SJT 2 Flashcards
5 domains of being a doctor
Commitment to professionalism, including competence
Coping with pressure, including time-management, emotional and physical wellbeing
Effective communication - sensitive, x medical jargon, adjusts style of convo, gains more info, keeps colleagues informed, assertive
Patient focus - promoting trust etc.
Working effectively as part of a team - understanding of others roles
Glossary
CLINICAL SUPERVISORS - clinical development and problems experienced within the team as well as local issues on the ward
EDUCATIONAL SUPERVISORS - akin to a personal tutor; responsible for overall well-fare and development. Advise for pastoral issues and professional development
E-PORTFOLIO - supervised learning events, personal reflections, keep up to date and attend scheduled meetings
PRESCRIPTIONS - only prescribe meds if you have adequate knowledge of pts health, avoid prescribing to yourself and others you are close with; F1s can not write private or community prescriptions
DEATH and DNACPR - active decision that is taken to withhold CPR only; does not legally require consent from patients/relatives
CONFIRMATION OF DEATH/MED. CERTIFICATE - may be required to complete an MCCD (med. certificate of cause of death), should only be completed if cause of death is known. Bereavement team available
BLEEPS - ignoring a bleep w/o good reason is unacceptable, ideally should not be handed over to colleagues; acceptable to handover during protected teaching time
IMAGING - all medical exposures to ionising radiation must be justified prior to exposure being made (radiologist - vetting)
DISCHARGING PTS - F1s should not be discharging without senior review. Consultant has ultimate responsibility.
WARD CLERK - set up and maintain records for pts; book outpatient apps.
Good Medical Practice
- KNOWLEDGE, SKILLS + PERFORMANCE
- Maintain clinical knowledge
- Work within limits of competence
- Awareness of guidelines/protocols
- Treat only pts whom you are familiar with
- Avoid providing care to someone whom you share a close relationship with
- Avoid treating yourself unless absolutely necessary… - SAFETY + QUALITY
- Participate in regular audits and QIPs
- Create comforting environment, able to raise concerns
- Safe transfer of pt care between providers - COMMUNICATION, PARTNERSHIP + TEAMWORK
- Meet pts communication needs
- Work well in a team and be respectful
- Willing to provide training to doctors and students, and assist when staff members are having difficulties - MAINTAINING TRUST
- Maintain confidentiality at all times
- Must be polite, respectful and honest
Confidentiality
Establish with pt what info they want you to share and who with, children treated same as adults as long as Gillick competent; refer to parent if not.
When you may disclose confidential info:
(1) where pt consented
(2) disclosure in public interest, e.g. communicable disease
(3) disclosure required by law
DVLA (confidentiality) - pts responsibility to inform them. If a pt continues to drive against medical advice, and every effort has been made to persuade them to stop, you must inform the DVLA (inform pt of your intentions before)
Consent
Doctors must make sure pts are fully informed to make decisions.
Consent can be implied (e.g. bloods lol), verbal or written (GMC, 2008).
Pt can withdraw consent at any time.
To obtain consent you need to be:
(1) be suitably trained to perform procedure
(2) have sufficient knowledge of what is being proposed
Mental Capacity Act (2005)
A person is unable to make a decision for themselves if they are unable to do at least one of the following:
1) Understand the info relevant to the decision
2) Retain that info
3) Use or weigh that info as part of making the decision
4) Communicate that decision (through any means)
**A person must be assumed to have capacity, unless it is established that they lack it. Assessment of capacity must be performed at the time of a particular decision. Reasonable to assume that pts would want those closest to them to be kept informed of their general condition and prognosis
Mental Health Act (2007)
Allows the provision of compulsory and restrained assessment and treatment to any individual aged over 16 years suffering from a mental disorder in order to protect them from harm.
Section 5(2) - inpatients who display mental health emergency. Used when time does not permit a more formal assessment of the pts mental state.
Section 2 - individuals who require compulsory admission to a psychiatric facility for assessment of a mental disorder.
Section 3 - individuals who require compulsory treatment of a mental disorder of a psychiatric facility.
Section 136 - use by police officers who believe themselves to be dealing with pts with a mental health disorder in a public place who require treatment.
Accepting gifts
You must be honest and open in any financial arrangements with patients. In particular, you must not encourage patients to give, lend, or bequeath money or gifts that will directly or indirectly benefit you
