P&L Flashcards

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1
Q

In what situations does shared decision making not apply?

A
  • Unconsciousness
  • Advanced Care Directive
  • Top-down regulation
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2
Q

Name three models that can be used to facilitate shared decision making

A
  1. SHARE method
  2. Teach back
  3. Five question model
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3
Q

Outline the SHARE model of shared decision making

A

Seek participation
Help explore options
Assess values/preferences
Reach a decision
Evaluate decision

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4
Q

What are the five questions of the five question model for shared decision making?

A
  1. What are the consequences of inaction?
  2. What are the options?
  3. What are the pros and cons?
  4. How do those weigh up for the patient?
  5. Do you have enough information to choose?
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5
Q

What IS patient centered healthcare?

A

(Basically: a market-first approach)

Take into account the unique situations, priorities, and needs of the patient when making healthcare decisions.

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6
Q

What are the five steps of a consultation in terms of the Calgary-Cambridge model?

A
  1. Initiate consultation
  2. Gathering information
  3. Physical examination
  4. Explanation and planning
  5. Closing the session

(All throughout, patient-centred communication is used to build relationship and provide structure)

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7
Q

Are communication skills a personality trait?

A

No; they are a skill that can be taught, learned, and improved over time. This is a crucial aspect of practice for all medical students and practitioners.

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8
Q

What are the components of the doctor’s “Professional Toolkit”?

A
  1. Reflective Practice
  2. Communication skills
  3. Knowledge of the rules
  4. Commitment to lifelong learning

L/RRC (Asian LLC; tools made in China)

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9
Q

What are some reasons why patients may make a complaint to regulatory bodies about a practitioner or student?

A
  • Poor communication
  • Lack of consent
  • Poor outcomes
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10
Q

What is the role of the Medical Board of Australia (aptly named the MBA)

A
  1. Registers practitioners
  2. Decides about the outcome of complaints
  3. Sets professional standards
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11
Q

List two regulatory bodies involved in healthcare regulation in Australia

A
  • AHPRA
  • Medical Board of Australia
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12
Q

If a complaint is made about a practitioner, what are the possible outcomes for that practitioner?

A
  1. Nothing
  2. Caution
  3. Restrictions imposed
  4. Referred to panel for hearing
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13
Q

What is a tribunal in medical regulation?

A

Group of people who can:
- Cancel registration
- Disqualify from registration
- Prohibit use of a specific title

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14
Q

True or false: you have to meet a certain threshold before you can make a notification.

A
  • False
  • Anybody can notify
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15
Q

Give a summary of the code of medical conduct

A
  1. Practice safe and effective medicine
  2. Keep the patient’s care at the forefront of their mind
  3. Be honest, ethical, and trustworthy
  4. Good communication skills
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16
Q

How should a practitioner respond if a notification is made about them?

A
  • It may be tempting to be angered, frustrated, or embarassed
  • Instead, doctors should be reflective, and try and implement the feedback to improve future practice
  • Also, contact medical indemnity insurer
17
Q

What individual risk controls might lessen a practitioners future risk after a notification?

A
  • Education
  • Reflection/prevention of happening again
  • Working with a mentor
18
Q

How might an organisation control future risk of a practitioner following a notification?

A
  • Supervision
  • Additional training
  • Team-based care
19
Q

Which organisation does what when it comes to notifications?

A

AHPRA: Manages and investigates notifications

MBA: Decides outcomes (uncommon…)

20
Q

What are some things that practitioners need to tell MBA and AHPRA within 7 days?

A
  • No more indemnity insurance
  • Ability to prescribe drugs is cancelled
  • Registration in another country is cancelled
21
Q

What are some things that practitioners need to tell MBA and AHPRA within 30 days?

A
  • Changed name/address
22
Q

True or false: a doctor can usually continue practicing, even if a notification has been made about them

A

True

23
Q

What 4 concerns may trigger mandatory notification about a doctor?

A
  1. Impairment
  2. Intoxication
  3. Significant departure from standards
  4. Sexual misconduct

(ISIS)