USMLE STEP 1: ETHICS (PART 2) w/ Questions
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- čas přidán 29. 07. 2020
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Disclaimer: As an Amazon Associate I earn from qualifying purchases. There is no additional charge to you. STEP 1: ETHICS (PART 2) w/ Questions. This video reviews the extra pieces of the ETHICS topic. Hope this was helpful.
HOMEWORK ASSIGNMENT - The GENETICS Video will be worked on SOON. Memorize the diseases of each Category. This is strict MEMORIZATION. I will teach the skill...
thank you so much Dr. Neil. Looking forward to it.
sir please explain why we don't need to inform if the physician is HIV positive ?
It was felt that there was negligible risk of transmission and forcing Health care workers to disclose would prevents them from getting tested etc... Therefore, there is no obligation to disclose. Unless it has changed recently...
Randy Neil, MD thank you sir
Great! can't wait, keep going Dr Neil
from uworld: patient doctor relationship (non-psychiatric patient): doctor cannot suggest to end the doctor-patient relationship in pursuit of dating them. This would be unethical since it would compromise the patient's care (especially if they had been their patient for several years). I think for usmle, a doctor can only date a PRIOR patient (relations ended naturally) if they happen to link up a few years later (not sure on the number of years)
At least two years I think
Two years
Can the patient end the doctor patient relationship?
@@user-df8ft3km6u no
Albert Einstein quote,
Good teaching is more a giving of right questions than a giving of right answers.
But too be vey honest in your case you give the right questions and answers, you are phenomenal 👏.
Musawair, Thank you for the comment. Much appreciated and glad to know it is helpful.
This ethics series r phenomenal ...cant explain this ...I love your teaching techniques..... dnt stop making videos on step 1.... it's really helpful
USMLE_Goal, Thank you for the kind words and commenting... It nice to hear.
Hi dr Neil! I'm a brazillian MS, currently studying for my step 1 and I onnly would like to share how grateful I am to find your channel and videos here. Loving all the help and time that you put on this only for help another dreaming IMG MS going foward. Thank you thank you thank you!!
Yara, Appreciate the comment... Keep me posted on your progress. As always, "enjoy the process"...
Great job on this video, Dr. Neil! You do an excellent job explaining the material. I’ve become a fan! 😍
Thank you Jolie.... I'll be expecting updates on your progress and if you have any areas of struggle that we can work on..!!
Yes sir! I will let you know ;)
Wonderful video! Greatly appreciate your time and effort!
Princess, As long as you keep giving feedback that someone is watching and finding benefit, then I'll keep going. I appreciate your comment.
Dr. Neil, you are so good at teaching us. Thank you for thinking about students and helping us. You teach like you are teaching one of your family members. Much appreciated..!! Your channel is simply THE BEST..!!
Neelofer, Thank you for leaving such a thoughtful comment.
I really love how you simply these concepts. Thank you so much
Maha, You are most welcome.
Thank you for the time and effort you put in these videos! My test is in a week and I feel much more confident in psych questions.. piece of cake now!
Amanda, I am glad this was helpful... Keep us updated on your Progress and after you PASS this little test... Merely a stepping stone... CRUSH IT!!
Randy Neil, MD Dr!!!! I don’t know how else to reach you, but I wanted to let you know I got my score back today and I passed Step 3!!!!!!!!!!!!!
Thank you so much for taking the time to make these videos, I got so many questions right in the test! Keep doing them, they are super helpful. Ahhh! Feels so good to be done with the Steps! Thank you sooooo much!
Thank you so much, Dr. It is very helpfully
Ubaldo, Thank you for the feedback and comment.
Always a fantastic job, Dr. Neil, thank you so much! Just a point/comment:
I had a question on a Qbank that pretty much sums up the fact that the doctor decided that his pregnant patient should have a C-section instead of a vaginal delivery because of placental previa, against his patient's choice (she wanted a vaginal birth even after learning about the risks). This was ethical, according to the answer, by "Direct Counseling," where there's is only ONE medically reasonable solution that's backed with evidence. I guess what the answer is talking about is that the patient may refuse a treatment, even if the fetus is at risk, ONLY if there are other evidence-based options that would also protect the patient.
You are awesome! Thank you, Sir!
You are most welcome.
This videos are incredible thanks a lot 🙏
Ungido, Thank you for the feedback. Much Appreciated.
Hi Dr Randy good video your each words are all questions in steps thank you for the decoding :)
Chetan, Thank you for the comment. Keep studying HARD!!
Thank you so much for another valuable video👏💐 I have purchased UWORLD but I am not familiar how to study? Or make a plan it would be highly appreciated if you make a video on that please
Hi Dr. Neil,
Based on what you said in your ethics video about needing just one consent from the parent I chose to proceed with the procedure, but it was wrong. I'm including the question below, answer was D.
A 15-year-old boy with no significant past medical history presents to the clinic because of
discomfort in his right testicle. Following investigations, a diagnosis of invasive seminoma is
made. The physician recommends orchiectomy plus radiotherapy. The boy says he wants to
undergo full treatment. The mother consents to both the radiotherapy and orchiectomy. The father
consents to radiotherapy only. Which of the following is the most appropriate next best step?
A) Arrange for a court to oversee the case
B) Arrange for radiotherapy and orchiectomy
C) Arrange for radiotherapy only
D) Attempt to reach further consensus between the parents
E) Withhold management because radiotherapy only is futile
Hi, hope you're well! Thank you for these videos.
One question: at the end where you mentioned that family can not have you withhold information from the patient (e.g. a cancer diagnosis), don't we try to figure out why they want us to withhold information in the first place and IF we determine that the patient might actually end up harming themselves, we can withhold the diagnosis by invoking therapeutic privilege? Can therapeutic privilege be invoked even when the patient in question has capacity?
Video recommendation: common statistical test (T-test, AVOVA, Chi-square). No matter how much I "think" I understand it, I consistently miss questions.
Ryan, Thanks for the topic... Let me look into it... For the most part I just memorized an association... ie. knowing ANOVA has 3 syllable and thus associated with "3 way test"... Let me see if I can find any questions to teach from...
Outstanding. Thank you so much
You are most welcome.
thank you sir these videos are extremely helpful!!!
Thank you Riya..!! Much Appreciated
@randy neil : hey dr randy , i thank you for all of your videos 😍, your videos helped a lot and i finished my step1 successfully, have my step 2 in a month😊
Please can you make more videos on ethics whenever time permits
Step1,2,3 all of them have focused highest on ethics now
10-15% of the exam is from ethics
Topics : legal/ethical issues , professionalism/systems based practice , patient safety .
These are the topics they are focusing on
Would love to see more videos on ethics
Thanks in advance 😊😍
Best videos doctor!
Thank you.
thank you Dr!
Magnificent, Thank you for the comment... Much Appreciated.
Hi Dr Neil, Regarding the relationship part with non psychiatric patients I believe I saw a question on uworld a while back that basically said a patient physician relationship cannot be terminated essentially pointing out you would be compromising the care to pursue a relationship since you normally would have kept treating the patient. Hope that helps! If I could find the question I would have linked it but it was so long ago.
Thank you so much!
You are most welcome.
I read somewhere that there has to be a wait period of around 2 years before a former doctor and patient can get into a relationship. In this 2 years period there should be no doctor patient relationship of any sort.
our local pysch dr dated one of his patients, almnost lost his license. fast foward 20 years she tried to shoot him and crashed into a tree doing 60+ he winded up loosing his licnese after.
In general (jokingly of course) I advise people never to ever date someone working in Psychiatry... Typically someone working in Psychiatry is there to meet their own needs (heal themselves). I assume this guy was probably a "let me save you" type... and the dynamic was imperfectly-perfect. Sort of a Co-dependent meets Cluster-B type. It's a dance. From my experience and observation, unless one of the parties can evolve from that dynamic it will not end well. People get hurt on many levels. Thank you for sharing.
wonderful high yield ethics review, i will be cramming them all over again the night of my exam
Tina, Thank you for comment... I'm glad they are helpful... Let me know what I can do to help...
Thankyou for making biostatistics so easy!
Glad it is helpful.
Hey Randy, thank you so much for these 02 ethics vdos.They were really helpful.
Regarding the doc-pt relationship I read mostly in kaplan it says, if it is not a psychiatric pt then it has to be atleast 02 years that doc pt relationship has ended then they can date but if she is a psych pt then Never date her.
One question I have is, at the end of this vdo you said we can break confidentiality in case of danger but there was ques where it said that we don't have to notify the partner that my pt has HIV/STD if pt says not to inform.We encourage the pt to tell his partner and notify only the authority in case of STDs.Also, if he has multiple partners we can just ask about their details but if pt denies to give others details, we can not force him.
Also, can you talk about blood tranfusion, the question I am confused with, if an adult pt is unconscious, her husband says no to blood tranfusion and has no ID card/card saying she is Jehova's witness,then do I transfuse blood?
A child who needs transfusion but denies as he has Jehova witness card,he is conscious, family and child both say no to blood, do I transfuse now?
Another confusion I have is regarding removal of ventilation.If I confirm that pt is brain dead but family insists to keep the ventilation, so I keep it or not? I read somewhere if 02 doctors confirm brain death, we can remove the ventilation.Please clarify these concepts.Thanks alot.
Also, can I have your email id so that I can send you my biostat confusions esp concepts from UW and UW review which I had tried so hard to understand but still I do nt have proper concept.Thank you :D
Thanks for the information and other topics... let me see if I can find some old questions to teach from for the Ventilation.
@@RandyNeilMD thanks alott..will wait for the vdo😊
By gawd it's randy orton with another high yield video
Backflipmania... not the "Macho Man"...? I'm showing age a bit...
today is my ethics exam and i think it can help me to do the best . i will keep a reply for this after my exam.. and really doctor kept a high yield thing to discuss with us . thankyou so much for this video .
Mikshel, I hope you did well...
it was very helpful for me , I learned a lot from this video
Samiaa, Perfect... glad it was helpful.
thank youuu !!
Thank you for commenting.
Thanks again.
Bork, Anytime. Glad it was helpful.
Dr.Randy Can you make a video on How to approach Uworld and NBME questions and make most of it in your style?
I sort of mentioned that in my "IMG to Chief" video, bu tin a nutshell.. uWorld is for learning purposes (not assessment) and NBME is your assessment piece to know if you are ready.
Thank you so much Dr Randy, your videos are super helpful. The question about "offering the insulin, though allow patient to refuse"? I would think she has already been offered the insulin from the vignette and she already refused, so why is that the answer choice. Shouldn't the correct answer be to discharge patient "against medical advice"?
Thanks
Thank you so much- I did watch your stats videos but still not getting them right on Uworld (its awfully hard on uWorld), but sometimes hit or miss on the nbmes. If there were one thing to focus for stats, would be knowing the TP, FP, TN, FN?
From the feedback I've gotten, most people "hold their own" on the real exams with the basic biostats
amazinggg video
Thank you Alina
Hello Dr Appreciate Your Work Please Make More Videos On Ethics
I will sure try.
Thanks :)
You are most welcome Pratik
Hello sir..I got my 2ck score today.it’s 245 thank you very much for new statistics n ethics videos
Sandeep, EXCELLENT WORK!! Are you going for STEP 3 before applying? CONGRATULATIONS!! STRONG WORK?
@@RandyNeilMD yes sir waiting for ECFMG Certification....thank you again for all the hard work you had put in making all the videos
Great video. Any chance you can do some on the different anemias soon?
I'll have to look and see what I have.
@@RandyNeilMD great. looking forward to more videos. thanks
I read on Amboss today that as you stated , if the doctor knows about the mental trauma of the patient , they cannot date at any point of time whatsoever . It also said that they MAY date if it's been more than 12 months since the patient has been treated by the doctor (provided that the doctor is not their psychiatrist or does not know of their mental trauma ).
Not sure Amboss’ source., but as a Psychiatrist, having any type of relationship with a patient is wrong. Maybe they know something I don’t, but I’d advise putting “Never”.
@@RandyNeilMD I agree with you. Thank you so much for these videos. I really appreciate your effort !
In the first question, the pt likely has a Sexually transmitted infection. So in that case, aren't we supposed to inform the wife even without the husband's permission?
Quality vid
Thank you
In the lawsuit case- the last one- why not A?
I love ur teaching skills... that’s really helpful.. can u plz make a video on communication skills.. newly added section in step 1
N plz plzz also explain whats kaplan meier survival analysis n population pyramids
Bushra, I will see what I can do... I may see if they posted any list of standards that they will test from...
Randy Neil, MD thanks alot
did anyone find a time frame where it is acceptable to date a non psychiatric patient?
Randy can you do some important biochem questions video .
Waiting for the genetics one 🙂
Mane, I do plan to do some of those.... Just trying to organize and get GENETICS out of way first...
Randy Neil, MD 👌😊
hello amazing vid.... for the male pt that cheated ... does he have an STD ? and if so would we report it to the CDC than the CDC reports to the wife ????
Linnet, Thank you for feedback... Off hand, I'd have to go back and look at the question...
@@RandyNeilMD the vignette in 2: 37 the husband and the wife question 🙏
Nice it help a lot. Thanks Dr
And one thing can u please tell me about clinical. Some advice...??
E, Not sure I understand the question...
sir please make some videos on pharmacokinetics & pharmacodynamics
IQBAL, I do plan to do those in the future... It's in the queue.
if the patient is psychiatric then it is not ethical to b in a relationship with him/her but if the patient is not psychiatric then relationship is allowed only when patient is not attending the same doctor
Regarding doctor patient relation you mentioned that you can have relation if you end doctor patient relation and then can have relation with patient but it will make person in danger as you ended doctor patient relation as she/he wont get care
I want to clarify...It is NOT permissible to be in a relationship with current, former patient at any time if you are PSYCHIATRIST...
Can I read those for step 2 ck too ?
I mean are they the same please !?
For Biostats, YES... I'll have to check what the STANDARDS are in terms of ethics for STEP 2, 3...
@@RandyNeilMD
Thnx doc
For now I’m studying biostatics , so I’m getting to all of ur biostatics videos .
Til I reach the ethics , by that time , u will already make video abt step 2 ethics 👍
Halppp Can't find part 1