Medical Ethics 2- What Is A Good Doctor

Front 1

patients must be able to....

Back 1

trust doctors with their lives and health

Front 2

to justify the trust of doctors, they must show respect for human life and make sure their practive meets the standards in what 4 domains

Back 2

• Knowledge, skills and performance

• Safety and quality

• Communication, partnership and teamwork

• Maintaining trust

Front 3

factors affected by doctor patient relationship

Back 3

• Influences ability of trust from patient

• Increases willingness to disclose info

• Safeguard for patients

• Improves health outcomes

• Grounded notion in professionalism

Front 4

What are the models of doctor patient relationships? (PIID)

Back 4

• paternalism
• informative consumer model
• interpretive
• deliberative

Front 5

what is the paternalistic odel

Back 5

• doctor has expertise to make best decision for patient
• patients don't have the knowledge to understand medical issues
• doctors should therefore diagnose and plan P's management
• unilateral decision
• p's POV is ignored.

Front 6

advantages of paternalistic model

Back 6

• emphasises interest of patients
• keeps consultations manageable
• reduces burden of decision making for P

Front 7

disadvantages of paternalistic model

Back 7

• P's values are very important in clinical decision
• responsibility of Docs to explain med terminology and procedures/risks/benefits
• informed consent ignored ?
• can best interest of P be known w/out consulting them ?

Front 8

what is the informative/consumer model

Back 8

• P aware of their value

• The doctor provides relevant factual information requested by the patient

• Little emphasis on any dialogue between patient and doctor

Front 9

advantages of informative model

Back 9

• p has complete autonomy
• ensures informed consent

Front 10

disadvantages of of informative model

Back 10

• no role for doctor's POV
• lacks caring
• assumes patient knows what they want
• doctor simply provides info

Front 11

what is the interpretive model

Back 11

1. doctor gives info on risks/benefits
2. doc helps patient express their feelings/needs from interventions
3. Ps values not seen as fixed
4. doc works with P to determine goals, commitments,plans
5. doc is seen as advisor councellour

Front 12

advantages of interpretive model

Back 12

• involves patient-doctor discussion
• helps P understand own values

Front 13

cricism of interpretive model

Back 13

• p may be overwhelmed by diagnosis and not know their own beliefs
• does not encourage guidance of doctor
• Ps views/values maybe misinformed

Front 14

what is the deliberative model

Back 14

• doc helps patient select most appropriate treatment option
• doc suggest why certain health-related values are better than others
• moral values of treatment not discussed
• doctors acts as friend/teacher and guides patient to right action

Front 15

advantages f deliberative model

Back 15

• involves doc-patient discussion
• allows patient to consider treatement options

Front 16

deliberative model disadvantages

Back 16

• doc reccomendations may be influenced by own values
• can result in paternalism

Front 17

which approach is best

Back 17

• no approach is ideal in all situations
• patient autonomy must be taken into account
• there should be shared decision making
• and care must be patient centred

Front 18

shared decision making between p and D improves:

Back 18

• health outcomes
• patient safety
• reduces ligation
• encourages self-reliance

Front 19

professional regulation

Back 19

• deviation from code of practice may result in disciplinary action by GMC
• GMC represents ethical standards for profession