The Medical Practice Act of 1985. Part VI--Impaired professionals and mandatory reporting of impaired professionals to the medical board.
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Evaluative reactions involving attitudes have been shown to affect social judgments under certain conditions. Researchers assume that personality traits and behaviors toward which people hold strong attitudes evoke evaluative reactions. Such reactions influence the importance of these attributes as they are integrated with other information during the formation of social judgments and, in part, account for the accentuation effect. Social judgment was studied in the context of professional-impairment impressions provided by nurses. Data were modeled using hierarchical techniques to examine the interaction between within-judge differences in attribute weighting and between-judges differences in attitudes. Social judgments of fictitious targets were moderated by individual differences in judges' attitudes toward negative target attributes; some, but not all, attributes were accentuated as predicted.
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In the UK, the General Medical Council's new guidance on confidentiality restates the professional duty for doctors to regard personal information revealed to them as confidential. Such information can be shared only with the patient's explicit consent--the exceptions to this are narrowly defined. We believe the guidance does not adequately address the reality of confidentiality in modern practice, particularly in relation to patients with dementia. It seems to be naïve or lacking in the subtlety required in complex clinical situations, perhaps because its legalistic, professional ethics have a philosophically limited view of confidentiality. A more sophisticated philosophical picture regards people as embedded in a shared, worldly context, in which relationships and mutual engagement become crucial. Attending to the reality of cognitively impaired people emphasizes this context and suggests that confidentiality cannot be an overriding principle--it is best regarded as a token of trust.