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Medical Ethics > Exam 1 > Flashcards

Exam 1 Flashcards

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USMLE® Step 1 flashcards
1
Q

6 elements of professionalism

A 
Altruism
Accountability
Excellence
Duty
Honor & Integrity
Respect for others
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2
Q

4 Main Ethical Principles and Integrity (concept of duty)

A 
Autonomy
Beneficence
Nonmaleficence
Justice
(focused by AAPA Guidelines)
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3
Q

ABIM definition of duty:

A

“the free acceptance of commitment to service”
Available and responsive when on call
Accepting inconvenience to meet the needs of patient’s
Enduring unavoidable risks to oneself when a patient’s welfare is at stake
Advocating for the best possible care regardless of ability to pay
Seeking active roles in professional organizations
Volunteering one’s skills for the welfare of the community

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4
Q

Civility

A

the minimum behavioral standard for professionalism

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5
Q

Professionalism

A

more specialized development of ethical and civil behavior beyond what is expected from the non-professional (attitudes and structure specialized knowledge and skills)

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6
Q

Medical Education barrages students with information, fosters ruthless competition, perpetuates rote memorization and an obsession with test scores all of which stifle moral reflection

A

Coles

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7
Q

”Moral Reasoning is a precondition for ethical behavior in medicine”

A

Singer

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8
Q

The tacit curriculum

A 
Emphasizes:
Objectivity
Detachment
Wariness
Creates distrust of:
Emotions
Patients
Insurance companies
Administrators
And the state
(PAs less exposure than MDs)
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9
Q

7 Challenges to Elements of Professionalism

A 
Abuse of power
Arrogance
Greed
Misrepresentation
Impairment
Lack of Conscientiousness
Conflict of Interest
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10
Q

Aristotle

A 
Nichomachean/Virtue Ethics:
Eudaimonia-”Good Soul”-
Arete- “to live with virtue”
Olympics- Putting ideas into action throughout life
The Mean
Magnanimity
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11
Q

Thomas Aquinas

A

Natural law

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12
Q

Kant

A

Deontology

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13
Q

Mill

A

Utilitarian Philosophy

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14
Q

Aristotle: moral virtue

A

human ability to properly control these desires (joy, grief, hope and fear)

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15
Q

DRUG COMPANY AND PROVIDER INTERACTIONS – GUIDELINES PhRMA & FDA

A

Promotional materials provided to healthcare professionals by or on behalf of a company should:

(a) Be accurate and not misleading
(b) Make claims about a product only when properly substantiated
(c) Reflect the balance between risks and benefits
(d) Be consistent with all other Food and Drug Administration (FDA) requirements governing such communications

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Medical Ethics (2 decks)

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