feeling fraudulent when rewarded is reffered to as
4 pillars of medical marriage
top 10 ethical issues for medical education
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FMHC TEST 1 (LATEST) 2024/25 QUESTIONS
WITH 100% CORRECT ANSWERS!!
Trait 1: Perfectionism: Answer - 1. Perfectionism is a common theme among
medical students and graduate physicians
2. Desired by patients and rewarded in the field (reinforced by culture of
medicine)
3. Perfectionism is NOT however adaptive
4. Perfectionism = vulnerability factor for depression, anxiety, burnout, and
suicide
5. Equal in significance to hopelessness as predictor of suicidal ideation
Feeling fraudulent when rewarded is reffered to as Answer - "Imposter Triad"
Compulsive triad: Answer - 1. self doubt
2. guilt feelings
3. exaggerated sense of responsibility
Perfectionistic/compulsive traits common in physicians/physicians in training:
Answer - 1. Rigidity
2. Stubbornness
3. Inability to delegate 4. Excessive devotion to work, leading to neglect of
relationships, self care, leisure time activities
Narcissistic injury: Answer - 1. Academic difficulty experienced for first time
2. Inadequate academic performance is risk factor for depression and anxiety
,3. Inadequate academic performance may be consequence of preexisting
depression/anxiety
Trait 2: Procrastination: Answer - 1. Delaying or ignoring physical health needs
2. Delaying or ignoring relationship needs
3. Fear of seeking treatment for mental health issues due to stigma/ academic
repercussions
4. Leads to self medication
4 pillars of medical marriage: Answer - 1. Intimacy
2. Respect and appreciation
3. Finding shared meaning
4. Communication
Top 10 ethical issues for medical education: Answer - 1. Maintaining health
and wellness as a physician
2. Using social media professionally
3. Reporting incompetent or unethical behaviors by colleagues
4. Involving medical students in patient care
5. Accepting gifts from patients
6. Working with surrogate decision-makers
7. Addressing disparities in health care
8. Managing conflicts of interest
9. Navigating genetics and reproductive medicine
,10. Making decisions when professional, personal values diverge
Professionalism issues found at the medical school level: Answer - 1. Failure to
disclose medical errors
2. Cheating
3. Boundary violations (including sexual boundaries)
4. Improperly disclosing patient information
5. Posting confidential information on social media
6. Derogatory remarks about patients, peers, supervisors
7. Refusal to report impaired peer* ( 7-12% of physicians will become impaired
at some point in their medical career; 75% are impaired due to chemical
dependency; 6-20% have psychiatric illness (mood, anxiety, eating, delusional
disorders); Remaining have organic brain disease, cognitive dysfunction (i.e.,
dementia) due to medical condition)
Top 10 Professionalism Infractions at DCOM for OMS IIIs and IVs: Answer - 1.
Lack of respect for preceptors and DCOM staff
2. Lack of attendance on rotation and for didactics
3. Lack of punctuality
4. Disregarding rules outlined in Rotation Handbook
5. Not reading or responding to email in a timely fashion
6. Disinterested and unprepared for rotations
7. Lack of communication between student, rotation coordinator, preceptor
8. Rude speech/behavior and sense of entitlement
9. Lack of professional attire on rotation
10. Unrealistic expectations for roles and responsibilities
, Ethics definition: Answer - "Ethics is based on well-founded standards of right
and wrong that prescribe what humans ought to do, usually in terms of rights,
obligations, benefits to society, fairness or specific virtues."
Utilitarianism definition: Answer - 1. "The doctrine that actions are right if they
are useful or a benefit of a majority."2
2. "The doctrine that an action is right insofar as it promotes happiness, and
that the greatest happiness of the greatest number should be the guiding
principle of conduct."
3. "...an ethical theory that determines right from wrong by focusing on
outcomes."
Relativism definition: Answer - 1. "The doctrine that knowledge, truth and
morality exist in relation to culture, society or historical context, and are not
absolute."
2. There are no absolute or universal moral principles
Absolutism definition: Answer - 1. "The acceptance of or belief in absolute
principles in political, philosophical, ethical or theological matters."
2. ..."asserts that there are certain moral principles by which all people's
actions may be judged."
Who defines professionalism? Answer - 1. every day and every location
2. deans, faculty, staff
3. colleagues
4. regulatory bodies
5. patients
6. institutions
7. societies
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