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Bioethics
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Doing Right by Philip C. Hébert

Canadian book with clinical cases of bioethics. This book provides a solid introduction to moral principles and ethical reasoning, but we consider it to be low-yield and rather difficult to read. It requires some basic clinical understanding to best understand the resource. We recommend starting with the University of Washington Bioethics site.

"Great book on ethical behaviour and compassionate medicine" - Ben

Doing Right by Philip C. Hébert is a Canadian book that delves into bioethics through the use of clinical cases. In its fourth edition, this resource offers a case-based approach, which makes it an accessible and practical guide for healthcare trainees and practitioners alike, to navigate the complex world of contemporary biomedical ethics.

The book can help premed students prepare as future physicians by providing them with a solid introduction to moral principles and ethical reasoning. Although it may be considered low-yield and somewhat difficult to read, especially for those without basic clinical understanding, it offers invaluable insights into the ethical challenges healthcare professionals face in real-life scenarios. By studying these cases, premed students can develop their ability to analyze and address ethical dilemmas in a clinical context.

Through the exploration of real-life scenarios, Doing Right allows premed students to better understand and appreciate the ethical dimensions of medical practice. This understanding can help them develop the empathy, professionalism, and ethical decision-making skills necessary to navigate the complexities of patient care.

In summary, Doing Right by Philip C. Hébert is a valuable resource for premed students preparing for their future roles as physicians. While it may require some foundational clinical knowledge, the book offers an applied case-based approach that enables students to engage with ethical issues in a relatable and practical manner, fostering the development of crucial skills for their future medical practice.

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Health care issues
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Vanessa's Law and Mandatory Reporting

Vanessa's Law, or the Protecting Canadians from Unsafe Drugs Act, is a critical piece of legislation that aims to enhance patient safety and improve Health Canada's oversight of therapeutic products. It was enacted in 2014 in response to the tragic death of 15-year-old Vanessa Young, who suffered a fatal cardiac arrhythmia after taking the prescribed medication cisapride (Prepulsid®). The law seeks to bolster post-market safety information collection, take appropriate action when serious health risks are identified, and promote transparency in the oversight of therapeutic products.

For premed students preparing to become future physicians, understanding Vanessa's Law and its mandatory reporting requirements is essential. The law empowers Health Canada to require information, tests, or studies, enforce label changes or package modifications, recall unsafe therapeutic products, disclose information in certain circumstances, and impose stringent measures for noncompliance.

Effective December 16th, 2019, health care institutions are required to report serious adverse drug reactions (ADRs) and medical device incidents (MDIs) under the law. This mandatory reporting helps to identify emerging safety issues, assess the harm versus benefit of drugs and medical devices, and improve patient outcomes and public health by sharing learnings through warnings, advisories, and risk mitigation measures.

Premed students can benefit from understanding the importance of Vanessa's Law in promoting patient safety, strengthening the healthcare system's knowledge base, and driving continuous improvement in the medical field. By familiarizing themselves with this legislation, future physicians will be better equipped to comply with mandatory reporting requirements and contribute to a safer healthcare environment.

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Self-reflection
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CanMEDS Framework

The CanMEDS Framework is a comprehensive competency-based model designed to outline the essential skills and abilities required by physicians to effectively address the healthcare needs of their patients. Developed by the Royal College of Physicians and Surgeons of Canada, CanMEDS encompasses seven key roles that are integral to the practice of medicine: Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar, and Professional.

For premed students aspiring to become future physicians, familiarizing themselves with the CanMEDS Framework can provide a clear understanding of the expectations and responsibilities associated with the medical profession in Canada. By exploring each of the seven roles, students can develop a well-rounded perspective on the various aspects of medical practice and identify areas for growth and development.

The CanMEDS Framework can help premed students in the following ways:

  1. Medical Expert: Students can learn to integrate their knowledge, clinical skills, and professional attitudes to provide high-quality patient care.
  2. Communicator: The framework emphasizes the importance of effective communication with patients, families, and colleagues, which is essential for building trust and ensuring optimal care.
  3. Collaborator: Students can develop the ability to work effectively within interprofessional healthcare teams, fostering a collaborative approach to patient care.
  4. Leader: The framework encourages the development of leadership skills, including decision-making, resource allocation, and healthcare system navigation.
  5. Health Advocate: Students can learn to advocate for individual patients and broader community health issues, promoting the well-being of the populations they serve.
  6. Scholar: The framework highlights the value of lifelong learning, research, and knowledge dissemination in the medical profession.
  7. Professional: Students can cultivate a strong sense of ethics, accountability, and commitment to patients, society, and the medical profession.

In summary, the CanMEDS Framework offers premed students a roadmap to developing the essential competencies for successful medical practice. By embracing these roles and honing their skills, future physicians can better meet the healthcare needs of their patients and contribute to the overall improvement of patient care.

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