Week 23 Flashcards
what can prospective medical students be screened for?
attitude/ethics/conduct; participation; academic performance; compassion
what are some selection methods for medical school?
OP/GPA; UMAT/GAMSAT; Interview; Mini-CEX; Psychometric testing; Testing for ethical position; Random
what are some issues regarding resources and quality issues in medical school?
Cohort numbers; Student/Teacher ratio; Anatomical dissection vs. simulation; acting as a surrogate patient for examinations
what are some issues regarding the curriculum taught at medical school?
Who decides what goes into the curriculum; Should academics promote their own work; books or articles: should ethics teaching encompass Eastern and Western traditions; What amount of IPL is adequate; What views do you have on task substitution (nurses; physicians? assistants); Would combined classes be effective
what are some issues regarding intimate examinations in medical school?
What principles/conditions should govern student participation in intimate examination training; Should anaesthetised or newly dead patients be available for intimate examinations: Should patients be required to be subjects for student participation
what are some issues regarding resident recruitment and allocation in medical school?
How should intern positions be best allocated; What priority; if any; should domestic students have in allocations; What effect; if any; should various factors have on allocation priorities (family commitments; business/work commitments)
what are some issues regarding international cohorts in medical school?
To what extent; if any; should the fact that there is a high number of international students in the medical program; influence what is taught; What areas currently not taught; should be; if any; Should there be aspects/more aspects of cultural diversity; taught; What logistic considerations are relevant to these questions
what are some utilitarianism considerations with you elective? What is the general Utilitarianism position?
more people benefit from an action than are harmed by it. Harm to one individual (the patient) may be sanctioned if it is for the benefit of a larger group (other patients).
Describe Kant’s categorical imperative
Humanity should be seen as an ?end in itself; never merely as a means.? Using any one person as a ?means to an end??for example; using patients as teaching ?aids??is unacceptable
You are not allowed to do what in your elective?
Do not diagnose illness; prescribe; or administer treatment without strict clinical supervision.
in you elective you should always do what in terms of trust?
The patient needs to rely on the clinician as a skilled professional. You must disclose your level of training. Do not act beyond your capabilities to maintain this trust
in you elective what are some strategies to help you say no?
Recognise your limitations. Misconduct and/or maltreatment of any patient; regardless of status; is of consequence. Risk /benefits.
Considering the dire needs of some communities we serve in our elective should we bending the rules? Why?
No; Unless patients require immediate care to save their lives. In which case students would be expected to act as good citizens and do their best; but not under the pretence of being ?qualified doctors?
when you identify your self you should be very clear you are?
a Medical student; not a young doctor; colleague or assistant
Consent is required before?
Before taking case histories or examinations; Before physical examinations or presentation of cases that are potentially embarrassing for primarily educational purposes. When individual students are conducting such examinations a chaperone should usually be present; Before any physical examination on patients under general anaesthetic for primarily educational purposes without patients’ prior written consent; Verbal consent for treatments (suturing; taking blood; delivering babies; etc.). Procedures not requiring immediate supervision should be undertaken only if there is recorded evidence of competence.
