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PELD > ADA Principles > Flashcards

ADA Principles Flashcards

1
Q

Second Opinions

A

Nonmaleficence (adv)

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2
Q

Emergency Service

A

Justice

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3
Q

Competence:

A

Acquiring and maintaining the high level of special knowledge, technical ability, and professional behavior necessary for the practice of dentistry and for effective functioning in the dental education environment

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4
Q

Profession

A

Occupation involving relatively long and specialized preparation on the level of higher education

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5
Q

Qualities of a professional

A
  • Respect for human beings
  • Competent
  • Integrity
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6
Q

Professionalism extends to include: (3)

A

conduct
aims
qualities

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7
Q

Community Service

A

Beneficence

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8
Q

Ethics:

A

: The moral principles or virtue that govern the character and conduct of an individual or grou

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9
Q

Top 10 ethical Issues in Dentistry

A
  1. Unethical or illegal use of auxiliaries
  2. Patients making bad choices for care
  3. Students “practicing” on patient
  4. Failing to refer
  5. Academic integrity
  6. Dealing with “bad” dentists
  7. Pressures in “corporate” dentistry
  8. Misleading advertising
  9. Letting insurance dominate
  10. Over treatment
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10
Q

Pt Autonomy

A

self-governance

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11
Q

Confidentiality of Patient Records within which Principle?

A

Autonomy

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12
Q

Patient Records

A

Autonomy

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13
Q
  • Don’t recognize the ethical issue
  • Defective reasoning
  • Lack of clarity about professional obligations
A

why professionals sometimes fail

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15
Q

You cannot do any treatment without talking to your patient about it.

A

Autonomy

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16
Q

Don’t just give one option. No treatment is also an option.

A

Autonomy

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17
Q

Education- Keeping knowledge and skills current (competence)

A

Nonmaleficence

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18
Q

You cannot hold records as hostage for failure to pay. If the patient requests them, you must give it to him no matter what unless you want to get sued

A

Autonomy

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19
Q

Autonomy

A

Duty to respect the patient’s right to self-determination and confidentiality

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19
Q

Do NO harm

A

Nonmaleficence

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20
Q

Duty to protect the patient from harm

A

Nonmaleficence

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21
Q

Dental Amalgam and Other Restorative Materials

A

Veracity (adv)

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22
Q

Consultation and Referral

A

Nonmaleficence

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24
Q

dentistry is self-regulating falls under the category of ..?

A

Beneficence

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25
Q

Personal Impairment

A

Nonmaleficence

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26
Q

Ability to Practice–> Contracts disease/becomes impaired…limit activities to those areas that do not endanger

A

Nonmaleficence (adv)

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27
Q

May provide expert testimony when is essential to just and fair disposition of a judicial or administrative action

A

Justice

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29
Q

Do not tell a patient that you need to remove an amalgam restoration for the purpose of removing a toxic substance from the body

A

Veracity

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30
Q

Postexposure, Bloodborne Pathogens

A

Nonmaleficence

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30
Q

Primary obligation is service to the patient and public at large

A

Beneficence

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31
Q

i. Inform patient
ii. Refer
iii. Provide information
iv. Submit to testing

A

Nonmaleficence

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33
Q

Personal Relationships with Patients

A

Nonmaleficence

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34
Q

Use of Auxiliary Personnel

A

Nonmaleficence

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35
Q

Your obligation to inform a patient if you have some sort of bloodborne pathogen IF that patient was exposed to it.

A

Nonmaleficence

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36
Q

Duty to promote the patient’s welfare

A

Beneficence

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38
Q

Government of a Profession

A

Beneficence

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38
Q

Research and Development

A

Beneficence

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39
Q

Abuse and Neglect ; and reporting abuse and neglect

A

Beneficence (adv)

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40
Q

Representation of Care

A

Veracity

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41
Q

duty to treat people fairly

A

Justice

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42
Q

Furnishing copies or records within which Principle?

A

Autonomy

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42
Q

Professional Demeanor in the Workplace

A

Beneficence

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43
Q

Dental Procedures- Do not claim you did an MOD composite to an insurance company when you just did an Occlusal composite

A

Veracity (adv)

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44
Q

COMPETENT and TIMELY delivery of dental care within the bounds of clinical circumstances, consideration needs, desires, values of patient

A

Beneficence

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46
Q

The prohibition against a dentist’s accepting or tendering rebates or split fees applies to business dealings between dentists and any third party, not just other dentists. Thus, a dentist who pays for advertising or marketing services by sharing a specified portion of the professional fees collected from prospective or actual patients with the vendor providing the advertising or marketing services is engaged in fee splitting.

47
Q

will influenced by desire and emotions of others, allow others to be the source of our actions

A

Heteronomous will

48
Q

Patients with Bloodborne Pathogens

A

Justice (adv)

49
Q

If you discover something that reduces caries risk you can’t just keep it to yourself.

A

Beneficence

50
Q

Primary obligations include dealing with people justly and delivering dental care without prejudice

52
Q

4 responsible uses of professional social media

A
  1. Information dissemination,
  2. education
  3. advocacy
  4. Marketing
53
Q

Patient Involvement in which Principle?

53
Q

Patient Selection

54
Q

Obliged to return patient to regular dentists unless patient expressly reveals different preference

56
Q

Justifiable Criticism

57
Q

Know your limits and know when to refer

A

Nonmaleficence

57
Q

i. Obliged to report instances of gross or continual faulty treatment by other dentists

59
Q
  1. Excellence
  2. Humanism
  3. Accountability
  4. Altruism
A

Structure of Professionalism

60
Q

Rebates and Split Fees

62
Q

The prohibition against fee splitting is also applicable to the marketing of dental treatments or procedures via “social coupons” if the business arrangement between the dentist and the concern providing the marketing services for that treatment or those procedures allows the issuing company to collect the fee from the prospective patient, retain a defined percentage or portion of the revenue collected as payment for the coupon marketing service provided to the dentist and remit to the dentist the remainder of the amount collected

63
Q

f you are going to pay an ad agency, you need to pay them just for the add. You do not pay the ad agency a percentage for the type of procedures done or the number of patients they bring in. Placing an ad on Groupon in some instance would fall in this category

64
Q

cannot discriminate a patient based race, creed, color, sex, national origin, etc. If the patient is HIV positive

65
Q

contingent fees- Fees not contingent upon favorable outcome of litigation in exchange

A

Justice (adv)

66
Q

Patient Abandonment
i. Once a dentist has undertaken a course of treatment, the dentist should not discontinue that treatment without giving the patient adequate notice and the opportunity to obtain the services of another dentist. Care should be taken that the patient’s oral health is not jeopardized in the process

A

Nonmaleficence

66
Q

If a random guy calls you and says my tooth fell, can you I go to your office now to get it fixed, you can say NO, but you MUST tell the patient to either go to the ER or tell him where he can get treatment. If you do see such patient, you must again return him to his original provider.

67
Q

Duty to communicate truthfully

68
Q

difference between Rebates and Split Fees and Advertisting

A

SPLIT FEES:
If you are going to pay an ad agency, you need to pay them just for the add. You do not pay the ad agency a percentage for the type of procedures done or the number of patients they bring in. Placing an ad on Groupon in some instance would fall in this category

ADVERTISING::
Published Communications. Unearned, Nonhealth degrees incl. Honorary degrees

Referral Service
You can pay an agency to be listed in a directory to be referred. However, you can only pay that agency for their service and is not dependent on how many patients they bring you.

69
Q

c. Primary obligations:
i. Respecting the position of trust inherent in the dentist-patient relationship
ii. Communicating truthfully and without deception
iii. Maintaining intellectual integrity

70
Q

Overbilling

A

Veracity (adv)

71
Q

Treatment Dates—incorrect treatment dates for the purpose of assisting a patient in obtaining benefits under a dental plan, which benefits would otherwise be disallowed, is engaged in making an unethical, false or misleading representation to such third party.

A

Veracity (adv)

72
Q

represent the fees being charged for providing care in a false or misleading manner

73
Q

Patents and Copyrights

A

Beneficence

73
Q

Summary If your pt has insurance, then you must understand that there is an agreement between not just the patient but also the insurance company. You cannot waive a copayment and collect the full payment from the insurance company. You must treat both the patient and the insurance company equally.

74
Q

Unsubstantiated Representations - Don’t tell a patient that a certain treatment will fix something is there is no scientific evidence stating such a thing

76
Q

• Lack of courage or “know-how” to resolve a problem effectively or
failure to act
• Lack of commitment to professional ideals
• Deficiencies of character and competence

A

why professionals sometimes fail

77
Q

respond to your emails within

77
Q

4 characteristics of a life-long learner:

78
Q

Best time to send an email

A

Weekday morning

78
Q

4P’s of Neville’s situational judgement:

A

Pause
Privacy
Proactive
and Professional

78
Q

reflective cycle ?

A

Do → Review → Learn → Apply

79
Q

Fee differential –If you are going to charge a self-paying $130 for a cleaning, you must also cite that price to insurance companies

A

Veracity (adv)

82
Q

Self-assessment vs Reflection

A

Self-assessment vs Reflection

83
Q

How to Reflect?

A

Describe → Evaluate → Analysis → Alternative → Action Plan

84
Q

Priority of treatment* (Most urgent to Least):

A
  1. Pt’s life and ; general health
  2. Pt’s oral health
  3. Pt autonomy
  4. Dentist’s preferred pattern of practice
  5. Esthetic values
  6. Efficiency in use of resources (cost containment)
85
Q

White coat ceremony was started at

A

Columbia University

85
Q

4 Component Model of Morality by James Rest

A
  1. Moral Commitment
  2. Moral Judgement
  3. Moral motivation
  4. Moral sensitivity
85
Q

will that is free and independent, own logic and decision making

A

Autonomous will:

86
Q

Acting from a place of true intent
• Rely on reason to make a decision
• Be concerned with the intent of an action and not the outcome
• Be honest with yourself to recognize when your own interests begin to influence your decisions

A

Always act from Duty

87
Q
  1. Therefore, when informing a patient of the status of his or her oral health, the dentist should exercise care that the comments made are truthful, informed and justifiable. This should, if possible, involve consultation with the previous treating dentist(s), in accordance with applicable law, to determine under what circumstances and conditions the treatment was performed. A difference of opinion as to preferred treatment should not be communicated to the patient in a manner which would unjustly imply mistreatment.
88
Q

tooth worms”

A

5000 BC Text from Sumer

89
Q

500-300 BC Writings about teeth, extractions with forceps, wiring loose teeth and fractured jaws by

A

Hippocrates

and Aristotle

90
Q

1530 First book on dentistry

A

Little
Medicinal Book for All Kinds of Diseases
and Infirmities of the Teeth (Artzney
Buchlein)

91
Q

1723 Known as Father of Modern Dentistry, publishes
first book that describes comprehensive practice of dentistry: The SurgeonDentist, A Treatise on Teeth (Le
Chirurgien Dentiste)

A

Pierre Fauchard

92
Q

1790 First dental foot engine

A

John
Greenwood adapts mother’s foot treadle
spinning wheel to rotate drill. First chair
made for dental patients by dentist Josiah
Flagg

93
Q

1840 First dental school:

A

Baltimore College of Dental Surgery (DDS)

94
Q

ADA formed in?

95
Q

ADA Code of Ethics written in?

A

1866 ( also First woman earns dental degree
Lucy Beaman Hobbs at Ohio College of
Dental Surgery)

96
Q

1869

A

First African-American earns dental degree Robert Tanner Freeman at Harvard

97
Q

Forced to give up Christianity ; refused —> they pulled out all her teeth jumped into the falmes

A

Saint Apollonia

98
Q

Founded in 1882 at the University of

Michigan School of Dentistry in Ann Arbor

A

Delta Sigma Delta was the world’s

first dental fraternity

99
Q 
1917—Xi Xi Chapter 1944
• Honor Society
– Scholarship
– Professionalism
– Ethics
100
Q

1868 Boston Dental College later, TUSDM

A

Dr. Isaac J. Wetherbee served as the
president of the Boston Dental College
from its founding in 1868 until his
death in 1899

101
Q

copies of records

A

Autonomy ( adv)

102
Q

confidentiality of records

A

Autonomy ( adv)

103
Q

Disruptive behavior in the workplace

A

Beneficence (ADV)

104
Q

Unsubstantiated Representation

A

Veracity (adv)

105
Q

Wavier of copayment

A

veracity (adv)

106
Q

Published Communications. Unearned, Nonhealth degrees incl. Honorary degrees

A

Veracity ( adv of Adverstising)

107
Q

Name of practice–> dentist leaving

A

Veracity –> adve

108
Q

Specialist annoucement

PELD (4 decks)

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