INDEPENDANCE PROFESSIONNELLE DU MEDECIN GENERALISTE DANS SES ACTIVITES DE CONSEIL PDF Download

Author: BEATRICE.. SAINT GEORGES CHAUMET LELEU
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Category :
Languages : fr
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Author: Célia Franceschetti
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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INTRODUCTION : l'indépendance professionnelle (IP) des médecin est un principe fondateur de l'art médical, énoncé dès l'Antiquité. La pratique médicale moderne, et l'environnement normatif dans lequel évolue le médecin, multiplient les situations à risque de perte d'indépendance. Dans plus d'un tiers des affaires portées en Conseil disciplinaire de première instance, l'IP est en cause. La formation initiale laisse peu de place au droit médical. L'étude, porte sur l'évaluation des connaissances et ressenti des médecins sur le sujet, et l'évaluation d'un guide pratique sur le sujet mis à disposition, de sa pertinence et son impact dans leur pratique. MATÉRIELS ET MÉTHODES : une revue de la littérature sur le thème de l'IP des médecins a conduit à la rédaction collégiale d'un guide pratique à destination des médecins. Le guide a été diffusé en version numérique aux médecins lorrains enregistrés dans la liste de diffusion des conseils départementaux de la région Lorraine, associé à un auto-questionnaire anonyme, en ligne, permettant une étude régionale, descriptive, transversale et multicentrique des connaissances et ressenti des médecins sur le sujet, et l'évaluation du guide et son impact. L'analyse des résultats a été réalisé à l'aide d'un tableur excel, avec étude des corrélations en fonction de l'âge, du genre et de la spécialité. RÉSULTATS : Nous avons recueilli 62 questionnaires, soit un taux de réponse de 2%. Notre échantillon se composait de 45% de femmes et 55% d'hommes, avec une moyenne d'âge de 47,5 ans. La majorité des médecins exerçaient en zone urbaine ou semi-urbaine, étaient généralistes, en statut libéral, avec des organisations diversifiées et équilibrées. 90% des répondants affirmaient avoir connaissance de la notion d'IP. 79% avaient été confrontés à une situation à risque, et 47% avaient été dans une situation ayant compromis leur IP. Ces résultats étaient corrélés à l'âge des médecins. Le genre ou la spécialité d'influençaient pas ces résultats. La majorité des médecins pensaient qu'un guide pratique sur le sujet, de préférence numérique, pourrait faciliter leur pratique. L'évaluation du guide permettait de conclure que la satisfaction globale était de 60%, et son impact positif pour 75% des médecins. CONCLUSION : Les médecins lorrains étaient largement exposés à des situations à risque de perte d'IP, et à des situations de perte d'IP, en corrélation avec leur âge. Le guide proposé répondait à un besoin, et son impact dans leur pratique était souligné.

Author: Karen Kelton
Publisher:
ISBN: 9781937963200
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Languages : en
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This textbook includes all 13 chapters of Français interactif. It accompanies www.laits.utexas.edu/fi, the web-based French program developed and in use at the University of Texas since 2004, and its companion site, Tex's French Grammar (2000) www.laits.utexas.edu/tex/ Français interactif is an open acess site, a free and open multimedia resources, which requires neither password nor fees. Français interactif has been funded and created by Liberal Arts Instructional Technology Services at the University of Texas, and is currently supported by COERLL, the Center for Open Educational Resources and Language Learning UT-Austin, and the U.S. Department of Education Fund for the Improvement of Post-Secondary Education (FIPSE Grant P116B070251) as an example of the open access initiative.

Author: George Thomas Stafford
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 390

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Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318

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"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Author: P. Wenzel Geissler
Publisher: Berghahn Books
ISBN: 085745093X
Category : Social Science
Languages : en
Pages : 508

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Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the “trial communities” produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.

Author: American Medical Association
Publisher: American Medical Association Press
ISBN: 9781603597197
Category : Medical
Languages : en
Pages : 0

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For more than 160 years, this book has been the authoritative ethics guide on medical professionalism. The Code speaks to the enduring values of medicine as a profession. As a statement of the values to which physicians commit themselves individually and collectively, the Code is the standard for medicine as a professional community. Addressing the professional challenges faced by physicians today, the Code of Medical Ethics presents guidance through more than 200 ethical opinions on topics ranging from physician obligation in disaster preparedness and response, to physician participation in interrogations, to genetic testing and counseling, to use of electronic mail and health-related online sites. In addition to containing the nine Principles of Medical Ethics, this resource incorporates new and updated opinions, such as quality and access to care, decision making for minor patients, breach of security in electronic health records, respecting civil rights in intra-professional relationships, and more. An essential companion for physicians and other medical professionals, attorneys, and patients who contend with the challenging issues and choices inherent in modern medicine, this resource has been increasingly looked to for legal advocacy, decision making in matters of health care law and litigation, and development of health care policy.

Author: American Medical Association
Publisher:
ISBN:
Category : Medical ethics
Languages : en
Pages : 32

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Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317

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Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.

Author: Jacqueline Ki-Zerbo
Publisher: Univ of California Press
ISBN: 9780520066960
Category : History
Languages : en
Pages : 372

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"This volume covers the period from the end of the Neolithic era to the beginning of the seventh century of our era. This lengthy period includes the civilization of Ancient Egypt, the history of Nubia, Ethiopia, North Africa and the Sahara, as well as of the other regions of the continent and its islands."--Publisher's description