NIS document ch 1 Flashcards
what are the three fundamental principles of medical professionalism?
- principle of primacy of patient welfare 2. principle of patient autonomy 3. Principle of social justice
principle of primacy of patient welfare
Physicians must be dedicated to serving the interest of the patient. Trust is central to the physician-patient relationship, which must not be compromised by market forces, societal pressures, or administrative exigencies.
principle of patient autonomy
Physicians must be honest with their patients and empower them to make informed decisions about their treatment. Patients’ decisions about their care must be paramount, as long as they are in keeping with ethical practice and do not lead to demands for inappropriate care.
Principle of social justice
The medical profession must promote the fair distribution of healthcare resources. Physicians should work actively to eliminate discrimination in healthcare.
- principle of primacy of patient welfare 2. principle of patient autonomy 3. Principle of social justice
the three fundamental principles of medical professionalism
Physicians must be dedicated to serving the interest of the patient. Trust is central to the physician-patient relationship, which must not be compromised by market forces, societal pressures, or administrative exigencies.
principle of primacy of patient welfare
Physicians must be honest with their patients and empower them to make informed decisions about their treatment. Patients’ decisions about their care must be paramount, as long as they are in keeping with ethical practice and do not lead to demands for inappropriate care.
principle of patient autonomy
The medical profession must promote the fair distribution of healthcare resources. Physicians should work actively to eliminate discrimination in healthcare.
Principle of social justice
10 professional responsibilities :
- commitment to professional competence
- commitment to honesty with patients
- commitment to patient confidentiality
- commitment to maintaining appropriate relations with patients
- commitment to improving quality of care
- commitment to improving access to care
- commitment to a just distribution of finite resources
- commitment to scientific knowledge
- commitment to maintaining trust by managing conflicts of interest
- commitment to professional responsibilities
Commitment to professional competence.
Physicians must be committed to lifelong learning of medical knowledge and team skills necessary for the provision of quality care. More broadly, the profession as a whole must strive to see that all of its members are competent and must ensure that appropriate mechanisms are available for physicians to accomplish this goal.
Commitment to honesty with patients.
Physicians must ensure that patients are completely and honestly informed before the patient has consented to treatment and after treatment has occurred. Medical errors should be communicated promptly to patients whenever injury has occurred. Physicians should be committed to reporting and analyzing medical mistakes to develop appropriate prevention and improvement strategies.
Commitment to patient confidentiality.
Physicians are responsible for safeguarding patient information. Fulfilling this commitment is more pressing now than ever before, given the widespread use of electronic information systems. However, considerations of public interest may occasionally override this commitment, such as when patients endanger others.
Commitment to maintaining appropriate relations with patients.
Given the inherent vulnerability and dependency of patients, certain relationships between physicians and patients must be avoided. In particular, physicians should never exploit patients for any sexual advantage, personal financial gain, or other private purpose.
Commitment to improving quality of care.
Physicians should not only maintain clinical competence, but should work collaboratively with other professionals to continuously improve the quality of healthcare, including reducing medical errors, increasing patient safety, improving utilization of healthcare resources, and optimizing outcomes of care.
Commitment to improving access to care.
Physicians should work individually and collectively toward providing a uniform and adequate standard of care and reducing barriers to equitable healthcare. These barriers may be based on education, laws, finances, geography, or social discrimination. This commitment entails the promotion of public health and preventive medicine, without promotion of the self-interest of the physician or the profession.
Commitment to a just distribution of finite resources
To provide cost-effective health care, physicians should work with other physicians, hospitals, and payers to develop evidence-based guidelines for effective use of healthcare resources. This includes the scrupulous avoidance of superfluous tests and procedures to reduce patient exposure to harm, decrease health expenses, and improve access to resources for patients who need them.
Commitment to scientific knowledge.
Physicians should uphold scientific standards, promote research, and create new medical knowledge and ensure its appropriate use. The integrity of this knowledge is based on scientific evidence and physician experience.
. Commitment to maintaining trust by managing conflicts of interest
Physicians have an obligation to recognize, disclose to the general public, and deal with conflicts of interest that arise in the course of their professional duties and activities. Relationships between industry and opinion leaders should be disclosed, especially when physicians are determining criteria for conducting and reporting clinical trials, writing editorials or therapeutic guidelines, or serving as editors of scientific journals.
Medical professionals and organizations can compromise their professional responsibilities by pursuing private gain or personal advantage, especially through interactions with for-profit companies.
Commitment to professional responsibilities.
Physicians have both individual and collective obligations to work collaboratively to maximize patient care, be respectful of one another, and participate in the processes of self-regulation, including remediation and discipline of members who have failed to meet professional standards. The profession should also define and organize the educational and standardsetting process for current and future members. These obligations include engaging in internal assessment and accepting external scrutiny of all aspects of their professional performance.
