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First Quarter > Clinical Topics > Flashcards

Clinical Topics Flashcards

1
Q

Profession

A

a vocaiton requiring knowledge of some department of learning or science

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2
Q

Learned Profession

A

any of three vocations ot theology, law, and medicine commonly held to require highly advanced learning

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3
Q

Profession vs Trade

A 
Training
Intellectualism
Autonomy
Judgement
High Stakes Decision
Service over self interest
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4
Q

Training

Profession vs Trade

A 
extensive time
understanding
not obtainable unless by specialized school
skill set under scrutiny as training
complex work
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5
Q

Intellectualism

Profession vs Trade

A

integration of knowledge, skill and clinical thinking

use of rigorous self evaluation

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6
Q

Autonomy

Profession vs Trade

A

need to conduct work byself
members determine limits of rules
practice and compentency standards

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7
Q

Judgement

Profession vs Trade

A

extrapolated from education and training

deferals are expected by peers

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8
Q

High Stakes Decision

Profession vs Trade

A

decision cannot be received elsewhere as a result imoproving society

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9
Q

Service over Self Interest

Profession vs Trade

A

client/patient first
have a central mission
pro bono are a part of sevice

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10
Q

Training

Who is a Professional

A

undergrad is vetting process to see ability to withstand professional program through repetitive channels, internship and residency

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11
Q

Intellectualism

WHo is a Professional

A

practice and day to day tasks
manage people and problems that are complex and uncertain
amendable to evaluation
continuous learner, always learning and improving
aware of areas of controvesy in profession
demonstarte mature tolerance for difference of opinions

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12
Q

Autonomy

WHo is a Professional

A

function without guidance
abides by rules of conduct and compentancy
considers whats right over popular and profit

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13
Q

Judgement

Who is a Professional

A

demonstrate skills and effectiveness over time

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14
Q

High Stakes Decision

Who is a Professional

A

able to demonstrate correctness and objectivity in difficult circumstances

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15
Q

Service over self interest

Who is a Professional

A

client / patient first
advocate for what is best
pro bono serice

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16
Q

Patients - Baby Boomers

A

may not resonate with the traits and preferences you claim as your generational norms
your patients are impressed by smarts, but they want to connect
gain their trust

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17
Q

Professionals presenting themselves

A

with dignity integrity compassion and authority

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18
Q

Where to start professionalism

A

be comfortable in your own skin
practice on classmates
practice on campus community
see world outside thru lens of person who leads by example

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19
Q

Professionlism in student-student interaction

A

cavility duty to offer respect and dignity, be tolerant, disagreement can be dialogue or debate rather than conflict, harassment

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20
Q

Professionalisms in studnet campus interaction

A 
learn to be circumspect
view the issude as a series of perspectives
express yourself with authority
be kind and respectful
public expects you to be dignified
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21
Q

Confronting Unprofessionalism

A

be professional
privacy is essential part of respecting the person
inquiry to understand facts
clarity and circumspection in expression of your own facts
look for oppurtunity to resolve it

22
Q

Confronting Unprofessional Behavior

A

I AM NOT SURE I CAN HANDLE THIS
first be professional
objectively consider your state of agitation
inquire to understand facts,s perception and assumptions
look for opputunity to resolve the problem

23
Q

Professionlism in student outsider interaction

A

the state law and treating, diagnosing and other practice issues without supervision
practice without faculty supervision is illegal
recommendation of nutrictional supplements or other lifestyle changes is risky
providing diagnosis is illegal

24
Q

Communication by audience

A

non-directed communication

directed communication - Large group, small group, interpersonnal, intrapersonnal

25
Q

Communication by sender

A

verbal - monologue, dialogue, discussion, debate, arguement

non-verbal- body language and written

26
Q

Examples of non-verbal communication

A 
facial expressivity
figity or nervous twitch
eye contact
head nodding
hand gestures
postural position
paralinguitic speech characteristics
dialogue behaviors such as interuptions
27
Q

What Non-verbal communication is conveying

A 
empathy
caring
paying attention
agree or disagree
your judgement
boredom
28
Q

Verball vs non- verbal

A

75% of Dr/ Pt interactions
22% of human quality conveyed in tone
55% is conveyed by visual perception

29
Q

What is caring to patients

A

communicate effectivelty - active listening, give information in right doses, choose words carefully, direct and straightforeward, soft but confident
be empathetic - offer measured empathy, empathetic statements
arrange to meet health care needs - help move with next steps, preserve patients autonomy
respectful and non-judgmental - know patient but focus on problem, offer hope

30
Q

Empathy

A
  • to put oneself in anothers shoes
  • identify and recognize anothers emotional state
  • cognitive empathy, recognize anothers perspective or mental state and respond appropriately to that state
  • characteristics of empathy, recognize and understand anothers viewpoint, adopting or internalizing the perspective of the indivdual, ability to interact in way that honors the changing experience
31
Q

Demonstrationg Empathy

A

recognize patients feelings in moment
imagine how they might be feeling
reflect back to patient on these feelings
make an effort to legitimize that feeling
offer support and partnership

32
Q

Reflection/Name emotion

A

you sound upset
you appear afraid
this situation really seems to have you worried
you seem uncomfortable am I reading you right

33
Q

Validation and Understanding

A

anyone would be upset about having to wait
i can understand that your frustrated with the healing progess
yes, healthcare is expensive

34
Q

Partnership/Support

A

perhaps we could work towards the goal
I am ready and willing to put this situation behind us
I understand importance and focus on this first

35
Q

Respect

A

Im interested with how they’ve handles dietary changes

while i respect the decision i hope you quit smoking

36
Q

Active Learning

A

eye contact
postural position
verbal quality
verbal messages

37
Q

3 Components of Empathy

A

cognitive - enter patients perspective
affective - put yourself in patients situation
action - feedback that validates, clarity, respect

38
Q

Patient Barriers to empathy

A

uncomfortable with decision
not in touch with or understand experience
hard time expressing self
worry about becoming emotionally overwhelmed
identity roles conflict

39
Q

Dr. Barriers to empathy

A 
to draining
tiime consumption
concern over loss of control
uninterested in patients experience
belief feeling they cant fix
discomfort discussing emotions
identity role conflicts
40
Q

Managing Empathy

A

Too much - burn out and boundaries

Too Little - patient compliance, unsatisfying, relationship, misunderstanding, increased potential for malpractice

41
Q

Sympathy

A

empathy at the next level
emotional state not ebjective
self perception and expression of pity or sadness
feeling sorry for patient

42
Q

Things that masquarade as empathy

A

sympathy
identification
pity

43
Q

Identification

A

community or socilogical conectivity
sense attributes of self as cahracteristics of patient
personal identity into another
losing objective attention
personal association with experience of patient
conter-transference with patient

44
Q

Pity

A

based out of sympathy
elements of insincerity ot condenscension to patient
sensed of negative version of empathy

45
Q

Ethical Foundation

A

Beneficence - doing whats best for patient
Non-maleficence - avoiding deleterios things
Autonomy - ensuring properly informed choices
Justice - ensuring fairness in distribution of cost, quality and management

46
Q

Physician Duties of Informed Decision Making

A

must tell the truth
explain comlicated health information at the appropriate levels
be able to answer questions
theraputic priviledges, witholding info that may be damaging

47
Q

PD of Informed Consent

A

difference from IDM, agreement to perform practice
requires clear definition of PARQ
Oregon Law requires informed consent

48
Q

PARQ

A

Procedures to be done
Alternative to those procedures
Risks
Questions

49
Q

PD to Minimize Preventable Disease exposure

A

protect patient from uneccessary exposure to risk or disease

duty to protect self from uneccessary risk

50
Q

PD to keep a Health Record

A

health car record should be, accurate complete and organized, secure, confidential
property of physician of employer but information belongs to the patient

51
Q

PD to Third Party Evaluation and Expert Witnesses

A

dissclosure to patient or court the exact role and who you are working for
offering candid, honest and complete opinion
accurate recount of credentials and skills
avoidance of expression or partisan or biased outcomes

52
Q

Gift

A

context is everything
Gift value is always significant
what is the reason for the gift
is it a personal gift

First Quarter (26 decks)

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