Identify key dilemmas and possible solutions in professional conflicts in
medicine Answer - Cheating/honor code violations - exams, clinical dishonesty
(documenting a physical exam you didn't do)
Conscientious objection - med students are learners and have to follow what
residents/attendings are doing --> conflicts between student's conscience and
professional norms of medicine
Right of conscientious refusal - legal to refuse to provide services or to
participate as a med student
Speaking up - person of authority asks something that makes you
uncomfortable, students feel pressure to not report
Professionalism summary Answer - Internalization of values, not a set of rules
we must follow
Golden mean = professional qualities meant to represent the ideal compromise
between two unappealing/opposite behaviors
Job vs Career vs Profession vs Calling Answer - Job: Day-to-day task of getting
work done, which calls for diligence, hard work, and sometimes drudgery
Career: Many people set goals for a career path in which they work themselves
through a series of steps from an entry level position to higher level position
, Profession: Occupations in which there is a strong commitment to a field of
service
Calling: Suggests a motivation that comes from outside the person or from
some deep inward commitment that seems to summon the person
Hippocratic Oath Answer - No references to social obligation in the hippocratic
oath, focuses on individual relationships with patients
AMA Code of Ethics Answer - A physician must recognize responsibility not
only to patients, but also to society, to other health professions, and to self
Professionalism Answer - Has a role in defining and distributing with justice
and integrity, a social good to the most vulnerable members of society
Has also failed society in critical instances (Nazi, Communism, apartheid)
Elements of the four box method? Answer - Medical indications
Patient preferences
Quality of life
Contextual features
Limits to autonomy Answer - - Patient wants to deliberately harm
themselves/other
- Patient is not competent/in state of mind to make a decision
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