Structured learning for clinical ethics in anaesthesia

2016 ◽  
Vol 11 (4) ◽  
pp. 200-209
Author(s):  
Sri Logarajah ◽  
Sue Roff
Keyword(s):  
Medical Practice ◽  
Clinical Ethics ◽  
Ethics Education ◽  
Good Practice ◽  
General Medical Council ◽  
Structured Learning ◽  
Medical Council ◽  
Ethical Practice ◽  
Good Medical Practice ◽  
Education Decision

The ‘SLICE’ model for Structured Learning in Clinical Ethics provides a template to help medical professionals identify their own “moral compass” to provide guidance in complex ethical areas. The model has five domains – Conscience, Compliance, Concurrence, Conversation and Conversion. The use of ‘SLICE’ model as a tool for ethics education has been described in various undergraduate and postgraduate settings. These include teaching ethical aspects of transplantation; legislation for undergraduates and consent in paediatric anaesthesia. Its use as tool for teaching reflective ethical practice has been recently described demonstrating the potential of the SLICE model for supporting appraisal and professional development. In this article, we explore the suitability of the SLICE model to provide a general framework encompassing all the requirements for Ethical Clinical practice in anaesthesia. Good Medical Practice guidance produced by the General Medical Council and guidance provided jointly by the Royal College of Anaesthetists and Association of Anaesthetists of Great Britain and Ireland is used as the foundation for developing this framework. The Good Practice Guide for anaesthetic departments provides a solid ethical frame work for interpreting and applying Good Medical Practice guidance by the General Medical Council. Tools such as the SLICE model complement the guides produced by the professional organisations by providing a choice of different methods to facilitate education, decision making and reflective practice.

scholarly journals Could Personalised Self-Inking Stamps Improve Identification Standards in Medical Records?

2012 ◽  
Vol 94 (4) ◽  
pp. 128-130
Author(s):  
Sac MacKeith ◽  
Svelusamy ◽  
A Pajaniappane ◽  
P Jervis
Keyword(s):  
Medical Practice ◽  
Medical Records ◽  
General Medical Council ◽  
Case Note ◽  
Medical Council ◽  
Patient Records ◽  
Medical Case ◽  
Good Medical Practice ◽  
Professional Contact

Doctors' handwriting has long been criticised as being difficult to read or even illegible. In more recent years research has confirmed that it is not uncommon to find medical case note entries that are deficient, illegible or unidentifiable. In Good Medical Practice the General Medical Council (GMC) asks that doctors 'keep clear, accurate, legible and contemporaneous patient records'. In addition, the GMC 'expects that all doctors will use their reference numbers widely to identify themselves to all those with whom they have professional contact'. This includes encouragement for its use in case note entries and prescribing.

SMART tips for setting teaching objectives

2017 ◽  
Vol 10 (10) ◽  
pp. 614-617
Author(s):  
Yasmin Hughes
Keyword(s):  
Medical Practice ◽  
General Medical Council ◽  
Formal Training ◽  
Medical Council ◽  
Effective Teacher ◽  
Good Medical Practice ◽  
Teaching Objectives ◽  
And Training

‘Doctor’, derived from Latin, means ‘teacher’. As doctors, we teach our patients, students and colleagues. The General Medical Council makes reference to this in ‘Good Medical Practice’, stating that as a doctor ‘you should be prepared to contribute to teaching and training doctors and students’. The importance of teaching is echoed in the RCGP curriculum. Despite its importance, not every doctor has the opportunity of formal training on how to become an effective teacher. This article presents a simple guide that doctors can use to plan teaching sessions.

scholarly journals 1469 Audit of Clinical Notes Filing in Vascular Surgery

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Griffiths ◽  
A Perusseau-Lambert ◽  
A Bush ◽  
D Mittapalli
Keyword(s):  
Vascular Surgery ◽  
Medical Practice ◽  
Royal College ◽  
Quality Care ◽  
General Medical Council ◽  
Medical Council ◽  
Chronological Order ◽  
Record Keeping ◽  
Clinical Notes ◽  
Good Medical Practice

Abstract Aim Assess the correctness of patient's notes filing following the Royal College of Physicians, Record Keeping Standards, and the General Medical Council, Good Medical Practice, guidance: medical notes must be filed in the correct section, in a chronological order, three key identifiers on each page. Method Over 3 months, the general surgical wards, using case notes and those using folders for the current admission were assessed to identify loose notes. The vascular surgery patients’ notes were reviewed for the following criteria: not loose, filed in the correct section, in chronological order, and had three key identifiers. Results Surgical wards using case notes had 28.6% of the notes filed (n = 21) compared with 78.9% filed on wards with admission folders (n = 57). Within vascular surgery (n = 15), 13.3% had all notes filed, 20% were in chronological order, 6.7% had notes filed in the correct section, and 20% had key identifiers on every page. Conclusions The filing of case notes on the vascular ward resulted in loose notes more than other wards that use admission folders. To resolve this, “Admission Folders” were introduced (alongside full case notes) to assist with filing and label sheets used to assist with fast identification of current admission documents. After implementation of Admission Folders, the staff found notes easier to access and follow, according to the staff surveys, and notes were correctly filed and given identifiers, ensuring continued quality care for the patients.

Patient Preferences for the Method of Delivery of Preoperative Patient Information

2013 ◽  
Vol 95 (7) ◽  
pp. 228-230 ◽  
Author(s):  
JH Bird ◽  
TC Biggs ◽  
WO Bennett ◽  
VM Reddy ◽  
PR Counter
Keyword(s):  
Medical Practice ◽  
Patient Information ◽  
Surgical Intervention ◽  
General Medical Council ◽  
Sufficient Information ◽  
Medical Council ◽  
Additional Information ◽  
Good Medical Practice ◽  
Sufficient Detail ◽  
Preoperative Patient

The importance of providing patients with adequate additional information prior to the consenting process for a surgical procedure has long been established. This information is intended to provide sufficient detail to allow the patient to make an informed decision about the proposed surgical intervention. indeed, the general Medical Council states this in Good Medical Practice: patients must be given sufficient information, in a way that they can understand, in order to enable them to exercise their right to make informed decisions about their care.

scholarly journals Relicensing, recertification and regulation

2008 ◽  
Vol 14 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Graeme Catto
Keyword(s):  
Medical Practice ◽  
Healthcare Professionals ◽  
General Medical Council ◽  
Medical Council ◽  
The Public ◽  
Good Medical Practice ◽  
Patient Questionnaires ◽  
The Uk ◽  
New System

Proposed changes to the regulation of healthcare professionals in the UK set regulators a considerable challenge. Here I examine the nature of the challenge and what the General Medical Council (GMC) and its partners are doing to meet it. Relicensing and recertification are crucial. Revalidation is the sum of their parts and the duty of any responsible regulator. Effective revalidation will provide affirmation of doctors' entitlement to practise, and give the public the assurance that the doctors who treat them are up to date and fit to practise. The GMC's Good Medical Practice is central to any new system, and I outline the GMC's long-term thinking and immediate priorities, including the development of colleague and patient questionnaires and plans to introduce licences to practise.

Legal Implications of the Use of Vaccines

1979 ◽  
Vol 47 (4) ◽  
pp. 152-159 ◽  
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.

Professional skills and behaviour

2016 ◽  
Author(s):  
Lucy Barker ◽  
Ameenat Lola Solebo ◽  
Melanie Hingorani ◽  
John Bladen
Keyword(s):  
General Medical Council ◽  
Freedom Of Information ◽  
Medical Council ◽  
Freedom Of Information Act ◽  
Professional Skills ◽  
Health Records ◽  
Clinical Leadership ◽  
Good Medical Practice ◽  
Information Governance ◽  
And Training

This chapter discusses professional skills and behaviour in ophthalmology. It starts off by detailing good medical practice, as set forth by the General Medical Council. It then addresses information governance, with a discussion of the Data Protection Act 1988, the roles of the Information Commissioner’s Office and the Caldicott Guardian, and the use or disclosure of confidential information, as well as the Freedom of Information Act 2000, electronic health records, and the Royal College of Ophthalmologists’ national ophthalmic audit programme. It then goes on to discuss clinical governance and risk management, clinical leadership, and NHS management, education, and training. Communication and consent, research, statistics, and the Ophthalmic Trainees’ Group are also addressed. The chapter concludes with a discussion concerning the safeguarding of patients.

He who pays the piper

2008 ◽  
Vol 14 (2) ◽  
pp. 115-118
Author(s):  
Sameer P. Sarkar
Keyword(s):  
Medical Practice ◽  
Expert Witness ◽  
General Medical Council ◽  
Expert Witnesses ◽  
Medical Council ◽  
England And Wales ◽  
Legal Principle

It has been clearly established as a matter of legal principle that the duty of expert witnesses is to the court, and not to the cause of those who instruct them. I will suggest that many experts fail to maintain this neutrality, for both conscious and unconscious reasons. If this is so, there may be real dangers in the use of single joint experts, even if there is the benefit of lower costs. In England and Wales, expert witness practice is now seen as part of medical practice by the General Medical Council: the whole profession needs to engage in a debate about how this should be scrutinised and regulated.

Sign in / Sign up

Export Citation Format

Share Document