Importance of MiS in Clinical Decision Making Flashcards
What do we need to be a functional doctor?
To be a functional doctor, you need knowledge (physiological, biochemical, anatomical, pharmacological), skills (clinical examination, procedural), and attitudes
What do we need to be a good doctor?
To be a good doctor, you need an understanding of ethical and epidemiological dimensions, an understanding of people, and excellent communication.
How should doctors deal with illness in their own family?
Doctors shouldn’t treat family members as it is discouraged by the GMC due to lack of objectivity. They can advise family members but should tell them to see their GP.
Who are the Millers?
The Millers consist of Gregory (46, baker), Jane (47, housewife), and their four children: Sarah (25, severe learning disability, epilepsy), Ann (22, microcephaly, severe learning disability, epilepsy), Aaron (21, irritable bowel syndrome, intellectually normal), and Luke (10, microcephaly, severe learning disability, epilepsy).
What medical issues did Jane Miller face?
Jane presented with a Hb of 40g/L, a fibroid, and underwent a hysterectomy and bilateral salpingo-oophorectomy. She later experienced low mood and felt her ability to bear children was removed.
What health issues did Gregory Miller experience?
Gregory was diagnosed with colon cancer in July 2013, underwent resection, and had an ileostomy. He later developed sciatica and used codeine phosphate for diarrhea.
What should doctors avoid asking Gregory Miller?
Doctors should not ask Gregory questions regarding why he is taking tadalafil, as it is important to know when to refrain from questioning.
Who are the Taylors?
The Taylors consist of Mathew and Carol and their four children: William (1981, severe asthma), Jackie (1982, ulcerative colitis), Rachel (1984, rare skin disease), and Danielle (1987, well).
What were Carol Taylor’s health concerns?
Carol frequently visited the GP, was a hypochondriac, and was diagnosed with diabetes after a urine dipstick test showed a significant change.
What happened to Jackie Taylor?
Jackie’s ulcerative colitis worsened, leading to a colectomy that did not go well, resulting in her death. Mrs. Taylor believed it was due to medical negligence, but it was determined otherwise.
What should doctors be careful about when dealing with families?
Doctors should be extremely careful not to break confidentiality when learning about a patient’s family dynamics and information.
