PPS Professionalism LOBs Qs Flashcards
“What is medical professionalism?”
Medical professionalism signifies a set of values, behaviours, and relationships that underpins the trust the public has in doctors
Medicine is a vocation in which a doctors’ knowledge, clinical skills and judgement are put in the service of protecting and restoring human well-being
This purpose is realised through a partnership between patient and doctor, one based on mutual respect, individual responsibility, and appropriate accountability
“What professional skills and behaviours constitute a professional doctor?”
Academic integrity Careers Developing personal insight Leadership Patient safety Professional behaviour in the clinical workplace Reflective practice Teaching and learning
“What are the key areas of concern in doctor professionalism?”
Persistent inappropriate attitude or behaviour
Failure to demonstrate good medical practice
Drug or alcohol misuse
Issue with academic integrity – cheating and plagiarism
Dishonesty – including outside the professional role and fraud
Aggressive, violent, or threatening behaviour
Any caution or conviction
Health concerns without management
Lack of insight into own issues
“How can you challenge yourself to develop professional excellence?”
Develop healthy ways to cope with stress
Deal with doubt and uncertainty
Apply ethical and moral reasoning to your work
Work effectively in a team – including be able to give constructive and honest feedback
Manage your own learning and development
Be responsive to feedback
Prioritise your time well and ensure a good work-life balance
Promotes patient safety and be able, where appropriate, to raise concerns
Work collaboratively with patients and other professionals
Deal with and mitigate against personal bias
“What are the four GMP domains?”
Knowledge, Skills and performance
Safety and Quality
Communication, partnership and teamwork
Maintaining trust
“Define what domain 1 is an explain how this domain can be achieved”
Knowledge, skills and performance:
Develop and maintain your professional performance
Apply knowledge and experience to practice
Record your work clearly, accurately and legibly
“Define what domain 2 is an explain how this domain can be achieved”
Safety and Quality:
Contribute to and comply with systems to protect patients
Respond to risks to safety
How to raise a patient safety concern
Protect patients and colleagues from any risk posed by your health
“Define what domain 3 is an explain how this domain can be achieved”
Communication, partnership and teamwork:
Communicate effectively
Work collaboratively with colleagues to maintain or improve patient care
Teaching, training, supporting and assessing
Continuity and coordination of care
Establish and maintain partnerships with patients
Maintain patient confidentiality
Making a conscientious objection
“Define what domain 4 is an explain how this domain can be achieved”
Maintaining trust:
Show respect for patients
Treat patients and colleagues fairly and without discrimination
Act with honesty and integrity
Openness and duty of candour – includes legal or disciplinary proceedings
“What are the 3 different types of reflection?”
Knowing in action – that which we do almost as reflex
Reflection in action – thinking on your feet
Reflection on action – conscious activity after the event
Demands that practitioners aren’t merely just doing but they are learning from doing - requires us to be alert to the human elements
“What is metacognition?”
Understanding how we think – increases cognitive function
“What is a portfolio?”
Selection of students work (papers and tests) compiled over a period of time and used for assessing performance and progress
“What are the educational purposes of a portfolio for the learner?”
To collate record of achievement
To reflect on personal learning to focus direction and priorities in future learning
To review significant professional/educational experiences and document insight gained
“How do we use reflective practice?”
Focus on learning – reflection notes don’t need to capture full details of experience
Reflection is personal – there is no one way to reflect
Having time to reflect on both positive and negative experiences is important
Group reflection often leads to ideas to improve patient care
Anonymising details in reflections
Tutors, supervisors, appraisers and employers should support individual and group reflection
“What is resilience?”
Capacity to cope with the unexpected and adapt to find the tools to tolerate and handle frustration
“Why is resilience important?”
So you can endure difficult experiences and can live with situations of vulnerability and turn them into the ability to face life
The key to becoming is resilient is by staying calm, facing the difficulties/unbearable feelings and talk through them
“What is self-awareness?”
Knowing one’s emotions and recognising the feeling as it happens
The ability to monitor feelings from moment to moment is crucial psychological insight
The ability to handle feelings so they are appropriate builds self-awareness
“Why is self-awareness important?”
Important as it helps motivate ourselves and is essential for reaching goals
Important in handling relationships and managing other people’s emotions
“Why is developing resilience important?”
Reduces stress Improves attention Help cultivate self-awareness Help cultivate emotional regulation Help improve relationships Helps self-care
“What is mindfulness?”
Cultivated by paying attention in a specific way that is in the present moment and as non-reactively, non-judgementally and openheartedly as possible
“Outline the key ways of practicing mindfulness?”
Shift from ‘doing’ to ‘being’ mode
Slowing down to nature calmness and self-acceptance
Observing your own thoughts without getting carried away by them
Making room for new ways of seeing old problems
Receiving the interconnectedness of things
“What are some statistics on the problems of addiction and mental health conditions among doctors and medical students?”
1 in 6 healthcare professionals have alcohol and drug problems
1 in 15 doctors may be affected by drug or alcohol dependence at some point in their career
Doctors are 3 times more likely to develop cirrhosis of the liver than the general population
Medical students and doctors have the same standards
10% of doctors may be drug-dependent or addicted to alcohol
7% of doctors have a lifetime substance use problem
“What is burnout?”
Occurs when our resources are overwhelmed by emotional and physical demands made on us
Emotional exhaustion – empty feeling and emotional blunting
Depersonalisation – cynical attitude and negative
Reduced personal accomplishment – doubts about personal and professional effectiveness
On ‘survival mode’
Giving for a long time with no break and now have no energy to give anymore
“What stresses are doctors exposed to?”
Stress due to workload
High demand, low control
Poor team working
Service pressures
“What support is available to prevent addictive disorders in medical students?”
Medical schools should create an environment where mental health is openly discussed to try to reduce stigma around it
Medical schools should put preventative measures in place to promote good mental health and wellbeing in their students
Medical schools should explain that mental health conditions are common in medical students and that support is available such as counselling services
Visit GP
Visit university services
“What are some early signs of doctors going towards the unethical and addiction?”
Making mistakes Mood changes Borrowing money Poor performance and functioning Increased absences and breaks Inappropriate and unexpected behaviour Drunk of drug misuse
“What are some indicators of addiction?”
Inappropriate prescribing
Administering medication in a secretive manner
Medication waste or missing – opiates
Poor documentation
Patients get inadequate pain relief
Collecting patient medication from pharmacy
Unwillingness to respond to on-call responsibilities
“How do we help colleagues we believe have developed an addiction?”
Meet with them privately
Let them know your concern and why
Ask them to consult with the correct person
Follow up
You can get confidential advice – supervisor, BMA, GMC
“What is whistleblowing?”
Passing on information to colleagues or supervisors
“What is the NHS Practitioner Health programme?”
Supports the health of healthcare practitioners
Easy access via email
Confidential
UK- wide
2/3 related to mental health – access to early assessments and treatments.
Addiction help – residential OR intensive out patient, frequent senior review, long-term support and monitoring
High success rate
“What Is the Physician Health Program (PHP)?”
Early detection and assessment
Treatments – 90 day residential treatment or intensive outpatient treatment
Long-term support and monitoring – aftercare, counselling and random drug tests
High success rate
>70% maintain their license and continue work
Treat 1000 doctors – but do not do random screenings as it can lead to false positives
“What are some other organisations that can help?” (for addictions in doctors)
British doctors and dentist group Doctors for doctors Doctors support Line Doctors support Network Mednet
“What is written in the GMC guideline ‘professional behaviour and fitness to practise’?
Students should:
Bring attention to any concerns in their work
Be honest, genuine, and original in their academic work including when conducting research and take effective action if they have concerns about the honesty of others
Be honest and trustworthy in writing reports, CVs
Do not plagiarise
“What constitutes as research and academic fraud?”
Fabrication and falsifying data Not sticking to protocol or poor methodology Being influenced by conflicts interest Withholding data Ethical issues e.g. consent Publication fraud Plagiarism Ghost authorship
“What does the GMC advise on professional behaviour of medical students?”
Be honest and trustworthy when writing reports and logbooks and when completing and signing forms
Be honest, genuine, and original in their academic work including when conducting research and take effective action if they have concerns about the honesty of others
Be honest in CVs and all applications and not misinterpret their qualifications, position or abilities
Do not plagiarise or use their own work repeatedly in a way that could mislead
“How to use other people’s work?”
Acknowledge your predecessors with correct citation and referencing
Demonstrate your knowledge of correct academic practices
“How do we successfully retain academic integrity?”
Analyse what your read Consider your sources Attribute/reference your sources Use tools when referencing Takes time Respect others work
