the professional behavior mam ibnouf, frcsed. rationale: with development communities tend to have:...
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The professional behavior
MAM Ibnouf, FRCSEd
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Rationale: With development communities tend to
have:1- changes in the Free Market policies, 2- socioeconomic, 3- ethnical, 4- gender and 5- religion diversities. 6- increased interference of the public
press, 7- more awareness of cost effective and
safe services
These have led to great stress and demand for developing new trends toward medical care.
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What do you need to know before you join
the hospital staff?
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OUTLINES
1- The importance of respect2- How we put this respect into
actions:3- Special emphasis on a- Collaboration b- Honesty c-Evidence for group-work
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1- Respect of others
1- You need to know the hospital procedures
2- You need to know what your rights are?3- You need to know what should you
expect?4- You need step by step help. 5-You need a member of hospital staff to
answer your questions and 7- you need to appropriately to answer
your patients’ questions. So, You need to respect all hospital
staff.
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2- Patient rights
1- Right to be treated2- “ ”” “” “” in privacy3- “ ”” “” “” to consider their
dignity 4- “ ”” “” “” to consider their
respect5- To be protected against abuse 7- “” “” “” “” harm8- To accept and/or refuse their treatment9- Not to disclose their secrets
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10- Rights of the procedures: e.g. The right drug in the right dose in the right site at the right time
Observing these rights will minimize litigations
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3- Respect of doctors image
5- You need a guide.6- You need to know about safety: a- your personal safety b- your patient safety, c- the safety of the environment
So,1- So, You need to respect all hospital
staff.2- Wash your hand to protect yourself,
your patient and the environment to be well
respected
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4- Health advocacy
7- As a junior, you need to have an advocate for you
and you yourself through your deeds should be an advocate for your patient as well. 8- You need to have some beside you for
support and explaining things. The hospital is a busy place.
So, you need to 3- work in a group. The medical practice is not a single person
show.
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5- Professional behaviorself-regulation & lifelong learning1- Dress tidily, talk kindly (avoid nagging
and harsh statements) to be your own advocate to be well respected
2- Be honest, polite and show kindness to others
particularly your patients
3- Show empathy for your patients
3- Dedicate yourself to your a- patients b- professional future
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6- Professional behavior
Show due respect to your colleagues, senior doctors, nurses and other workers in the health profession you are going to work in.
Professional behavior Improve your personal image
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Unprofessional attitudes:
• 1-Arrogant• 2-greed• 3-misperception• 4-lack of conscience• 5- Impairment• 6- Conflict of interest
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7- Professional behavior: teamwork • Be an active and effective
member of your group• The team work reduces
morbidity and mortality• The team members work in an
integrated maner
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The effective team
1- Clear purpose2- Good communication3- Mechanisms for resolving conflicts4- Has the patient at the centre of its
focus 5- Has trust on each other faithful
engagement 6- the team coordinate and collaborate
to improve patient care enhance patient safety and reduce staff burnout
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The effective team
The professional collaboration of the integrated work of the teams in the hospital and the primary care system, the consultants, junior doctors, sisters. Physiotherapists, etc leads to:
1- Patient satisfaction when morbidities are
reduced2- Public satisfaction3- Members satisfaction 4- improves the inter-professional collaboration5- Better retention of the jobs 6- Justified use of financial resources 7- Fulfillment of the social contract
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The evidence
So far there is no enough evidence to support that once you have done something to improve the team work the out come improves because of:
1- The complexity of the inter-professional communication and collaboration2- One of the big challenges is between the
professionals who like to work in integrated inter-disciplinary groups and the policy makers who would like to reduce costs of management and money spent in training
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Patient safety
• An emergency case may have a wrong procedure or wrong drug.
• For this patient patients are encouraged to become part of the health care team
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Tips to the patients SPEAK UP
1- Speak up with questions and concerns2- Pay attention to the care you are
receiving 3- Educate yourself 4- Ask a friend or a family member to be
your advocate5- Know what medications you take and why6- Use a medical facility committed to safety and quality7- Participate in any and all decisions about
your treatment
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The SPEAK UP campaign
Every one has a role in improving the patient condition and safety but the patient involvement in in the health care team according to the centres of Medicare and Medicaid
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Apologizing effectively
• If something went wrong:
• The patient and his guardian may feel worried
• What do patients and his guardian want? Patients want to know what is going on
What is the right thing to do?
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The right thing is to:1- be honest and tell him and/or
his guardian what happened 2- Explain why it happened3- Apologize for that 4- Tell them what is the next step
to be done
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Avoid
1- blaming the others (doctors or nurses)
2- Tell the truth and 3- Tell him you will find out why it
happened and you will feed him back 4- tell him what is the next step
to be done
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What is the consequence of apologizing
1- most likely the patient will respect your honesty and will withstand for the next step of management
2- even if he complain the compensation will be much less than when you dismiss your responsibility
3- this is because it is known that medical errors are un-intentional and also it is believed that people who go to medical schools are:
a- intelligent, b- hard working , and c- the community needs their service d- they are just helpers in healing
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Honesty Honesty of professions:Annual Gall Pull updates Americans views:Nurses 83%Grade school teachers 74% Pharmacists 71%Military officers 65%Medical doctors 64%Layers 15%Congressmen 9%Car salesmen 5%Lobbyist 5%
USA Today /Gall Poll Nov-Dec 2007
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In conclusion
Professionalism: Aspiration towards altruism,
accountability, excellence, duty, service, honour, Integrity (honesty), compassion, self-effacement (self-judgment) and self-sacrifice.
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Bioethics
The 4 principles of bioethics: Nonmaeficence
Autonomy: individuals make
their own decisions
Nonmaleficence: Avoid causing
harmJustice:
Benefits and risks should be
fairly distributed
Beneficence: take actions to help others
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Do and don’t do
1- Be professionally compassionate and keep a distance for the patient to understand that you are this kind doctor
Avoid to become a friend, he may give you something to influence your decision
2- Do pleasant with parents first then with kids.
Avoid giving children incentives. This may act as the wrong massage.
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Do and don’t do
Usually medical staff sustain a lot of stress, and may easily triggered to become angry.
Develop a habit to speak politely Never act in a rude, offence
unprofessional manner
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Management of disruptive behaviour
Such incidence may not be passes as isolated incidence
Should be managed as follows: 1- Systematically 2- Collegially 3- Effectively the result you will be saving
a good doctor for a bright future
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Management
• Provide periodic feed back• Measure performance against
expectations • Set measures for communication
and performance and expectations
• Appoint excellent physicians