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medical, ethics and law > PPD > Flashcards

PPD Flashcards

1
Q

What is medical professionalism?

A

signifies a set of values, behaviours and relationships that underpins the trust the public has in doctors

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2
Q

in their day to day practice, doctors are committed to what?

A
  • integrity
  • compassion
  • altruism
  • continuous improvement
  • excellence
  • working in partnership with members of the wider healthcare team
    these form the basis for a moral contract between profession and society
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3
Q

Who came up with the team roles?

A

Belbin works

  • Plant
  • Resource Investigator
  • Coordinator
  • Shaper
  • Monitor Evaluator
  • Team worker
  • Implementor
  • Completer Finisher
  • Specialist
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4
Q

what is resilience?

A
  • personal strength

- capacity to recover quickly from difficulties

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5
Q

what are the key factors that can describe resilience?

A
  • optimism
  • freedom from anxiety
  • openness
  • adaptability
  • takes personal responsibility
  • supported
  • positive and active approach to problem solving
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6
Q

what is the Johari Window model?

A

it helps us understand how we see ourselvs versus how others see us
has 4 areas

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7
Q

what are the areas?

A
  1. public area = known by both of us and others
  2. private area = known by us, not by others
  3. blindspot = not known by us, but known by others
  4. unknown = not known by both us and others
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8
Q

what are examples of each area of the Johari window?

A
  1. public area = what you study/job
  2. private area = guilty pleasure that no one knows of
  3. blind spot = an irritating phrase/habit that you are unaware of but others have noticed
  4. unknown area = undiscovered talent/interest you have
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9
Q

can each area of the Johari change in size? if so, how can this be achieved?

A
  1. can change in size
  2. ask for feedback to reduce blind spot area
  3. self discovery helps decrease the unknown area
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10
Q

how does the Johari model help doctors?

A

insight into who you are as a person will enhance your professional development and improve your ability to work as a reflective practioner

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11
Q

what are coping strategies for coping with a high workload in order to ensure pt safety?

A
  1. developing resilience
  2. compassion
  3. self compassion
  4. energy management
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12
Q

what is the resilience quotient inventory?

A
  • questionnaire that works out how resilient you are

- measures beliefs, behaviours and environmental factors that are proven to protect people against stress and burnout

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13
Q

how do you interpret the RQI score?

A

higher the score, more resilient you are

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14
Q

what are the different parts of the PPD ladder of success in medicine?

A
  1. safety: avoid pt harm, errors and complaints
  2. equality: prevent discrimination, promote unbiased care
  3. health: handling stress
  4. team work: working efficiently in a team
  5. your role: understanding your legal obligations
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15
Q

what is altruism?

A

selfless concern for wellbeing of others

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16
Q

what are the 2 mindsets to learning?

A
  1. fixed mindset = intelligence is static

2. growth mindset = intelligence can be developed

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17
Q

what is the result of these 2 mindsets

A
  1. fixed = plateau early and don’t acheive full potential

2. growth = reach higher levels of achievement

18
Q

what is the name of the framework used to assess risk and safety in clinical medicine?

A

The London Protocol

contributory factors underlying an adverse event caused by human error

19
Q

what are the different factors in the London Protocol framework?

A
  1. third party
  2. task related
  3. individual
  4. team work
  5. environment
  6. organisation
  7. institutional
20
Q

what are examples of third party factors?

A
  1. mood of pt
  2. communication problems
  3. illness (confusion, pain)
  4. personality
  5. disability
21
Q

what are examples of task related factors?

A
  1. new/untested/difficult
  2. inadequate instructions
  3. poor design
22
Q

what are examples of individual factors?

A
  1. stretching beyond knowledge
  2. tired/ under pressure
  3. motivation/ attitude
23
Q

what are examples of team work related factors?

A
  1. poor teamwork
  2. inadequate supervision
  3. poor communication
  4. poor team morale
24
Q

what are examples of environmental factors?

A
  1. defective equipment
  2. inadequate support services
  3. inadequate staffing
  4. out of usual environment
  5. distraction e.g. noise, relatives
25
Q

what are examples of organisational factors?

A
  1. inadequate leadership
  2. poor coordination of services
  3. poor management
26
Q

what are examples of institutional factors?

A
  1. financial constraints
  2. external regulatory body
  3. broader economic and political climate
27
Q

what are examples of institutional racism?

A
  • providing services in English only, not engaging local interpreters
  • applying equally to all rules and regulations that have effect of excluding black and ethnic minority
  • basing decisions on stereotypes or assumptions
28
Q

what is institutional racism?

A

collective failure of an organisation to provide an appropriate and professional service to people because of their colour, culture or ethnic origin

29
Q

what is personal racism?

A

when individual attitudes lead a person to treat others less favourably on the basis of their colour or ethnic group
can be: unconscious, conscious, overt, covert

30
Q

what is stress?

A

physical and mental response of the body to demands made on it
can be positive and motivate us
can be negative when have too much of it
constant stress = physical and mental health problems

31
Q

what are emotional signs of stress?

A
  • depression/ anxiety
  • anger/ irritability
  • unfocused
  • problems with memory
32
Q

what are physical signs of stress?

A
  • headaches
  • insomnia
  • chest pain/ rapid heartbeat
33
Q

what is moral distress?

A

when one knows the right thing to do but institutional constraints make it nearly impossible to pursue the right course of action

34
Q

what is moral residue?

A

leaving after a morally distressing incident has taken place

builds up over time = crescendo effect –> compassion fatugie and burnout

35
Q

what are the ways to manage moral distress?

A
  • speak up
  • build support networks to empower colleagues
  • actively participate in educational activities
  • use mentoring and institutional resources to address moral distress
36
Q

how does the royal college of physicians working party define medical professionalsim?

A

set of values, behaviours and relationships that underpin the public’s trust in doctors

37
Q

what can a lack of professionalism lead to?

A

lack of rapport between dr and pt
disregard for wellbeing of pt
may cause pt to make bad decisions about their health

38
Q

what are the duties of a med student?

A
  • work within limits of competence
  • raise any concerns about pt safety
  • be honest, decent
  • responsive to feedback
  • apply ethical and moral reasoning to your work
  • work collaboratively with pt and other professionals
39
Q

what are the 7 steps to pt safety?

A
  • build a safety culture
  • lead and support your staff
  • integrate your risk
  • promote reporting
  • involve and communicate with pt/ public
  • learn and share safety lessons
  • implement solutions to prevent harm
40
Q

what are the reasons for whistle blowing?

A
  • obligation to protect colleagues/ pts from unprofessionalism
  • truth is likely come out so protect reputation profession
  • GMC guidance says to
  • duty: report things that are morall wrong
  • utilitarian: prevent further negligence
41
Q

what are the reasons against whistle blowing?

A
  • fear of isolation from group
  • don’t want to cause unnecessary distress if unsure of details
  • consequentialism (previous pts may also worry about their care)
42
Q

what discourages medical students from whistleblowing?

A
  • hierarchy
  • workload/ resources involved with reporting
  • uncertainties on right or wrong
  • reporting has not brought about good change

medical, ethics and law (9 decks)

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