USMLE STEP 1: ETHICS (PART 1) w/ Questions
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- เผยแพร่เมื่อ 28 มิ.ย. 2024
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USMLE STEP 1: ETHICS (PART 1) w/ Questions. This video reviews the basics of ETHICS that you will see on your STEP exams. We will have a follow-up video with the remainder of the BIG concepts. Hope this was helpful.
You’re such a life saver Doc Randy. Watched all your videos in like 3 days and it gave me so much confidence to face the Step 1. Thank you so much! May you keep such amazing videos and keep inspiring medicine students all over the world!
Kaushal, Thank you for the kind words. Go Crush the Exam. Keep me posted...!!
How did the exam go doc
Dr. Neil, you don’t know how grateful I am to have found you. You give me confidence to face my usmle tests and I can’t thank you enough. This was one of the videos I was waiting for! I recommend you to all my friends. Waiting for part 2
Jolie, You are too kind. Thank you for the comment...
Dr. Randy, I thank you from the bottom of my heart.
Amer, I'm glad it was helpful. Thank you for the comment.
Thought I was confident in ethics until I realized I was getting your example questions wrong. Thank you for keeping us up to date on the ethics scenarios and giving us much more complex examples! The examples on UWorld and NBME are definitely watered down compared to this. Please make more of these! :)
I really love how you simply these concepts. Thank you so much
You are very welcome.
Nothing but profound appreciation for your time and videos! My STEP-1 Exam is in 10 days. I have to get all these points!
CRUSH the exam... walk in with confidence. When the exam starts, know with certainty that you've been taught the concepts and the exam is merely a formality. Confidence is key..!!
great example to highlight the difference between capacity and competence! they both get intertwined and easily confused! thank you for this, ethics keeps coming over and over again for all steps and they're increasing it in step 1 alongside everything psych related
Yeh, Capacity and competency are easily confused... If anyone ever mentions competency...just RUN. We are capacity experts... Glad it was helpful.
Amazing! Much needed content.
Glad it was helpful.
Dr. Neil, we meet again for USMLE Step 2/COMLEX Level 2
I'm glad it has been helpful... Should be a little easier this go around...
Dr. Neil you are the man!!!
Appreciate the comment
As always, amazing content.
Thank you Doc.
KML, Thank you for the comment
cant thank you enough for helping us tackle one of the trickiest area in step 1. i have been scoring low in this area on my qbank but not anymore. i appreciate you Dr Randy.
Hazazi, Thank you for the comment. Glad it was helpful. Keep studying hard!!
Thank you Dr. Neil
You are welcome Sandeep...
Thank you so much Doc 💕 You saved my life .
Ha... Glad it was helpful.
Great 👍🏼 👍🏼 thanks.. waiting for more lectures on Ethics ...
U.G., Thank you for the comment and feedback!
Thank you for this! My exam is a month away and I heard that this stuff is picking up on the exam. Very helpful!
That is the rumor.
You have done enormous and awesome job in this video.i can challenge anyone that no one can make these topics better than you.excellent job superb.
Ali, Thank you for the kind words... It motivates me to know it was helpful. Thank you.
Thanks Dr Randy it's a terrific video.i'm not too keen on the 5th question, the patient has oral directive.so if I'm not mistaken the oral directive is more valid.because a nurse who was with the patient earlier in the day said the patient didn't want any procedure and prefer to die peacefully. So we don't want any surrogate decision makers.
Amazing!
Appreciate the comment.
Outstanding. Thank you so much
You are most welcome.
Amazing as usual! please make one about medical errors, like physician fatigue/burnout etc..
Noor, Thank you for the comment. Let me see what I have for material.
I love you Dr. Neil. Stay blessed
Ceph-azolin,... HA... Keep studying HARD. After you pass STEP exams, then you can say the videos were worth it.
Great job,you changed all of my answers, i hope to find your biochemistry videos.
Mohammad, Thank you for kind words. I will do Biochem... just a busy time of year. It will be coming.
Huge thanks sir!
Xaaboo, You are welcome.
Wow! AMAZING!
Thank you Joyleen.
@@RandyNeilMD Your welcome!
Dr Neil , Thanks a lot for these lectures i have an exam in 3 months and i was looking for videos which are easier to understand and comprehend
Thanks again and God bless you
greetings from UK
Tayyab, Thank you for taking time to comment... STUDY HARD!!!
Hello Dr. McNeil, just received my Step 1 results and Thank God ,everything went well 👍👍 Towards the end I promise I got a cuestión of mitochondrial inheritance and it mentioned Gomori Trichrome and I just remembered your awesome video !! You are a great person and truly a physician’s physician. God bless,
Daniel Castillo
Daniel, It has been a long time... Hope you are well. Sounds like you are moving in the right direction. Keep me posted.
Dr Neil. I love you genuinely ❤️
Help others and God will help you! And you are living this quote every damn time. You deserve so much happiness and love!
I have been very fortunate... I have been blessed on many levels and it keeps getting better.
@@RandyNeilMD exam next week. Wish me luck 🤞
thank you doctor !!!
You are most welcome.
Hey Dr Randy thanks for the videos on Ethics :) waiting for other videos !
Chetan, Thank you for comment. You let me know how I can help and we can get through this as a TEAM... Getting the email with "CONGRATULATIONS you've MATCHED" is one of those moments we all will experience.. Keep studying HARD!!
@@RandyNeilMD hey Dr Randy thanks for the reply and you are on my list and i will definitively catch up with you when i reach US and again thanks for your valuable time for the future docs and yes we will work as a team for sure :) and for the videos part you are Undisputed king of bio stats and soon will be popular for USMLE STEPS .God Bless Doctor :-)
Omg thank you so much dr Neil! I repeatedly got this stuff wrong because I never understood it
Stillhere, I'm glad it was helpful.
Thank you!!!
Vathsav, You are welcome.
I don't know what Risk management is, but it sounds so fun the idea of calling someone named like that. Always made me laugh
Dr.Randy, it's really Top lecture
Thank you
Thank you for your awesome videos. Kindly make more videos on ethics and Communication skills because USMLE has changed the content and increased the Communication skills section. THank you
I'll look to see what other topics within that category they could ask...
Hello Dr. Neil, a quick question regarding the patients living will, power of attorney, at 15.54. If the patient themselves has stated that they do not wish any further treatments or procedures or life saving measures, shouldn’t that trump everything else? Or is it in this case vague and only has one nurse who said that the patient wanted this?
I know from other UW questions if the patient themselves states she wishes no further procedures or life saving measures, in spite of her husband telling the doctor to keep the breathing tube in, the doctor is ethically and legally correct to take it out.
Thank you so much Dr.Randy for your great effort and work ..your videos have helped me alot.
I just want to ask you about question( 2 ) 7:23 , wouldn't be more helpful to make sure the patient is actually intending to hurt someone( i.e answer a ) and then after we confirm this we can contact the police/the target person to warn them ?
thank you so much sir ...
Ruta, You are most welcome!
Thanks sir!
Xaaboo, Glad it was helpful!
thank you so much
You are most welcome.
i am the first. great video. thanks a lot
Thanks Erkanbatti, Glad it was helpful...!!
regarding the brain bleeding coma case: let's say that the patient told the nurse and his twin sister, who was there at the moment, his wish to refuse any additional procedures. Can that be considered an oral advance directive?
Thank you.
Bork, You are most welcome.
Dr. Neil you are amazing!! . You explain it so well .Could you make a video on motivation interviewing.
Thank you A G, ... Motivational interviewing... one of my favorites actually... some people call it persuasion... others call it coercion...
You're welcome . 😊
That is one topic I am really struggling with.
Thank you..
Chinthaka, You are welcome.
Thanks in advance 👌
What is different between TB ,STD and HIV?All should report or not?
Your way is not excellent but what comes after! Well done Dr. Randy. It is not only about the information but the techniques you explain that lead me to choose the proper answer, consider some MCQs, and exclude the others.
I really hope you cover all parts of the USMLE before I take it with more content and extended videos.
My sincere regards from Saudi Arabia.
Abdusalam, Thank you for the feedback... It's nice to get the feedback. It's keep me going to try and help more.
Thanks :)
You are welcome.
Hi, thank you for the ethics questions. I have few ethical scenarios I'm not sure about and need help with.
What if you and your physician colleague are performing a procedure on a patient and had discussed the plan before operating, but your colleague changes his mind when you both are at operating table and keeps insisting to go first. What do you do in that situation?
Hi Dr. Neil, thank you so much for your videos - can you please clarify something for me.. I am pretty sure that u world stated graduation from high school = emancipated
Can you please let me know which is correct (your video says college = not emancipated)
life saver
Shilpa, Glad it was helpful.
hey dr neill
love the videos
about the last question wouldn't it be a toss up between consent vs assent
the parents have a disagreement you still ask the child what they want and then go from there ?
would love if you could clarify
sir please upload more videos on ethics
Rx qbank says DPA overrides living will(16:00). Got confused
it is very helpful need more lecutres on ethics coz i'm having so many question worng while solving uworld in ethics portion
I will try.
sir please explain case series v/s clinical trial
accertain bias v/s hawrthon effect
Let me shift gears and see what I can do about another BIOSTATS video to look at that material... Thank you for the feedback!
to my knowledge a durable power of attorney can override a living will if the patient becomes incapacitated
Thank you so much but in the first question why the Non maleficence is not the answer by recommending the amputation the physician prevent sepsis and death from happening so he is preventing harm happening !?
Hi, I have a query on being emancipated for minor. If they have graduated from high school then they don't need parents consent, right? I'm confused. Thank u
Thank you sir. Great video pertaining this subject that is new to IMG especially. Waiting for the next video to come out.
Also I had a confusion regarding heirarchy of decision making. I read somewhere that health power of attorney can overrule living will if a conflict happens in both of them i.e living will is completely different to what power of attorney is telling. So just wanted to confirm if that hold true in situations?
someone who has an advance directive has it either in the form of a health care proxy or a living will to convey his/her wishes when they become unable to. I don't think someone could have both, but in that case the health power of attorney should win.
It can be confusing and perhaps putting one above the other isn't best decision, because the two are separate. LIVING WILL - states the patient's wishes for end of life care. The DURABLE POWER OF ATTORNEY (DPOA) - designates a person to act on your behalf if you cannot. To prevent family conflict will "pulling the plug", the DPOA would essentailly act in the patients interest, most likely to have been outlined in the LIVING WILL, it there is one.
Thank you both for the reply and clearing confusion regarding such a situation.
Thanks Dr this video, looking forward to others...in next videos, Plz try to explain slower than possible, thanks in advance !
Albentz, Thank you for the feedback... I try to speak a little faster to try and not make video too long... but I will try and be mindful about going to fast. Keep studying HARD!!
Thank you Dr Randy.
Can you suggest some books for the Medical ethics for USMLE step 1.
Thank you in advance
Not sure I have any "go to" books... When I took STEP exam, it wasn't as focused in this topic...
How is wounds involved different from child/elder abuse? B/c partner abuse requires you not to override confidentiality. Can you please clarify?
Hi Dr Randy , thanks for the great job . Please how do i get all the high yield flashcards in your lessons. Thank you once again.
Should be on the website... www.coastalmdlive.com
@@RandyNeilMD Thank you so much.
Hello, Dr.neil
Gud video, I really appreciate it, but I have question about no 4, if both parents are disagree with procedure, we can do still the producer for kids, like emergency treatment or transfusion.
If the Procedure would be life saving...
@@RandyNeilMD
Thank you so much. I got it.
@@RandyNeilMD is it for any medical condition like bipolar/Diabetes treatment or only for emergency treatment?
Sir please explain medical reconciliation medical transcription
Thanks Riya, Let me see if I can work that into the next video... Thank you for the feedback.
Hey Doctor, in question(15:00),Dr.Daugherty taught that : substituted judgement(KAREN ANN QUINLAN)>next of kin.........in that regard neighbour would be the answer, can you clarify?
hey uworld states in the absence of advance directives and designated health care proxy ,a family member of incapicitated person should act as surrogate decision maker followed by a person who cares and knows patient's wishes. the point u r saying is applicable when friend is health care proxy then we choose friend over next of kin !hope it helps
I would say that there are a lot of factors in play... like if everyone is in disagreement... We could review a few cases such as "The Borthers Fox", "Infant Doe" case but then I will lose everyone to lecture format. I believe STEP 1 will test on who you ask if no Advanced Directive or DPOA...I would go with family over friend, unless family estranged and/or no where to be found...
@@RandyNeilMD I get you.For an answer to be other than next of kin,the question has to somehow imply that the family ties are lose.
Since a high school graduate is considered Legally Emancipated so would not be being in college would cause a minor to be emancipated?
Hello sir ! Couldn’t find your email address, so approaching you here . I’m Dr.Deepthi Ketha and I’m based out of Michigan ,USA. I’m currently pursuing my USMLE journey and I’m an avid follower of your lectures and videos .I strongly aspire to pursue Psychiatry after clearing my steps and I request you to please let me know if there is any possibility to learn things from you in person by shadowing you at the hospital you are working currently. Thankyou very much sir .
Awaiting your reply ...
Deepthi, Thank you for reaching out. My Hospital is a bit of a stickler when it comes to students. They have contracts with local schools which is beyond my control unfortunately.
Sir how to send you questions?
Clutch video, any public health videos in the future? no real great resources for them
What topics would you say fall under that heading?
@@RandyNeilMD in the question banks they are in ethics/professionalism, they are increasing questions in step 2 is why I'm asking lol but thanks for the help so far too!
Is this helpful for step 2ck?
IMO there's a significant overlap... Hard to say no.
Thank you sir ! Sir please check your email i sent a doubt 🙏🏻
I replied. Thank you Riya for all your work!!