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21 Cards in this Set

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What medical school factors are predictors of disciplinary action by medical boards?
1. Severe irresponsibility
2. Severely diminished ability to improve behavior
3. Low MCAT scores
4. Poor grades in first 2 years
What specialty had the most disciplined physicians
Internal medicine
Is there a correlation between unprofessional behavior in medical school to discipling by state medical-licensing boards?
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.
Did the study find male sex to be a factor for disciplinary action?
NO
What are the most frequent reasons for discipline over a 2 year period?
Negligence, abuse of alcohol or other drugs, inappropriate prescribing practices, inappropriate contact with patient and fraud.
According to "Physicians disciplined by a State Medical Board" what factors are associated with physician disciplinary action?
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
Summary of focus-group observations by community-based family physicians regarding tensions among various values in their professional roles
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.
Our way of distancing ourselves from a full awareness of unpleasant thoughts, feelings and desires
Defense Mechanisms
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.
Compartmentalization
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
Compensation
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
Denial
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
Displacement
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
Fantasy
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.
Intellectualization
Attribution of one's undesired impulses onto another. Thus, an angry spouse accuses their partner of hostility
Projection
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."
Rationalization
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.
Reaction formation
Reversion to an earlier stage of development in the face of unacceptable impulses
Regression
Blocking of unacceptable impulses from consciousness
Repression
Channeling of unacceptable impulses into more acceptable outlets
Sublimation
Attempt to take back behavior or thoughts that are unacceptable. An example would be excessively praising someone after having insulted th em
Undoing