Medical Professionalism and Nonmaleficence
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Medical Professionalism and Nonmaleficence

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Questions and Answers

What is the principle of nonmaleficence primarily focused on?

  • Ensuring patient welfare
  • Distributing resources justly
  • Doing no harm (correct)
  • Promoting patient autonomy

    • Which principle emphasizes the primacy of patient welfare?

  • Social justice
  • Nonmaleficence
  • Patient autonomy
  • Beneficence (correct)

    • What does the principle of patient autonomy entail?

  • Prioritizing clinical outcomes
  • Ensuring equitable allocation of resources
  • Educating patients to make decisions (correct)
  • Minimizing physician intervention

    • Which of the following is NOT one of the 10 Commitments related to medical professionalism?

    <p>Strict adherence to time schedules</p> Signup and view all the answers

    Which principle focuses on distributive justice in patient care?

    <p>Social justice</p> Signup and view all the answers

    What is the essence of the maxim 'Primum non nocere'?

    <p>First, do no harm</p> Signup and view all the answers

    What does the principle of professional responsibilities emphasize?

    <p>Continuing medical education</p> Signup and view all the answers

    Which component is essential for maintaining trust in the physician-patient relationship?

    <p>Managing conflicts of interest</p> Signup and view all the answers

    What is the highest level of Millar's Pyramid that involves consistently demonstrating attitudes and values?

    <p>Is</p> Signup and view all the answers

    What level of Millar’s Pyramid entails knowing when individual behaviours are appropriate?

    <p>Knows</p> Signup and view all the answers

    At which level do individuals demonstrate behaviours expected of a doctor under supervision?

    <p>Shows How</p> Signup and view all the answers

    Which level represents the knowledge of behavioural norms expected of a doctor?

    <p>Knows</p> Signup and view all the answers

    What does the 'Does' level signify in Millar's Pyramid?

    <p>Conscious behaviour of a doctor</p> Signup and view all the answers

    Which of the following is NOT a level in Millar's Pyramid of Learning?

    <p>Shows When</p> Signup and view all the answers

    Which level of the pyramid is primarily about understanding and knowledge?

    <p>Knows</p> Signup and view all the answers

    What does the 'Is' level require a person to embody?

    <p>Professional identity</p> Signup and view all the answers

    Which of the following best defines integrity in the context of medical professionalism?

    <p>Maintaining consistent honesty and adherence to ethical principles</p> Signup and view all the answers

    What is the main aspect of compassion as described in medical professionalism?

    <p>Feeling moved by the suffering of others and wanting to alleviate it</p> Signup and view all the answers

    Altruism is characterized by which of the following?

    <p>A disinterested concern for the well-being of others</p> Signup and view all the answers

    Which of the following statements regarding unprofessionalism is true?

    <p>It does not pertain to the characteristics of a profession</p> Signup and view all the answers

    Continuous improvement in medical professionalism refers to what?

    <p>Working to enhance skills and outcomes consistently</p> Signup and view all the answers

    What role does working in partnership play in medical professionalism?

    <p>It promotes collaboration with patients and teams</p> Signup and view all the answers

    Which of the following best describes the term 'excellence' in the context of medical professionalism?

    <p>Striving for the highest standards in care</p> Signup and view all the answers

    Psychological altruism is defined as which of the following?

    <p>A motivational state aimed at increasing another's welfare</p> Signup and view all the answers

    What is the primary goal of active constructive responding?

    <p>To enhance individual resilience</p> Signup and view all the answers

    Which skill is NOT included in Year 1 Module of PRP content delivery?

    <p>Resilient Teamwork</p> Signup and view all the answers

    Which of the following is a key element of the Medical Leadership Competency Framework?

    <p>Strong Values</p> Signup and view all the answers

    The quote from Katie Piper emphasizes what concept regarding personal experiences?

    <p>The ability to redefine narratives</p> Signup and view all the answers

    What is the significance of reflective practice in personal and professional development?

    <p>It is a cognitive process for learning</p> Signup and view all the answers

    What duration is allocated for the 'Skill 2: Thinking Traps' module in Year 1?

    <p>120 minutes</p> Signup and view all the answers

    Which statement best represents the 'shared leadership' concept?

    <p>Participation allows others to lead</p> Signup and view all the answers

    What does the 'What? So what? Now what?' model pertain to?

    <p>Cognitive reflection process</p> Signup and view all the answers

    What is the primary concern outlined in the RCSI Code of Conduct?

    <p>Maintaining and improving the health, wellbeing, care, and safety of patients</p> Signup and view all the answers

    Which is NOT one of the core principles of the RCSI Code of Conduct?

    <p>Financial gain through medical practice</p> Signup and view all the answers

    What happens if a student's behavior does not meet the RCSI Code of Conduct standards?

    <p>The matter may be referred according to relevant policies and regulations</p> Signup and view all the answers

    Who is subject to the disciplinary procedures for behavior in Irish medical schools?

    <p>Irish medical students</p> Signup and view all the answers

    What can lead to a fitness to study review under the RCSI policy?

    <p>Receiving reasonable accommodation but not engaging with supports</p> Signup and view all the answers

    What is a key requirement for Irish medical students under fitness to practice processes?

    <p>Being subject to university medical school disciplinary procedures</p> Signup and view all the answers

    What is emphasized as a necessity in the RCSI principles regarding professional conduct?

    <p>To enhance the service provided to society</p> Signup and view all the answers

    How are medical students held accountable under the RCSI Code of Conduct?

    <p>By university disciplinary committees and specific policies</p> Signup and view all the answers

    Study Notes

    Nonmaleficence

    • The ethical principle of doing no harm, based on the Hippocratic maxim "Primum non nocere" (First, do no harm)
    • Central to Gert’s theory of moral obligation, denying a place for beneficence

    Medical Professionalism

    • A set of values, behaviors, and relationships that build public trust in doctors
    • Based on principles of integrity, compassion, altruism, continuous improvement, excellence, and working in partnership (team and patients)

    Medical Professionalism: Foundation Principles

    • Primacy of patient Welfare: Focuses on altruism, trust, and patient interest
    • Patient Autonomy: Incorporates honesty with patients, educating, and empowering them to make informed medical decisions
    • Social Justice: Considers physicians' societal contract and distributive justice, balancing available resources with the needs of all patients while caring for an individual

    Medical Professionalism: Ten Commitments

    • Professional competence
    • Honesty with patients
    • Patient confidentiality
    • Maintaining appropriate relations with patients
    • Improving quality of care
    • Improving access to care
    • Just distribution of finite resources
    • Scientific knowledge
    • Maintaining trust by managing conflicts of interest
    • Professional responsibilities

    Integrity

    • The quality of being honest and adhering to strong moral and ethical principles
    • Doing the right thing, even when no one is looking, even at a personal cost

    Compassion

    • The feeling or emotion evoked by the suffering or distress of another, with the desire to relieve it
    • Fellow-feeling, sympathy, or pity that inclines one to spare or succor

    Altruism

    • A disinterested and selfless concern for the well-being of others
    • Derived from the French word "autrui," meaning "other people"

    Egoism

    • An ethical theory that treats self-interest as the foundation of morality
    • Derived from the Latin term "ego," meaning "I"

    Psychological Altruism

    • A motivational state with the goal of increasing another's welfare

    Psychological Egoism

    • A motivational state with the goal of increasing one's own welfare

    Unprofessionalism

    • Not pertaining to the characteristics of a profession

    Amending Miller’s Pyramid of Learning

    • A model for developing clinical skills and competence
    • Consistently demonstrates the attitudes, values, and behaviors expected of a doctor (Identity)
    • Consciously demonstrates the behaviors of a doctor (Action)
    • Demonstrates the behaviors expected of a doctor under supervision (Performance)
    • Knows when individual behaviors are appropriate (Competence)
    • Knows the behavioral norms expected of a doctor (Knowledge)

    The Importance of Resilience

    • The ability to adapt to change and challenges, bouncing back from adversity
    • Turning a worst day into a best day, being the author of one's own story

    Medical Leadership Competency Framework

    • Developed by the Academy of Medical Royal Colleges & NHS Institute for Innovation and Improvement
    • Emphasizes shared leadership, followership, and strong values with a patient-centered approach

    Reflective Practice: Core Skill in Professional Practice Development

    • A cognitive process to gain and rethink one's practice, learn from experiences, and cope with similar situations in the future
    • Uses the framework "What? So what? Now what?"

    IMC Guidelines for Medical Schools

    • Set ethical standards and guidelines for appropriate behavior for medical students
    • Irish Medical Students are subject to disciplinary procedures by their University Medical School, but not yet subject to IMC Fitness to Practise processes

    RCSI Code of Conduct

    • Based on six core principles:
      • Maintaining and improving patients' health, wellbeing, care, and safety
      • Developing professional competence, skills, and standing
      • Being honest and trustworthy, showing respect for others
      • Conducting oneself in a way that enhances service to society and maintains the profession's good name
      • Maintaining professional knowledge and competence
      • Being aware of obligations under the Code and avoiding breaches

    RCSI Fitness to Study Policy

    • Addresses concerns about students who fail to demonstrate core required academic, clinical, and professional competencies, despite reasonable accommodation or support provided by the University

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    Description

    Explore key principles of medical professionalism and the ethical notion of nonmaleficence, focusing on duties to do no harm. Delve into the commitments that shape physician-patient relationships, and understand the balance between patient welfare and autonomy. This quiz will test your understanding of the foundational principles guiding ethical medical practice.

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