Breaking bad news - how do you deal with anger? (3)
recognise it
don’t dismiss it
remain calm and be professional
Name three things that need to be proven in a negligence claim
- causation
- that duty of care existed between doctor and patient
- that the doctor’s practice fell below the expected standard of care
Describe 2 tests for proving causation in negligence claims
- “but for” test - claimant needs to show that but for the defendence negligence, they would not have been injured
- balance of probabilities - injury is more likely to have occured as a result of the doctors negligence than not
- What is a deductive argument?
2. What is an inductive argument?
1 intended to give logically conclusive support for a conclusion
- intended to give a conclusion probable support
- What is technical efficiency?
2. What is allocative efficiency?
- how best to achieve certain objectives
2. whether to do something/how much of it to do
- What is adverse selection?
2. what is moral hazard
- People pay more than they use
2. insulating consumers from their actions increases demand
name 3 examples of decision and diagnostic support systems
- reminder systems
- decision systems (e.g. Ottawa ankle rules)
- drug dosage computer systems
Name 4 barriers to computer based decision and diagnostic support systems
- previous bad experience of IT
- potential harm to doctor patient relationship
- obscured responsibilities (e.g. loss of autonomy)
- increased workload
Name two things that patient decision aids do
- help patient understand the probable outcomes of options
2. help patients consider the personal value they place on benefits v harms
Name 3 potential adverse effects of vaccinations
- risk from vaccine
- will interfere with other vaccines
- shifting age of susceptibility
- Name 2 arguments supporting age based rationing at the Macro level
- name an argument rejecting age based rationing at the macro level
- treatment and care of elderly is costly
fair innings argument - already lived a full life - we live in a society that treats its members equally with care and compassion
- Name an argument supporting age based rationing at the Micro level
- name an argument rejecting age based rationing at the micro level
- older people are less likely to be responsive to treatment
- age is a protected characteristic under the equality act
Describe the steps of investigation into food poisoning outbreak
- preliminary phase - is there an outbreak?
- immediate steps - who is ill. how many people? what is the cause?
- data collection - time, person, place, symptoms, common factors, food histories
- environmental investigation - visit food place, take samples, speak to staff
