& PROFESSIONALISM Dr MeiLing Denney & Dr John Dunn SE - - PowerPoint PPT Presentation
ETHICAL THINKING & PROFESSIONALISM Dr MeiLing Denney & Dr John Dunn SE Scotland Trainers conference workshop 2018 Aim of Session To increase our understanding of medical ethics and professionalism To develop tools we can use
Dr MeiLing Denney & Dr John Dunn SE Scotland Trainers conference workshop 2018
professionalism
trainees
GPs MUST BE FLEXIBLE SEE THIN INGS FROM DIF IFFERENT POINTS OF VIE IEW ADAPT AS CIR IRCUMSTANCES CHANGE
from different perspectives.
situation
Learn to see things in different ways
example a simple line drawing in 2 or more different ways
in different ways . An interaction is often a different experience for the different agents taking part in it , we need to understand this and be willing to see these differences.
situations from different points of view
That branch of ethics that studies problems arising from medical practice. All medical decision making has ethical dimensions………..
sound understanding of medical ethics
That branch of ethics that studies problems arising from medical practice. All medical decision making has ethical dimensions………..
about medicine over the years
presented
decisions
GRID Patient Doctor Colleague Society Benif Non-Malif Justice Autonomy
days
certif
GRID Patient Doctor Colleague Society Benif Non-Malif Justice Autonomy
ethical codes
and altruistic behaviour
knowledge and skills
professional membership and the content and
2003; Medical Professionalism Project 2002)
modern medical practice
the job’ rather than via structured teaching
Cruess & Cruess (BMJ 1997; 315(7123) )
but is granted by society. Its maintenance depends on the public’s belief that professionals are trustworthy and to remain trustworthy, professionals must meet the
Society: Medical Professionalism in a Changing World p14 (2005)
from harm
trust that makes their professional status and privileges possible.
standards of care and to control the content and
liver, poor care & Mid Staffs) = failures by the profession
to stay in tune with prevailing public values and maintain standards.
access to an ever-wider range of services, provided with greater openness and accountability.
doctors enabling shared clinical decision-making.
government reform of the health service.
disciplinary working, increasing diversification of medical roles
place, driven partly by EWTD and by a higher proportion of LTFT doctors.
improve patients’ experiences of health care, may increasingly conflict with professional views about how best to serve patient interests.
must have the necessary skills
prioritising work
serious person. It requires us to be technically competent and to identify with the humanity of the patients we have the privilege of trying to help”
for three months. The GP trainee has been asked to take over one of the elderly patients who receive a monthly visit. She mentions that after spending some time at the patient's house, this grateful patient gave her an envelope to “buy something for the children”.
envelope to find it contained 2 x £20 notes. She tells you she bought the children some Lego and chocolates, and wonders if she should let the patient know.
unexpected death 1/52 ago of a 35 year old lady who at home of a drug overdose. She had a long history of psychosocial problems, and was on prescription and other drugs.
death, and gave counselling to try to reduce
extinct, and contacted the procurator fiscal for a post-mortem to be arranged. The deceased patient's cohabiting partner was also in the house.
family, and no visits or appointments have been made to do this.
some of the patients he has seen to the receptionist (away from the immediate reception desk). You hear the phrases “Half of these people are bonkers”, and “I really get fed up with time-wasting social problems that I can't do anything about”
went on holiday last week and will be away for three weeks. The salaried doctor who shares the same room has reported that she has found a folder of notes on patients who are to be referred, in the top drawer of the desk in the consulting room. The secretary has told her that none of these referrals have yet to be made
meetings, despite being in the building prior to the meeting taking place.
passed his room, he appears to be at his computer doing practice MCQs for the AKT. He is due to sit the AKT in 6 months. When she mentioned that the meeting was about to start, he stated that exam preparation was more important for him at his stage, and the meetings were just about practice business and updates he could read from the minutes.
routine GP training
encourage patient-centred care
encourage reflection in trainees to enable insight and improvement
with the topic of teaching professionalism to generation Y. Please help her to complete the survey!
there is a pinned tweet with a link to the survey.
interested:
Medical Education
Teaching leadership: the medical student society model.
Does Professionalism mean the same to all GPs?
Dr Trudy Foster- GP Forth Valley, Associate Adviser NES, student! trudyfoster@nes.scot.nhs.uk trudyfoster@nhs.net @dr_t_foster Previous research has looked at differences between professions (doctors/nurses), departments (medical/surgical), training stage (trainer/trainee). Anecdotal evidence of difference in professional values and behaviours over
Short survey, less than 10minutes. https://response.questback.com/nhseducationforscotland/sgeyssqr61