S4) The Medical Profession Flashcards Preview

(LUSUMA) Applied Social & Behavioural Healthcare Delivery Science II > S4) The Medical Profession > Flashcards

Flashcards in S4) The Medical Profession Deck (17)
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1
Q

What is a profession?

A
  • A profession is a type of occupation able to make distinctive claims about its work practices and status
  • In healthcare, it usually refers to occupations requiring registration
2
Q

What is professionalisation?

A

Professionalisation describes the social and historical process that results in an occupation becoming a profession

3
Q

In three steps, describe professionalisation – the process of an occupation becoming a profession

A

⇒ Asserting an exclusive claim over a body of knowledge/expertise

⇒ Establishing control over market and exclusion of competitors

⇒ Establishing control over professional work practice

4
Q

What is socialisation?

A

Socialisation is the process by which professionals learn during their education and training the behaviours and attitudes necessary to assume their professional role

5
Q

What are the three claims for the right to self-regulation?

A
  • Claim 1: non-professionals are not equipped to evaluate/regulate the unusual degree of skill and knowledge involved in professional work
  • Claim 2: professionals are responsible – they may be trusted to work conscientiously without supervision
  • Claim 3: the profession may be trusted to undertake the proper regulatory action on rare occasions when an individual doesn’t act competently/ethically
6
Q

What were Freidson’s criticisms of self-regulatory model in 1970?

A

Freidson argued that self- regulation promoted a self-deceiving vision of the objectivity and reliability of its knowledge and the virtues of its members

7
Q

Identify four systemic problems explaining why self-regulation is unsuccessful in the NHS

A
  • Staff who were informed found it difficult to act
  • Patients who told HCW were often greeted with disbelief / discredited
  • Whistleblowers were not always believed
  • NHS disciplinary procedures were found to be ‘cumbersome, costly and inhibiting’
8
Q

What are the rules on professional propriety?

A
9
Q

In five steps, explain how the end of self-regulation occured in the UK

A

⇒ GMC now has parity of lay and professional members

⇒ All members are appointed independently

⇒ The council is overseen by the professional standards authority for health and social care

⇒ Civil rather than criminal standard of proof

⇒ Sweeping reform of processes

10
Q

Fitness to practice concerns are referred to the Medical Practitioners Tribunal Services (MPTS).

Provide some examples of reasons for referral

A
  • Misconduct
  • Poor performance
  • A criminal conviction or caution in the UK
  • Physical or mental ill-health
  • Determination by a regulatory body either in the UK/overseas
11
Q

Fitness to practice concerns are referred to the Medical Practitioners Tribunal Services (MPTS).

Provide some actions taken by the MPTS

A
  • Agree undertakings with the doctor
  • Place conditions on their registration
  • Suspend their registration
  • Remove them from the medical register
12
Q

What is revalidation?

A

Revalidation is the process by which licensed doctors are required to demonstrate on a regular basis that they are up to date and fit to practise

13
Q

Identify six aims of revalidation

A
  • Aims to assure patients (positive affirmation)
  • Maintains and improves practice
  • Provides support to doctors in keeping their practice up to date
  • Identifies concerns about doctors at an early stage
  • Encourages patient feedback
  • Acts as a driver for improving clinical governance at the local level
14
Q

In three steps, provide a summary of revalidation

A

⇒ Medical Royal Colleges set the content and standards for each speciality

⇒ Doctors have to provide evidence that shows they are fit to continue practising

⇒ Responsible officer has to make assessments of the evidence as part of the appraisal process

15
Q

What does revalidation involve?

A
16
Q

What evidence does a doctor need for revalidation?

A
17
Q

Identify six threats to clinical autonomy

A
  • Proliferation of guidelines
  • Inspection and monitoring
  • Pay for performance
  • Performance league tables
  • Reputational sanctions
  • Electronic medical records and surveillance