PPD Flashcards
What is medical professionalism?
signifies a set of values, behaviours and relationships that underpins the trust the public has in doctors
in their day to day practice, doctors are committed to what?
- integrity
- compassion
- altruism
- continuous improvement
- excellence
- working in partnership with members of the wider healthcare team
these form the basis for a moral contract between profession and society
Who came up with the team roles?
Belbin works
- Plant
- Resource Investigator
- Coordinator
- Shaper
- Monitor Evaluator
- Team worker
- Implementor
- Completer Finisher
- Specialist
what is resilience?
- personal strength
- capacity to recover quickly from difficulties
what are the key factors that can describe resilience?
- optimism
- freedom from anxiety
- openness
- adaptability
- takes personal responsibility
- supported
- positive and active approach to problem solving
what is the Johari Window model?
it helps us understand how we see ourselvs versus how others see us
has 4 areas
what are the areas?
- public area = known by both of us and others
- private area = known by us, not by others
- blindspot = not known by us, but known by others
- unknown = not known by both us and others
what are examples of each area of the Johari window?
- public area = what you study/job
- private area = guilty pleasure that no one knows of
- blind spot = an irritating phrase/habit that you are unaware of but others have noticed
- unknown area = undiscovered talent/interest you have
can each area of the Johari change in size? if so, how can this be achieved?
- can change in size
- ask for feedback to reduce blind spot area
- self discovery helps decrease the unknown area
how does the Johari model help doctors?
insight into who you are as a person will enhance your professional development and improve your ability to work as a reflective practioner
what are coping strategies for coping with a high workload in order to ensure pt safety?
- developing resilience
- compassion
- self compassion
- energy management
what is the resilience quotient inventory?
- questionnaire that works out how resilient you are
- measures beliefs, behaviours and environmental factors that are proven to protect people against stress and burnout
how do you interpret the RQI score?
higher the score, more resilient you are
what are the different parts of the PPD ladder of success in medicine?
- safety: avoid pt harm, errors and complaints
- equality: prevent discrimination, promote unbiased care
- health: handling stress
- team work: working efficiently in a team
- your role: understanding your legal obligations
what is altruism?
selfless concern for wellbeing of others
what are the 2 mindsets to learning?
- fixed mindset = intelligence is static
2. growth mindset = intelligence can be developed
what is the result of these 2 mindsets
- fixed = plateau early and don’t acheive full potential
2. growth = reach higher levels of achievement
what is the name of the framework used to assess risk and safety in clinical medicine?
The London Protocol
contributory factors underlying an adverse event caused by human error
what are the different factors in the London Protocol framework?
- third party
- task related
- individual
- team work
- environment
- organisation
- institutional
what are examples of third party factors?
- mood of pt
- communication problems
- illness (confusion, pain)
- personality
- disability
what are examples of task related factors?
- new/untested/difficult
- inadequate instructions
- poor design
what are examples of individual factors?
- stretching beyond knowledge
- tired/ under pressure
- motivation/ attitude
what are examples of team work related factors?
- poor teamwork
- inadequate supervision
- poor communication
- poor team morale
what are examples of environmental factors?
- defective equipment
- inadequate support services
- inadequate staffing
- out of usual environment
- distraction e.g. noise, relatives
what are examples of organisational factors?
- inadequate leadership
- poor coordination of services
- poor management
what are examples of institutional factors?
- financial constraints
- external regulatory body
- broader economic and political climate
what are examples of institutional racism?
- providing services in English only, not engaging local interpreters
- applying equally to all rules and regulations that have effect of excluding black and ethnic minority
- basing decisions on stereotypes or assumptions
what is institutional racism?
collective failure of an organisation to provide an appropriate and professional service to people because of their colour, culture or ethnic origin
what is personal racism?
when individual attitudes lead a person to treat others less favourably on the basis of their colour or ethnic group
can be: unconscious, conscious, overt, covert
what is stress?
physical and mental response of the body to demands made on it
can be positive and motivate us
can be negative when have too much of it
constant stress = physical and mental health problems
what are emotional signs of stress?
- depression/ anxiety
- anger/ irritability
- unfocused
- problems with memory
what are physical signs of stress?
- headaches
- insomnia
- chest pain/ rapid heartbeat
what is moral distress?
when one knows the right thing to do but institutional constraints make it nearly impossible to pursue the right course of action
what is moral residue?
leaving after a morally distressing incident has taken place
builds up over time = crescendo effect –> compassion fatugie and burnout
what are the ways to manage moral distress?
- speak up
- build support networks to empower colleagues
- actively participate in educational activities
- use mentoring and institutional resources to address moral distress
how does the royal college of physicians working party define medical professionalsim?
set of values, behaviours and relationships that underpin the public’s trust in doctors
what can a lack of professionalism lead to?
lack of rapport between dr and pt
disregard for wellbeing of pt
may cause pt to make bad decisions about their health
what are the duties of a med student?
- work within limits of competence
- raise any concerns about pt safety
- be honest, decent
- responsive to feedback
- apply ethical and moral reasoning to your work
- work collaboratively with pt and other professionals
what are the 7 steps to pt safety?
- build a safety culture
- lead and support your staff
- integrate your risk
- promote reporting
- involve and communicate with pt/ public
- learn and share safety lessons
- implement solutions to prevent harm
what are the reasons for whistle blowing?
- obligation to protect colleagues/ pts from unprofessionalism
- truth is likely come out so protect reputation profession
- GMC guidance says to
- duty: report things that are morall wrong
- utilitarian: prevent further negligence
what are the reasons against whistle blowing?
- fear of isolation from group
- don’t want to cause unnecessary distress if unsure of details
- consequentialism (previous pts may also worry about their care)
what discourages medical students from whistleblowing?
- hierarchy
- workload/ resources involved with reporting
- uncertainties on right or wrong
- reporting has not brought about good change
