Code

Question 1

Social Contract

Answer 1

Principle A: Embodies responsibilities

• People live in society in accordance with an agreement that establishes moral and political rules of behaviour
• Fully accountable for behaviour = Self regulate, discipline, unprofessional, and violations
• Have integrity by being a whole person and not a dual nature

Question 2

Professionalism, Two fundamental principles that practitioner embodies

Answer 2

1. Specialised knowledge, skills and expertise that benefits members of society
2. Commitment to use their expertise always and without exceptions for others

Question 3

Fiduciary

Answer 3

A person who holds a legal or ethical relationship of trust with one or more parties
Always and without exception, place the interests of the patient above the practitioner

Question 4

The big 4

CBLH

Answer 4

Autonomy - Capacity to make informed consent (Principle E)
Beneficence - Obligation of the physician to act for the benefit of the patient (Principle A)
Justice - Look at law, patient rights and if fair and balanced to see if its ethical or not (ABG)
Nonmaleficence - obligation not to harm the patient

Question 5

Virtue of care

Answer 5

A moral excellence or qualities necessary for meeting the aims of caring
Principle B: Honesty, integrity only 2 virtues

Question 6

Boundary setting and maintenance

Answer 6

Principle D and H
Doctor has the power differential, therefore its their responsibility to maintain the differential and keep the relationship professional

Question 7

Fitness to practice

Answer 7

Principle G

Having the skills, knowledge, and character to practice your profession, whilst doing no harm

Question 8

Burnout

Answer 8

A career adversity syndrome
Higher risk of impairment and addiction, impaired judgement, substandard practice and patient harm
Result of excessive, and prolonged emotional, physical and mental stress
CFG - deal with our expertise

Question 9

Four prerequisites for patient informed consent

PIRV

Answer 9

1. Full and complete info must be provided in order for a decision
2. Have the intellectual capacity to make an informed decision
3. Others must respect the decision
4. Decision must be voluntary and without coersion

Question 10

Four elements of patient consent

TCVU

Answer 10

1. Related to Rx: POM, and reassessments
2. Full info, benefits, risks, alternatives
3. Given voluntarily: no pressure or coersion
4. Without misrepresentation or fraud, open, transparent and unbiased

Question 11

Floor and ceiling

Answer 11

Floor: Chiropractor aiming to advocate the highest standard of care, and interests of patient first
Ceiling: GCC protects the public by articulating where the ‘line’ is. this leads to self regulation and is part of the social contract