Professionalism and Ethics Exam 2 (Lectures 11-20)

50 fill-in-the-blank flashcards covering key concepts from Lectures 11-20 on mindfulness, HIPAA, osteopathic medicine, medical regulation, impairment, and professionalism.

According to Dr. Jon Kabat-Zinn, _______ means “paying attention in a particular way, on _____, in the present moment, ____.”

mindulness, purpose, non-judgementally

Excessive focus on the future can lead to ______, a state that mindfulness seeks to _____.

anxiety, reduce

Mindfulness practices originate from ancient _______ meditation traditions and is based in the religious practice of ______.

Eastern, Buddhism

The first mindfulness-based medical intervention is called _______.

MBSR (Mindfulness-Based Stress Reduction)

Mindful _____ is knowing what you are experiencing in real time and _____ the here and now of thoughts and feelings.

awareness, accepting

The “____ _____,” coined by Dr. Herbert Benson, shows that meditation lowers metabolism, breathing rate, heart rate, and ____ activity.

Relaxation Response, brain

Regular mindfulness practice ________ activation of the brain’s emotional center, the _____.

decreases, amygdala

Physician _______ is linked to substance use, depression, and increased medical errors, and can be mitigated by ________.

burnout, mindfulness

Mindfulness-trained physicians demonstrate greater attentiveness, compassion, empathy, and reduced _____ of patients.

judgment

MBCT stands for __________ .

Mindfulness-Based Cognitive Therapy

ACT in psychotherapy stands for ______

Acceptance and Commitment Therapy (a therapeutic approach that helps individuals accept their thoughts and feelings instead of fighting or feeling guilty for them, while committing to personal values-driven actions.)

DBT stands for _______.

Dialectical Behavior Therapy (a therapeutic approach that combines cognitive-behavioral techniques with mindfulness strategies, primarily aimed at treating borderline personality disorder and emotional regulation)

MMFT is Mindfulness-Based Training, designed for high-stress environments.

Mind Fitness

A formal mindfulness exercise that scans sensations from head to toe is the ____.

body scan

Self-compassion, as described by Dr. Kristin ____, involves common humanity, mindfulness, and __-kindness.

Neff, self

The 5-3-1 daily practice recommends 5 minutes of _____, listing 3 ______, and performing 1 act of __.

meditation, good things, kindness

Crimes, tickets, or arrests must be reported to the Associate Dean within __ hours.

72

HIPAA was enacted on August 21, ___.

1996

HIPAA Title II includes the concept of Administrative __, covering electronic transactions, privacy, and security.

Simplification

The HIPAA Security Rule is based on the three principles of _____, _____, and ____ of PHI.

confidentiality, integrity, availability

HIPAA’s Privacy Rule protects any form of individually identifiable health information known as __. include examples

PHI (Protected Health Information); name, DOB, diagnoses, address, social security, race, etc

Covered entities must disclose only the amount of PHI necessary to accomplish a task which is known as the _______

minimum necessary

Patients have the right to inspect and obtain copies of their ______.

medical records

Civil HIPAA penalties can reach $100 per violation, not to exceed $__ per year for identical provisions. While criminal HIPPA penalties can reach as much as $_____ and __ years in prision for maliscious intent.

25,000; 250,000, 10

Confidentiality must be breached when there is suspected ____ ____ in all U.S. states.

child abuse

The 1969 case __ v. Regents of the University of California established a duty of providers to warn identifiable victims.

Tarasoff

A valid consent for release of information must be 1)written, ___ & ___, 2) ____, 3) ____, 4)____-limited, and 5)include the right to __.

1)signed &dated, 2) valid, 3) specific, 4) time-limited 5) right to revoke

The 2008 act that bars genetic data from being used in employment decisions is called _____.

GINA (Genetic Information Nondiscrimination Act)

DO philosophy emphasizes healing of ___, ____, and ____.

mind, body, and spirit

The __ model applies scientific evidence to the holistic DO approach.

biopsychosocial

__ status allows residency programs to integrate osteopathic principles without extra training time.

Osteopathic Recognition (OR)

In 2008, the FSMB formally recognized both the USMLE and __ licensing exams as valid.

COMLEX

State medical boards perform three main functions: ___, ____, and ___.

licensing, discipline, and regulation

Schedule ____ drugs have high abuse potential and cannot be prescribed under DEA rules.

I; includes heoine, LSD, and ecstasy.

The case Conant v. Walters upheld physicians’ First Amendment right to __ medical marijuana to patients.

recommend

The AMA Code of Medical Ethics was first published in __.

1847

The Lorna Breen Health Care Provider Protection Act prohibits boards from penalizing physicians solely for seeking ____.

mental health treatment

Impairment is defined by the AMA as being unable to practice medicine safely because of ___, aging, or ___.

illness, substance use

Depression affects roughly __–__ percent of medical students.

15-30

Residents with depression are about __ times more likely to make medication errors.

six (6)

Physicians have a __– __ times higher suicide completion rate than the general population.

1.4-2.3

Approximately 15 percent of medical board disciplinary actions relate to _____ issues.

alcohol and drug

Hazardous drinking is defined as ___ or more drinks per week for women (>__ at one time) and __ or more a week for men (>__ at one time).

7 &3, 14 &4

A major reason physicians avoid treatment is fear of ________________.

disciplinary action by medical boards

After five years in a Physician Health Program, __ percent of participants have no positive alcohol or drug tests.

78

The 1889 Supreme Court case ____ vs ______ confirmed states’ rights to require a medical __.

Dent v. West Virginia; license

Medical practice is considered a ____ not a ____, under U.S. law.

privilege, right

Female physicians 46% ____ likely to die by suicide than general population women

Male physicians were 33% ____ likely than men in general population

Female physicians = MORE likely than general female population

Male physicians = LESS likely than general male popoulation

Burnout per the Maslach Burnout Inventory catergorizes it as emotional exhaustion, depersonalization, and reduced sense of ________ __________.

Emotional exhaustion has a strong correlation with __________ __________.

personal accomplishment, depression symptoms

Which organization accredits DO schools?

COCA→Commission of Osteopathic College Accreditation