TAILIEUCHUNG - Ebook Good medical practice - Professionalism, ethics and law: Part 2

Part 2 book “Good medical practice - Professionalism, ethics and law” has contents: Maintenance of professional competence, ethics and the allocation of health-care resources, the Australian health-care system, the doctor and interprofessional relationships, and other contents. | 12 MAINTENANCE OF PROFESSIONAL COMPETENCE o doctor will deny an ethical obligation to provide competent clinical care to patients, but many have been reluctant to embrace compulsory continuing medical education (CME) or compulsory recertification of their professional competence. Such reluctance in regard to making this obligation compulsory relates to factors including scepticism that recertification will necessarily improve standards of patient care or prevent the problems created by incompetent members of the profession; awareness that the medical profession is generally very committed to CME, and to evaluation of care through clinical research and its dissemination and publication; and, lastly, sensitivity by many doctors to the accountability already required of them by the courts, health complaints mechanisms and medical boards. There has, however, emerged a more positive approach to the need to document maintenance of professional competence in the profession with formal initiatives taken by all the medical colleges. These initiatives, while eschewing examinations, are designed to reflect the realities of everyday professional life and are consistent with education and learning theory, itself still evolving. A small proportion of doctors still resent this perceived bureaucratic intrusion, but the benefits for the medical profession and the community outweigh any additional effort involved in documenting what most doctors already do. Apart from the ethical dimension there are other influences at work in the move to document the maintenance of professional learning and competence of doctors. At the institutional level, voluntary accreditation of hospitals via a process attesting to the meeting of predetermined standards began when the Australian Council on Healthcare (initially ‘Hospital’) Standards (ACHS) was established in 1974. The first medical college to introduce mandatory recertification of competence was the Royal Australian College of Obstetrics and

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• Chronic Obstructive Pulmonary
• BMC Pulmonary Medicine
• Pulmonary function
• Meta analysis
• Chronic obstructive pulmonary disease
• Chronic bronchitis
• Chronic kidney disease
• Glomerular filtration rate
• Knowledge translation
• Knowledge to action
• Pulmonary rehabilitation
• Quality of life
• Health related quality of life
• Co creation
• Participatory research
• Quality of sleep
• COPD patients
• Pulmonary tuberculosis
• Toll like receptor 4
• Single nucleotide polymorphism
• AAT deficiency
• Controlled pilot study
• Increased bacterial loads
• Obstructive pulmonary disease pharmacotherapy
• Chronic pulmonary disease management
• Thai Nguyen hospital
• Lung disease
• COPD patients at CMU
• Chronic systemic inflammatory syndrome
• Acute phase reactants
• C reactive protein
• Serum amyloid A
• Chronic colonization
• Pseudomonas aeruginosa
• Multivariate analysis
• Hemoglobin abnormality
• In hospital mortality
• Population based study
• Cardiovascular disease
• Cardiovascular events
• Long acting bronchodilator
• Chronic lung disease
• Magnetic resonance imaging
• Cerebrovascular disorders
• Risk factors
• Lung function
• Biomass exposure
• Pulmonary function test
• Additional screening methods
• Healthy subjects
• High sensitivity cardiac troponin T
• Pulmonary embolism
• Pulmonary hypertension
• Genetic polymorphism
• Nitric oxide synthase
• Disease exacerbation
• Physical therapy modalities
• Exercise therapy
• Machine learning
• Primary care
• FEV1/FVC ratio
• Aspergillus isolation
• Pulmonary aspergillosis
• Lower respiratory tract
• Lung squamous cell carcinoma
• Lung cancer
• Tumor infiltrating immune cells
• Exercise training
• Oxygen desaturation
• Supplemental oxygen
• Behaviour change
• Physical activity promotion
• Motivational interviewing
• Magnesium isoglycyrrhizinate
• Inflammatory factors IL 6
• Histopathological analysis