Medical Profession Flashcards
Define professionalisation
Social and historical process that means occupation becomes a profession by asserting exclusive claim over knowledge or skills
Why is professional self regulation good?
Interests of profession seen as best guarantee of interests of public
Professionals should be trusted without regulation
Profession can take action when individual does wrong
What is socialisation?
Individuals internalise and cooperate with norms and meet standards
Facts, values and attitudes
Like how children develop social values
Formal (facts) and informal (attitudes) interactions with others
What could go wrong with self regulation?
Promote a self-deceiving vision of objectivity and reliability of its knowledge and virtues of its members
Discouraged from raising concerns about each other
Sanctioning costs are high
Credibility gap-psychiatric patients not believed
What did inquiries within the profession show?
Staff found it hard to act Patient discredited Whistleblowers not believed Disciplinary procedures costly Not obvious who the bad apple is
What did the 2007 White Paper say about regulation?
Fitness to practice concerns referred to Medical Practitioners Tribunal Services so suspend, remove, or place conditions on register
What are the licensing and revalidation guidelines?
Revalidate every five years on good practice values: Assure patients Improve practice Support doctors in keeping up to date Encourage feedback Improve clinical governance Identify concerns early Annual appraisals and portfolios and responsible officer
Define clinical autonomy
Freedom to make decisions on basis of professional judgement and knowledge
-lost due to EBM, CQC, NICE
What is managerialism?
Appoint consultants Ensure compliance and governance Implement government policies Detailed job description Give excellence awards
Define profession
Type of occupation able to make distinctive claims about its work practices and status as must be trained
