Professionalism in Surgery
enduring moral character
What does professionalism address?
Shared decision making
How do providers and patients make treatment plans?
90 degrees
Staples, glue, or suture
What materials are used for wound closure?
Joseph Lister
Who is the English surgeon responsible for chemical antisepsis in the surgical setting?
placing patient's interests over your own
What are the aspects of moral character traits in surgery?
exploration, empathy, and responsiveness to patients needs values and preferences
What is cultural competence?
Eversion of the wound edges
What is the goal tension for suturing a wound closed?
Microorganisms can be harbored within suture material
What are the disadvantages of braided suture?
Ether, chloroform, and nitrous oxide
What surgical advancement allowed surgeons to focus on precision and patient safety?
BELIEF instrument
What is a model used to assess a patient's cultural frame of reference?
reflects the legal and ethical right that patients have to make choices to what happens to their bodies and the ethical duty of the physician to enhance the patient's well-being
What is informed consent?
a double throw followed by single square knots
What is a surgeon's knot?
Inflammatory, proliferation, maturation phases
What are the three stages of wound healing?
Vesalius
Who is the Italian surgeon that supporting learning human anatomy by studying dissection?
supporting an evidence-based medicine approach to surgery
What is a goal of professionalism?
process of educating the patient and assessing that they understand and give permission for an intervention
What is shared decision making?
wound dehiscence
What is the premature bursting open of a poor healing wound along a surgical site?
Tertiary healing
What is another name for delayed primary closure?
knowledge of human anatomy, hemostasis, anesthesia, asepsis
What are the four fundamental developments in surgical advancement?
patient understanding of diagnosis, prognosis, likelihood of CPR success, and risks involved
What elements are required for patients to have an informed decision about CPR?
provide appropriate palliative care, respect patient's right to refuse care, forgo futile interventions
What aspects are included in the statement of principles of end of life care?
long linear wounds needing fast and inexpensive closure technique
Where might a skin stapler be the best strategy for wound closure?
Inflammatory response generated by the presence of suture material in the wound
What is tissue reactivity?
Ambroise Pare
Who is the French army surgeon that controlled hemorrhage through ligation of vessels