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ch 7 definitions

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Simon Fraser University
PSYC 365
David Cox

Ch 7: The Heath Care Provider Second year - Transformation begins to take place - Become more assertive an confident - Ask questions that show they are now focusing on what needs to be known for patients sake rather than for exam - Feel financial strain of medical school because dont feel they can continue to rely on families for financial support - Social relationships take on unique quality differentiation for those inside and outside of medical school - Enjoy elevated status among the outside but loneliness is common because many people on outside dont understand medical school and are generally unsympathetic to students complainants Third year - Interact directly with patients in hospital setting new set of insecurities, dont know enough to take on duties of a physician - Gap between real life and textbook feeling uncertain and inadequate (but patients usually accepting) - Issues need to accept they will make mistakes, strike balance between clinical competence and unrealistic expectations of perfection, contagion (because expose to contagious disease), encounter with critically ill patients, deal with death - Susceptibility accidents that may compromise a students health (needle, cuts) - Critically ill taught to cope by immersing self in work using humour, coming to realize death is not always equivalent to failure, Compassion fatigue - Lack of energy among health care professionals, particularly nurses, who are constantly working in an environment in which suffering is common Residency - Time during medical training that bridges attainment of a medical degree and establishment of practice - MDs learn specialities; last 2-5 years - Help cope with demands of on-call nights advised to prioritize sickest patients and responds to beepers fast and always try to prevent rather than treat - Canada: on-call every fourth night(no shift longer than 24 hours with 10 hours rest between shift) 80 hours per week Burnout - Condition thats similar to compassion fatigue and includes symptoms of physical exhaustion, depersonalization of patients, feelings of discouragement and low accomplishment; perceived ineffectiveness, cynicism, dissatisfaction with relations with co-workers - In nurses, physicians, other health profe
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