10.1 The Medical Profession Flashcards

1
Q

What is meant by a profession?

A

An occupation which is able to make distinct claims about its work practices and status. Usually requires registration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What 3 things must be done to establish a profession?

A

Assert an exclusive claim over a body of knowledge
Establish control over market
Establish control over professional work practice.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happened in the 1858 Medical Act?

A

GMC established to take over registration of doctors and approve and inspect medical schools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is socialisation?

A

The process by which professionals learn the attitudes and behaviours necessary to assume the role of their profession eg. communication skills learnt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is medical education important professionally?

A

Turn lay person into professional
Need to be able to self-regulate knowledge
Need to be able to be trusted without supervision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Give 3 criticisms of professions

A

Protected monopolies
Can be self-limiting
Seek to optimise own interests
Self regulation is deceiving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give 3 reasons why it is systematically hard to self-regulate as a profession

A

Professional etiquette discourages complaint making
Patients may be discredited when complaining
Whistleblowers not believed
NHS disciplinary procedures costly and inhibiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How did the White Paper (2007) end self-regulation?

A

Proposed wide-ranging reforms
GMC now has lay members and professional members
All members are appointed independently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why may someone be called for a Fitness to Practice interview?

A

Misconduct
Poor performance
Criminal conviction
Physical or mental ill health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some of the actions after a FTP meeting?

A

Place conditions
Suspend registration
Remove from medical register

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is revalidation?

A

Previously a doctor would stay on the register unless actively removed. Now doctors are revalidated every 5 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What 3 things are required for revalidation?

A

Participate in annual appraisals based off Good Medical Practice
Maintain portfolio
Positive recommendation from a responsible officer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give examples of things which make up a doctor’s portfolio

A

Records of significant events
Patient/colleague feedback
Review of a complaint/compliment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why may clinical autonomy be at risk?

A
Too many guidelines
Inspection and monitoring
Pay for performance
Performance league tables
Reputational sanctions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe Freidson’s critiques of the medical profession

A

Doctors need independent moral voice and thus require independence of judgement and freedom of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly