The Pharmacologic Principles of Medical Practice. A Textbook on Pharmacology and Therapeutics for Medical Students, Physicians, and the Members of the Professions Allied to Medicine.John C. Krantz, Jr. , C. Jelleff Carr

ObjectivesMedical practice may attract and possibly enhance distinct personality profiles. We set out to describe the personality profiles of surgical and medical specialties focusing on board-certified physicians.DesignProspective, observational.SettingOnline survey containing the Ten-Item Personality Inventory (TIPI), an internationally validated measure of the Five Factor Model of personality dimensions, distributed to board-certified physicians, residents and medical students in several European countries and Canada. Differences in personality profiles were analysed using multivariate analysis of variance and Canonical Linear Discriminant Analysis on age-standardised and sex-standardised z-scores of the personality traits. Single personality traits were analysed using robust t-tests.ParticipantsThe TIPI was completed by 2345 board-certified physicians, 1453 residents and 1350 medical students, who also provided demographic information.ResultsNormal population and board-certified physicians’ personality profiles differed (p<0.001). The latter scored higher on conscientiousness, extraversion and agreeableness, but lower on neuroticism (all p<0.001). There was no difference in openness to experience. Board-certified surgical and medical doctors’ personality profiles were also different (p<0.001). Surgeons scored higher on extraversion (p=0.003) and openness to experience (p=0.002), but lower on neuroticism (p<0.001). There was no difference in agreeableness and conscientiousness. These differences in personality profiles were reproduced at other levels of training, that is, in students and training physicians engaging in surgical versus medical practice.ConclusionThese results indicate the existence of a distinct and consistent average ‘physician personality’. Despite high variability within disciplines, there are moderate but solid and reproducible differences between surgical and medical specialties.

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Conclusion

Non-Binary Genders ◽

10.1332/policypress/9781447351917.003.0008 ◽

2020 ◽

pp. 197-214

Author(s):

Ben Vincent

Keyword(s):

Informed Consent ◽

Medical Students ◽

Medical Practice ◽

Medical Staff ◽

Critical Reflection ◽

Racial Diversity ◽

Health Screening ◽

Equal Access ◽

Preventative Health ◽

The Impact

The conclusion considers what systemic improvements may be made to queer communities and medical provisions, to allow the heterogeneity of non-binary identifying people to feel legitimised in their identities, and have equal access and experience of services. One of the most fundamental recommendations for medical practice that can be made is inspired by those communities that non-binary people expressed affinity with, such as bisexual and kink communities. Such spaces were sensitive and reflexive to gender plurality, and tended to construct language and space to be more fully inclusive. Gendered assumptions rooted in cisnormativity should be challenged within medical practice. Practices in gendered medicine may be similarly adjusted at the administrative level to improve preventative health screening for trans individuals. Much of this may be attained initially through the provision of training to both medical students and existent medical staff and administrators. This is followed by a critical reflection on gender affirming medical services, whereby the impact of a shift to an informed-consent focused model is considered. In order to optimise such recommendations, the limitations of this study and future necessary directions of enquiry are then addressed. This includes final methodological reflections and intersectional factors – such as the limited classed and racial diversity of the participants.

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Women in Psychiatric Training

Women's Voices in Psychiatry ◽

10.1093/med/9780198785484.003.0028 ◽

2018 ◽

pp. 253-263

Author(s):

Georgina Fozard ◽

Philippa Greenfield

Keyword(s):

Social Media ◽

Medical Students ◽

Group Dynamics ◽

Medical Practice ◽

Medical Profession ◽

Self Care ◽

Psychiatric Training ◽

Self Reflection ◽

It Impacts ◽

The Way

Training in psychiatry involves a fascinating and rewarding journey, and is a wonderful career for women. This chapter explores what it means to be a female psychiatric trainee. The authors discuss the recruitment crisis within psychiatry and the way that stigma and financial pressures upon the NHS compound this. They discuss their own experiences as medical students interested in psychiatry, particularly with regard to overcoming prejudices within the wider medical profession. There are certain challenges that are particular to training in psychiatry that women trainees face, including everyday sexism and how it impacts on self-esteem, as well as exposure to violence and stalking, and the effect of social media on medical practice. The authors discuss their own experiences in facing these challenges, what more could be done to support trainees, and they consider the importance of self-care and the way in which training as a psychiatrist can give trainees particular skills of self-reflection and insights into group dynamics that can be invaluable in developing as medical leaders.

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A National Sample Survey of Medical Students about Their Perception and Evaluation on Medical Study, Career Plan, and Medical Care System: Part 3. Student's View on Merits and Demerits of Being Physician, Patients and Diseases, Medical Practice, and Medic

Korean Journal of Medical Education ◽

10.3946/kjme.1999.11.2.379 ◽

1970 ◽

Vol 11 (2) ◽

pp. 379-395

Author(s):

Jung Han Park ◽

Kyung Hwan Kim ◽

Hae Ri Jun ◽

Soon Woo Park

Keyword(s):

Medical Students ◽

Medical Care ◽

Medical Practice ◽

National Sample ◽

Sample Survey ◽

Medical Care System ◽

Career Plan ◽

National Sample Survey ◽

Medical Study ◽

System Part

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Ethical Issues in Physician Billing Under Fee-For-Service Plans

The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine ◽

10.1093/jmp/jhz029 ◽

2020 ◽

Vol 45 (1) ◽

pp. 86-104

Author(s):

Joseph Heath

Keyword(s):

Medical Students ◽

Medical Practice ◽

Ethical Issues ◽

Professional Culture ◽

Physician Training ◽

Fee For Service ◽

Moral Obligations ◽

Moral Dimension ◽

Physician Billing ◽

Clinical Accuracy

Abstract Medical ethics has become an important and recognized component of physician training. There is one area, however, in which medical students receive little guidance. There is practically no discussion of the financial aspects of medical practice. My objective in this paper is to initiate a discussion about the moral dimension of physician billing practices. I argue that physicians should expand their conception of professional responsibility in order to recognize that their moral obligations toward patients include a commitment to honest and forthright billing practices. I argue that physicians should aspire to a standard of clinical accuracy—not legal adequacy—in describing their activities. More generally, physicians should strive to promote an integrity-based professional culture, first and foremost by stigmatizing rather than celebrating creative billing practices, as well as condemning the misguided sense of solidarity that currently makes it taboo for physicians to criticize each other on this score.

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Recognising and approving trainers: are we ready?

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363513x13690603820829 ◽

2013 ◽

Vol 95 (7) ◽

pp. 235-235

Author(s):

Anca Wade ◽

Jonathan Beard

Keyword(s):

Medical Students ◽

Medical Practice ◽

Winston Churchill ◽

Huge Challenge

The quality of medical practice and the safety of patients are crucially dependent on the quality of the training provided to medical students and trainees. This may sound obvious, but is something that we need to remind ourselves of every day, and consider what it means in our day-to-day practice. As winston Churchill famously said: 'To improve is to change; to be perfect is to change often'. A huge challenge, maybe, but a challenge to which need to face and respond.

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Legal Implications of the Use of Vaccines

Medico-Legal Journal ◽

10.1177/002581727904700404 ◽

1979 ◽

Vol 47 (4) ◽

pp. 152-159 ◽

Cited By ~ 1

Author(s):

Michael O'Brien

Keyword(s):

Medical Students ◽

Health Service ◽

Community Health ◽

Significant Role ◽

Medical Practice ◽

Health And Safety ◽

General Medical Council ◽

Theory And Practice ◽

Medical Council ◽

Legal Implications

The legal implications of the use of vaccines to promote individual and group immunity constitute a complex pattern of common and statute law interwoven with the ethical code governing medical practice. In the circumstances under discussion, teaching the theory and practice of vaccination to medical students, several roles have to be considered. Firstly there is the recipient, a baby or schoolchild, both with the oversight of a parent or guardian. In some circumstances the recipient may be an adult. Secondly, there is the person advising upon, and administering the vaccine — either the student or the doctor. Lastly, the Authority in whose premises the teaching and vaccination take place plays a significant role. In the wings, waiting to be cued to activity by misfortune, the General Medical Council, the Health Service Commissioner, the Health and Safety Executive, lawyers and community health councillors play a passive, but everpresent role.

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