Trust in Medicine Flashcards
Why is trust crucial in physician-patient relationships?
Due to the vulnerability and dependence of patients on physicians knowledge and care
Why has trust deteriorated significantly?
Due to commercialisation, depersonalisation of case and a shift towards a market-based ethic
What happens if physicians fail to maintain public trust?
It destabilises the bases of their professional autonomy
What is the implicit social contract for physicians?
Society grants the medical profession autonomy and self-governance in exchange for physicians upholding a fiduciary commitment to patient welfare above business interest
What does fiduciary commitment mean?
Where a party has an obligation to act in the best interest of another party
How can physicians restore trust?
Physician-led administration of heathcare systems, revamping medical education to foster empathy
What should the core motivation for physicians be to rebuild trust?
Self-interest: protecting professional autonomy
What does professional autonomy mean?
Ability of a profession to govern and regulate itself without external control
Medical compliance
The willingness of the patient to follow the advice
Therapeutic alliance
A deal between the patient and the physician to try to achieve a certain goal: requires trust
What is a predatory publisher?
Does not do proper peer review and publishes anything
Pseudoscientist
Someone who present himself as an expert but is not
How can you analyse the scientific validity of an article?
- Citations
- Author’s credentials
- Acknowledgements
How do citations help establish scientific validity of an article?
low levels of citations means that the article has been ignored by the scientific community
How do author’s credentials help establish scientific validity of an article?
If an author has more than one article retracted, they are widely discredited by the scientific community
