 81

Behaviour outside of medical school

Answer 81

Medical students need to behave professionally outside of work and medical school.

you should avoid doing things that will undermine the confidence patients have in doctors and the public has in the medical profession.

A medical student’s behaviour must justify the confdence that patients and the public have in them