Browsing by Subject "Physician-Patient Relations"
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Item Being trustworthy in today's medical world(2014-09-09) Potter, Nancy NyquistIs there still a place for trust in today's health care practices? Is it even possible to make time for trusting relations? The short answer is, yes -- depending on how we think about issues of trust. The framework for arguing that trust is still an inviolable quality in health care is that of trust and trustworthiness as virtues. Despite time pressures and the dominance of technologies, being trustworthy is part of professional ethical practices. We will talk about what trust is, when and why there are reasons to care about being trustworthy, and consider what should be done when trust goes wrong. Cases for discussion will be presented.Item Building trust in a time of turmoil(2023-02-03) Lee, Thomas H.Item Communications: a high-risk procedure and the task of teaching others(2018-08-17) Siropaides, Caitlin HoltItem Donald W. Seldin, M.D., Research Symposium finalist presentations(2023-05-05) Eleazu, Ijeoma; Ramos, Lisandro Maya; Salcedo Betancourt, Juan; Singh, Sumitabh; Smith, AaronThis edition of the UT Southwestern Internal Medicine Grand Rounds features presentations by the six Foster Fellows selected as finalists from the Eighth Annual Donald W. Seldin, M.D. Research Symposium, which was held on April 28, 2023. These Foster Fellows presented work that spanned the breadth and depth of scholarly activity across the department, and at the close of Grand Rounds, one will be selected as the 2023 Seldin Scholar, in honor of Dr. Donald W. Seldin. The Grand Rounds presentation includes additional award presentations recognizing Clinical Vignettes, as well as the Award for Research in Quality of Care and Education at Parkland Hospital, the Social Impact Award, and the Award for Basic Science (non-GME).Item The ethics of defibrillators and end of life care: the patient, not the device(2014-07-25) Sulistio, MelanieItem Ethics of smart pills and the dawn of surveillance medicine(2019-10-08) Klugman, Craig M.This presentation will explore the ethics of digital medicine--technology represented by pills that alter our bodily functions alongside sensors that not only collect data about our bodies, but share it with our physicians, family and friends. With FDA approval of the Abilify MyCite system in November 2017, pills now interact with cell phones to track medication adherence, but at what cost? Surveillance medicine stands to redefine the physician patient relationships and raises a host of new ethical issues such as redefining notions of privacy, confidentiality, vulnerability, trust, autonomy, consent, data and device management, dependability, physician autonomy, and equity in access to treatment. This presentation introduces attendees to these technologies and explores the ethical and professional challenges raised as they become more ubiquitous.Item Health equity grands rounds: exploring some complexities of bias & health equity(2024-04-05) Ahmad, Zahid; Estelle, Carolee; Mauricio, Rina; Rashdan, Sawsan; Mathis, Henriette; Nero, AleciaItem I hate this patient: managing countertransference and the difficult patient(2003-09-11) Goldsteen, RobertItem InBasket burden: what physicians and health systems can do to address the "elephant in the room"(2023-10-20) Anshasi, AhmadItem Laws that conflict with the practice of medicine: what should health professionals do?(2015-12-08) Davis, Dena S.A number of states have passed laws that either require physicians to practice bad medicine, or that block them from good medical practice. In addition to anti-abortion laws that require practitioners to give patients inaccurate information, there is also a push by the gun lobby to make it illegal for pediatricians to ask parents if they have guns in the home. A Florida "gag" law to that effect was recently upheld in the 11th Circuit. What should health care providers do when faced with these laws? Is it enough to obey the law and work to overturn the legislation? Are there strategies of circumvention and do they harm the provider/patient relationship? Is civil disobedience ever required, out of loyalty to one's profession and to one's patients?Item [News](1979-12) Harrell, AnnItem [News](1978-10-27) Harrell, AnnItem Patient reported outcomes: the patient's perspective(2020-01-10) Bajaj, PuneetItem Physical exam: past, present and future(2020-08-07) Bhushan, SujataItem Physician burnout: making the case for the cure(2019-09-06) Dike, Ogechi N.Item Recognizing racially motivated diagnosis and treatment(2014-10-14) Hoberman, John M.The racially motivated thinking and behaviors of American physicians receive inadequate attention in the medical literature and medical curricula. Doctors have always absorbed the racial stereotypes and folkloricbeliefs about racial differences that permeate the general population. Racial folklore about black people infiltrated all of the medical sub-disciplines during the twentieth century, and some of these inaccurate ideas remain influential today. These medico-racial stereotypes have produced racially differential diagnoses and treatments that can harm black patients. American medicine has demonstrated a disturbing unwillingness to acknowledge and address racially motivated medical thinking along with the race relations problems that continue to affect doctor-patient relationships. The "cultural competency" instruction offered at many medical schools has proven to be inadequate to reform racial attitudes in American medicine. Medical school curricula should, therefor, include a substantial curriculum on race relations in medicine as well as the origins and consequences of medical racism.Item Structural competency: new frameworks to understand and respond to inequities in health(2023-04-11) Holmes, Seth M.Research on disparities in health and in medical care demonstrates that social, economic, and political inequities are key drivers of poor health outcomes. The influence of such inequities on health has long been noted by clinicians and public health practitioners, but such content has been incorporated unevenly into clinical training and clinical ethics. Recently proposed by clinicians, ethicists, and medical social scientists, the framework of "structural competency" offers a paradigm for training health professionals to recognize and respond to the impact of upstream, structural factors on patient health and health care. This lecture will cover key terms and primary domains of structural competency to allow medical practitioners, ethicists, and researchers to perceive and respond to social inequities in health in new ways.Item Talking with patients and families about medical error(2016-04-12) Truog, Robert D.Until fairly recently, clinicians were routinely told never to admit to a medical error. But patients and society have come to expect and demand more openness and transparency around adverse events and errors, and the medical profession is slowly changing its approach. Not only is an honest approach "the right thing to do," but it has other benefits as well. First, only by acknowledging and analyzing our errors can we take steps to make sure they don't happen again. Second, clinicians often suffer from the silence that surrounds medical errors, and opportunities to disclose and apologize have turned out to be enormously healing for many clinicians. Third, we have learned that empathic disclosure of errors may actually decrease the risk of malpractice litigation, making it possible for patients to be justly compensated for errors without the need to embark upon the costly process of litigation.Item Tolerance & integrity: defining boundaries of acceptable treatment & non-treatment decisions(2020-12-08) Feudtner, ChrisClinical ethics consultations often involve some degree of conflict between patients (or their parents) and clinical teams regarding pursuing--or not pursuing--a specific treatment, or regarding some other request or behavior. Examples include refusal of immunizations or potential life-sustaining therapy; requests for care outside the standard of practice, or to withhold diagnostic or prognostic information, or to provide invasive interventions; or the challenges of providing medical care in the context of extreme non-adherence or verbal abuse. This talk outlines key concepts of what we will call principled conflict management. Principled conflict management requires the exercise of tolerance--which is to say, the virtue of having the judgment to discern which refusals or requests to accommodate and which to resist (and to what degrees), and having the ability to abide by this judgment. Practical guidance will be provided.Item Trust in the medical profession: rebuilding trust one patient at a time(2021-07-02) Newman, Jason