Flashcards in Week 3 Deck (23):
An occupation whose core element of work is based on a mastery of complex knowledge and skills used in the service of others.
A member of a profession who professes a commitment to competence. integrity, morality, altruism and promotion of the public goof.
A set of values, behaviours, relationships that underpins the trust the public has in doctors
3 main features of professionalism
1. Placing the interests of the patient above the physician
2. Setting and maintaining standards of competence and integrity
3. Providing expert advice to society on matters of health
Being honest, moral, consistent and being iincorruptible
The profession provides specialised skills and guarantees commitment to professionalism in return for autonomy and self-regulation
The freedom to make independent decisions in the best interests of patients and for the good of society
Is when a profession is allowed to set itself rules and regulations to protect the public . Standards for entry, practice and exit of the profession
Do not divulge patient information without just cause
Four philosophical arguments for confidentiality
Principle based, virtue based, moral based, consequentialist-based
Conflict of interest
When a doctor has any other interest (financial, professional or personal) which may affect their care of the patient.
Promotion of the public good
Responding to and addressing the concerns of society.
Responsible use of resources
Maintenance of the health of the public
The firm belief in the reliability of someone. An outcome of professionalism . It is what binds the social contract
Why is self regulation desirable to the profession
Requirements cant be imposed on the profession
Prestige and trust
Practice without supervision
Good relationship with the government and minimal government role
Why is self regulation good for the public
More efficient and less costly
Specialised skills require specialised standards
Still mechanism for government to ensure public accountability
Self regulation is incomplete and some external regulation is imposed for some activity
Exemptions to confidentiality
Public interest/safety. Mandated by law.
A persons voluntary decision about medical care made with the understanding of the benefits and risks involved.
When is informed consent required
Examination, Investigation, Research, Teaching and providing treatment
Why is prescribing and dispensing a conflict of interest
- The commercial gain from dispensing may influence choice of medicine and the decision to prescribe.
- The patients interest may not be considered
- The is no independent review of the prescription before it is dispensed
When are there exceptions to the dispensing law
In areas where there is no pharmacist and the doctor cannot make a profit.
Why is pharmaceutical marketing a problem
Undermines trust. Gifts entice doctors to prescribe
Transparent public reporting
Pharmaceutical companies must report all benefits they pay to healthcare professionals.