Podcast
Questions and Answers
What is emphasized as a key distinction between a good physician and a great physician?
Which of the following best describes a core value in healthcare?
What responsibility does a profession hold according to the social compact?
Which statement best reflects the concept of professional integrity in healthcare?
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What does 'teamwork' imply in a healthcare context?
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How should healthcare practitioners view their role within the HPCSA framework?
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What is the main purpose of the HPCSA Core Competencies guidelines?
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What does 'building a longer table, not a taller fence' suggest about values in healthcare?
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What is a central criticism of care ethics related to traditional gender roles?
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Which of the following best describes the 'justice view' in ethical considerations?
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What aspect does care ethics promote which may conflict with fairness?
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According to virtue ethics, how is moral character developed?
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In the context of social justice, which principle does NOT align with its definition?
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What do care ethics encourage individuals to prioritize?
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How does virtue ethics differ from other ethical theories?
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What activity is highlighted as fostering care in an individual’s life?
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What is considered a foundational goal of social justice?
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What relationship does care ethics establish between the individual and their community?
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What is a primary characteristic of primary health care (PHC)?
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Which of the following factors contributes to the limited improvements in lifestyle within a community?
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What is a common demographic pattern seen in developing countries according to the population pyramid?
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What does the Alma Ata Declaration emphasize regarding primary health care?
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Which statement reflects a challenge to achieving intersectoral participation in health care?
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Which of the following best describes the concept of the MacroSystem?
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What is the primary characteristic of the ExoSystem?
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Which of the following factors is considered an Ultimate Factor in the historical development model?
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What does the Continental Axis Theory suggest about the east-west axis compared to the north-south axis?
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How do epidemic diseases contribute to the patterns of human history according to the content?
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Which factor is cited as a Proximate Factor impacting societal development?
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In the context of the Medical Ecology Model, what role does Nonhuman Nature play?
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What is a common effect of having a large, dense, sedentary society?
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What aspect of the MesoSystem is specifically highlighted?
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Which of the following does not represent an Ultimate Factor influencing historical development?
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What does the bio-psycho social model proposed by George L Engel help to understand?
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What is emphasized in 'environmental health' according to the integrative concepts of health?
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Which term is central to the study of human ecology?
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What type of relations are characterized in person-environment interactions?
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The human-ecological framework aims for a multidisciplinary approach in which area?
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What could pathogenic imbalances in human-environment relationships lead to?
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Which incidence exemplifies the repercussions of environmental factors on health?
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What is a key focus area of human ecological medicine?
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In the context of the bio-psycho social model, which element is NOT considered directly?
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Which aspect of health does human ecology primarily analyze?
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Study Notes
Professional Identity Formation
- The purpose of this session is to illustrate the professional framework in which roles and identities of healthcare practitioners develop.
- This session identifies the core and enabling competencies that define a healthcare practitioner.
- The session focuses on evaluating the development of professional identity within the HPCSA/Afrimed/Canmed guidelines framework.
Values
- Values are beliefs people hold, especially about what is right or wrong.
- Values are the principles that determine how people act.
- Values indicate how people interact with each other.
Professions and the Social Compact
- A profession is work that requires a certain amount of training.
- Professions come with a degree of respect and responsibility.
- With this power comes a social compact/expectation, for example, to “do no harm”.
Privilege and Self-Governance
- Healthcare professionals take conscious responsibility for the tasks and interests of their profession, and may oppose the state when necessary.
- This responsibility is facilitated by internalizing a common attitude and understanding of the role of the profession and what constitutes appropriate behavior.
Professional Values
- Compassion: empathy in action.
- Respect: honoring patients' autonomy.
- Integrity: honesty and transparency.
- Professionalism: excellence in practice.
- Communication: the key to effective care.
- Teamwork: collaborating for patient care.
HPCSA Core Competencies
- Role of the Healthcare Practitioner: They integrate all graduate attribute roles, applying profession-specific knowledge, clinical skills and professional attitudes in their provision of patient/client-centred care. The healthcare practitioner is the central role in the framework of graduate attributes.
Points of Reference for Understanding Role
- Batho Pele Principles
- HPCSA guidelines
Morality as Care
- Morality as care has been ignored or trivialized because women were traditionally in positions of limited power and influence.
Justice View
- The justice view focuses on doing the right thing, even if it requires personal cost or sacrificing the interest of those to whom one is close.
Care View
- The care view suggests that we can and should put the interests of those who are close to us above the interests of complete strangers, and that we should cultivate our natural capacity to care for others and ourselves.
Criticisms
- Care ethics was developed as part of the feminist movement, and feminists have criticized care-based ethics for reinforcing traditional stereotypes of a 'good woman.'
- Care ethics can promote favouritism, which violates fairness and impartiality.
- Care ethics must address various issues, including how it can integrate traditional ethical values like justice, etc.
What Should We Care About
- Healthcare professionals have chosen a caring profession, looking after the needs of others.
- These needs include the individuals and their relationships to their families, their relationships to the healthcare professional and their communities.
- Healthcare professionals must also take care of their own families and their own relationships.
Virtue Ethics
- Virtue ethics is not an either/or choice with other theories.
- This theory was developed by Aristotle and other ancient Greeks during their quest to understand and live a life of moral character.
- Virtue ethics assumes that we acquire virtue through practice.
- By practicing being honest, brave, just, generous, and so on, a person develops an honourable and moral character.
- According to Aristotle, by honing virtuous habits, people will make the right choice when faced with ethical challenges.
Theory of Social Justice
- It focuses on equality, equity, rights, and participation.
- Social justice is the fairness of a society's wealth and resource distribution, as well as the distribution of privileges and opportunities.
- Discrimination based on traits like race or gender goes against the principles of social justice, which include human rights, access, participation, and equity.
MacroSystem
- Attitudes and ideologies of the culture.
ExoSystem
- Industry
- Social services
- Mass Media
MesoSystem
- Family
- Peers
- School
- Church
- Health services
- Neighbors
MicroSystem
- Individual (sex, age, health, etc.)
The Continental Axis Theory
- Professor Jared Diamond's theory from "Guns, Germs and Steel".
- The theory suggests that the orientation of a continent's axis significantly influences the diffusion of agriculture, technology, and ideas.
- Continents with primarily east-west axes (like Eurasia) have similar climatic zones as the latitude remains almost constant.
- Continents with north-south axes (like the Americas and Africa) confront changes in climatic zones (temperature, etc).
- Physical barriers (rain forests, swamps, mountain ranges) prevented the diffusion of domestication and technology.
- Different geographic areas offered different resource opportunities.
- Disease played a key role in evolution and was spread more easily due to East/West axes, allowing dense populations and more complex societies.
Factors Underlying the Broadest Pattern of History
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Ultimate Factors:
- East/West axis
- Many suitable wild species
- Ease of species spreading
- Many domesticated plant and animal species
- Food surpluses, food storage
- Large, dense, sedentary, stratified societies
- Technology
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Proximate Factors:
- Horses
- Guns, ocean-going ships, swords
- Steel, writing
- Political organization
- Epidemic diseases
Medical Ecology Model
- Nonhuman Nature (e.g. green space): Provides ecosystem services that impact the distribution of public health benefits; these are affected by environmental ethics, and environmental justice.
- Environmental Ethics: Defines intrinsic and instrumental values of the environment, fosters integration of eco-health perspectives, and maximizes public health benefits.
- Environmental Justice: Ensures equitable distribution of nature-mediated ecosystem services.
- Ecosystem Services: Impact is affected by the principle of environmental justice and leads to equitable distribution of public health benefits.
- Public Health Benefits: Shaped by interactions of humans, pathogens, and the environment.
Integrative Concepts of Health and Disease by Human Ecological Medicine
- George L Engel (1913-1999) developed the bio-psycho social model (1977), which helped understand health and disease in the context of psychosomatics.
- Environmental health also arose, emphasizing the health effects of the physico-chemical environment.
- A human-ecological framework was proposed to create a multi-faceted but integrated theoretical view on health and disease.
- Human ecology- study of the human-environment relationship; it focuses on the "relationship" and its variations and provides a theoretical orientation for multiprofessional practice.
Human-Environment Relationship and its Variants
- Person-environment relations are structures of single or double give-take relations, or give-give, or take-take relations, and additional reciprocal rejection relations.
- The overall relationship can result in pathogenic imbalances.
Biology: Demography
- Assessment method: CHD questionnaire
- Secondary source of info: poor design and poor use
- Intersectoral: not achieved
- Participation: not achieved
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Population pyramid characteristics of developing countries:
- High fertility and mortality
- Characteristic infectious diseases mortality pattern
- Low life expectancy
- Possible high migration rates
Biology: Life Style
- Perceived very high alcohol consumption
- Perceived high tobacco consumption
- Perceived high dagga consumption
- Limited choices for healthier feeding
- Observed prevalent sedentary life amongst adults and specially females
- Perceived youth engaging in risky practices (females tavern visits and rape)
- Perceived high frequency of promiscuous and unprotected sex
- Observed hesitation to attending HCT
- Observed poor compliance to medical treatments
- Perceived poor attention to communal issues
- High frequency of un-planned pregnancies
Primary Health Care as an Approach to Care Delivery
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Aims:
- Define Primary Health Care (PHC) as an approach to the delivery of primary care.
- Locate the centrality of the PHC approach in delivering care in South Africa.
- Discuss PHC as part of the global health agenda, considering the importance of Universal Health Coverage.
Intro to PHC and the Alma Ata Declaration
- Primary health care is essential health care based on practical, scientifically sound, and socially acceptable methods and technology made universally accessible to individuals and families in the community.
- It is a key component of the country's health system, of which it is the central function and main focus, and the first element of a continuing health care process.
- It brings health care as close as possible to where people live and work.
- It is achieved through the full participation of individuals and families in the community.
- It must be affordable to the community and country at every stage of development
- It is delivered in the spirit of self-reliance and self-determination.
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Description
This quiz explores the professional framework that shapes the roles and identities of healthcare practitioners. It evaluates core competencies and how they align with HPCSA/Afrimed/Canmed guidelines. Additionally, it delves into the values, social compact, and responsibilities inherent in healthcare professions.