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21 Cards in this Set
- Front
- Back
What medical school factors are predictors of disciplinary action by medical boards?
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1. Severe irresponsibility
2. Severely diminished ability to improve behavior 3. Low MCAT scores 4. Poor grades in first 2 years |
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What specialty had the most disciplined physicians
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Internal medicine
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Is there a correlation between unprofessional behavior in medical school to discipling by state medical-licensing boards?
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Yes, physicians who were disciplined by state medical-licensing boards were three times as likely to have displayed unprofessional behavior in medical school than were control students.
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Did the study find male sex to be a factor for disciplinary action?
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NO
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What are the most frequent reasons for discipline over a 2 year period?
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Negligence, abuse of alcohol or other drugs, inappropriate prescribing practices, inappropriate contact with patient and fraud.
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According to "Physicians disciplined by a State Medical Board" what factors are associated with physician disciplinary action?
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1. Sex (more men)
2. Involvement in direct patient care (more involvement, more disciplinary action) 3. Less likely to be board certified 4. In practice for more than 20 years |
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Summary of focus-group observations by community-based family physicians regarding tensions among various values in their professional roles
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1. Balance of individual physician values & patient values
2. Balance of individual physician values and professional values. 3. Balance of individual physician values & medical organization/employer values. |
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Our way of distancing ourselves from a full awareness of unpleasant thoughts, feelings and desires
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Defense Mechanisms
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Process of separating parts of the self from awareness of other parts and beaving as if one had separate sets of values. Ie: an honest person who cheats on their income tax return and keeps their two value systems distinct and unintegrated while remaining unconscious of the cognitive dissonance.
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Compartmentalization
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Process of psychologically counterbalancing perceived weaknesses by emphasizing strength in other arenas. The "I'm not a fighter, I'm a lover" philosophy can be an example of compensation as can the Napoleonic complex
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Compensation
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The refusal to accept reality and to act as if a painful event, thought or feeling did not exist. It is considered one of the most primitive of the defense mechanisms because it is characteristic of very early childhood development
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Denial
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Redirecting of thoughts feelings and impulses from an object that gives rise to anxiety to a safer, more acceptable one. Being angry at the boss and kicking the dog can be can example
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Displacement
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When used as a defense mechanism, is the channeling of unacceptable or unattainable desires into imagination. This can protect ones self-esteem, as when educational, vocational or social expectations are not being met, one imagines success in these areas and wards off self-condemnation
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Fantasy
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Use of a cognitive approach w/o the attendant emotions to suppress * attempt to gain mastery over the perceived disorderly and potentially overwhelming impulses. An example might be an individual who when told they had a life threatening disease focuses exclusively on the statistical percentages of recovery and is unable to cope with their fear and sadness.
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Intellectualization
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Attribution of one's undesired impulses onto another. Thus, an angry spouse accuses their partner of hostility
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Projection
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Cognitive reframing of ones perceptions to protect the ego in the face of changing realities. Thus, the promotion one wishes for and didn't get becomes a "dead end job for brown nosers and yes men."
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Rationalization
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Converting of wishes or impulses that are perceived to be dangerous into their opposites. A woman who is furious at her child and wishes her harm might become overly concerned and protective of the child's health.
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Reaction formation
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Reversion to an earlier stage of development in the face of unacceptable impulses
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Regression
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Blocking of unacceptable impulses from consciousness
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Repression
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Channeling of unacceptable impulses into more acceptable outlets
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Sublimation
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Attempt to take back behavior or thoughts that are unacceptable. An example would be excessively praising someone after having insulted th em
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Undoing
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