GPT PPVE Flashcards
(36 cards)
What challenges arise when balancing medical education and patient safety?
Ensuring students learn in real settings without compromising patient care or consent.
What is the ‘hidden curriculum’ in medical training?
The implicit lessons and values learned through culture, hierarchy, and role modelling.
How has whistleblowing been viewed within medicine?
Often as criticism of colleagues, which may deter reporting despite ethical obligations.
What challenges do doctors face when acting on whistleblowing guidance?
Risk of professional conflict, retaliation, and emotional burden.
How is a whistleblower protected by law in the UK?
Under the Public Interest Disclosure Act (PIDA), which guards against dismissal and victimisation.
What is therapeutic privilege?
A doctor’s decision to withhold information if disclosing it may harm the patient.
Is it ever acceptable for doctors to lie to patients?
Generally no, but ethical debates exist around withholding truth in extreme cases.
How has the surgeon’s professional role evolved over time?
From craftsmen to highly regulated professionals with clear accountability.
What ethical concerns arise from surgical complications?
Issues of consent, transparency, responsibility, and patient safety.
Who might be classed as a ‘difficult’ patient?
Those who are anxious, non-compliant, or reject medical advice — often due to unmet needs or fears.
What are a surgeon’s obligations to ‘non-compliant’ patients?
To provide equitable care, build trust, and explore underlying reasons for resistance.
What is clinical governance?
A framework for maintaining and improving care quality and accountability.
How can healthcare systems detect substandard surgical practice?
Via audits, outcome tracking, peer review, and patient feedback.
What was the Bristol Heart surgery scandal?
A failure of care and oversight that led to patient deaths and the Kennedy Report reforms.
How has general practice developed as a profession?
GPs became gatekeepers and care coordinators with expanding roles and regulation.
What makes a ‘good’ GP different from a ‘popular’ GP?
A good GP prioritizes evidence-based, patient-centred care, not just friendliness or availability.
What are the key ethical principles for AI in healthcare?
Transparency, accountability, fairness, and patient safety.
What is evidence-based medicine (EBM)?
The integration of clinical expertise, patient values, and best research evidence.
How is EBM relevant to general practitioners?
It guides diagnosis, treatment, and resource allocation in primary care.
What does acting in a patient’s ‘best interests’ involve?
Considering medical benefits, quality of life, and patient values, especially when they lack capacity.
What challenges can arise when determining best interests?
Conflicting views, limited information, or balancing autonomy with care needs.
What decision-making approaches exist for patients lacking capacity?
Best interest standard, substituted judgment, and advance directives.
What ethical issues surround prescribing?
Overuse, conflicts of interest, environmental impact, and self-prescribing risks.
What is the guidance on prescribing for yourself or family?
GMC discourages it due to conflict of interest and lack of objectivity.
