Bedside Medical Teaching pdf - نظري

Unit 1 - Good medical practice

Bedside Medical Teaching

To study medicine at bedside of your patient



Talk with a patient



Take the history from the patient



Examine the patient



Formulate your findings into differential diagnosis



Rank these in order of probabilities



Use investigations to support or refute your differential

diagnosis



Listen to your patient, he is telling you the diagnosis.



The doctor may also learn more about the illness from the

way the patient tells the story than from the story itself.
Dr. James B. Herriock (1861-1954).



The most vital part of a doctor is his interest in humanity.

Always remember that your patient is a human being ,he
is hopeful but fearful.

(Harrison-Principles of internal Medicine).



The first and most important step for a successful doctor

is to educate the patients so that they can decide what is
the best course and procedure for themselves



Do you really need this?

(Half of what you are taught as medical student will in ten
years have been shown to be wrong and the trouble is
none of your teachers know which half)
Dr. Sydney Burwell



Impact of medical information research showed changes

in patient management choice of medication 45% and
diagnosis 29%



High cost of not finding information

New beginning
New dreams
New memories



Main defect

Low awareness among population and patients



Observer error

You see only what you look for
You recognize only what you know
Merril C. Sosman,Bosten



Close friends and relatives provide a useful third-party

view of the patients well being

The duties of a doctor registered with the UK
General Medical Council



Patients must be able to trust doctors with their lives and

health. To justify that trust you must show respect for
human life and you must:



Make the care of your patient your first concern



Protect and promote the health of patients and the public



Provide a good standard of practice and care



Keep your professional knowledge and skills up to date



Recognize and work within the limits of your competence



Work with colleagues in the ways that best serve patients'

interests



Treat patients as individuals and respect their dignity



Treat patients politely and considerately



Respect patients' right to confidentiality



Work in partnership with patients



Listen to patients & respond to their concerns & preferences



Give patients the information they want or need in a way

they can understand



Respect patients' right to reach decisions with you about

their treatment and care



Support patients in caring for themselves to improve and

maintain their health



Be honest and open, and act with integrity



Act without delay if you have good reason to believe that

you or a colleague may be putting patients at risk



Never discriminate unfairly against patients or colleagues



Never abuse your patients' trust in you or the public's trust

in the profession.



You are personally accountable for your professional

practice & must always be prepared to justify your
decisions & actions

Change management



The only constant in medicine is change



Medicine is an ever changing subject



Opinion base evidence base



MOH

Unit 1 - Good medical practice

  Facts and figures
  No percentage
  Should believe in change

5 star doctor: tomorrow's doctor...good doctor

WHO goal



Leader



Communicator



Team worker



Policy maker



Care provider

Multidiscipline sheet



Paramedics



Nurse



Resident



Senior House Officer



Clinical Pharmacist



Dietician



Specialist senior / Senior Consultant



administrator / Statistician

Evidence base data

Young platform doctors



Thinking / Attitude



Opinions



Sharing actively in duties



Handworkers / breadwinners



Future pioneers



Rewards to youngest researcher



Chance to postgraduate candidate to hold & present talks

Residents are the future:



Medicine is a MISSION not a business



The most vital part of a doctor is HUMANITY



Always remember that your patient is a HUMAN BEING



He is FEARFUL BUT HOPEFUL

Seniors



Wisdom / Experience



Father figure



supervisor



Policy and decision maker



Law Maker



Insanity repeat things over & over & you think you are

doing something



New Creativity repeat things to have something new

Innovation create something new

Change syllabus According to



Community demands



Stakeholders



Doctor patient relationship



Third party



Practicalities / Block System

flooding technique

Knowledge



Skills



Attitude



Attitude Problem



Ego / Super Ego

Cooperation coordination collaboration

Unit 1 - Good medical practice



Education is the most powerful weapon which you can

use to change the world. Nilson Mandella



The biggest enemy of health in the developing world is

poverty. Koffi Anaan (The secretory general UN
&Noble price of peace 2001)



Medicine is a social science and politics is nothing but

medicine on a larger scale
RUDOLF VIRCHOW (1821-1902)



While medicine is getting increasingly molecular, don't

lose the human side of it
االستاذ الدكتور محمد علي خليل المدامغة