MDCN Exam flashcards
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- MDCN statutory mandate
- The Medical and Dental Council of Nigeria regulates registration, licensing, discipline and training standards for doctors and dentists under the Medical and Dental Practitioners Act.
- Provisional registration
- Time-limited registration granted to a recognised degree holder to undertake supervised housemanship before eligibility for full registration, subject to certification of completed rotations.
- Full registration
- Registration granted after a recognised degree, completed approved housemanship and good character, allowing independent practice once the annual licence is current.
- Licence to practise
- An annual authorisation, distinct from registration, permitting practice for a defined period; it lapses if the prescribed practising fee is not renewed.
- Temporary registration
- Registration for a fixed purpose and duration, often for visiting or foreign-trained practitioners, typically subject to supervision and defined scope of practice.
- Erasure from register
- A disciplinary outcome removing a practitioner's name from the register and ending the right to practise until the Council approves restoration.
- Unregistered practice offence
- Practising, or employing someone to practise, without current registration or licence is an offence under the regulatory framework and may attract prosecution.
- Informed consent elements
- Valid consent requires a competent patient, adequate disclosure of risks, benefits and alternatives, voluntariness, and documentation of the discussion.
- Confidentiality breach exceptions
- Disclosure without consent is justified by legal requirement, court order, or overriding public interest, and must be limited to the minimum information necessary.
- Professional misconduct
- Behaviour falling below expected standards, including negligence, falsifying records, sexual contact with patients, practising beyond competence, and improper advertising or fee-splitting.
- Fair hearing at inquiry
- The disciplinary panel must inform the practitioner of allegations, allow representation and evidence, and give reasons before imposing sanctions.
- Duty to report colleague
- Practitioners must report serious misconduct or impairment of colleagues; concealing such matters is itself a disciplinary offence.
- False medical certificate
- Issuing a certificate or medico-legal report known to be untrue is serious misconduct and may also constitute a criminal offence.
- Referral fee prohibition
- Fee-splitting, kickbacks or commissions for patient referrals are prohibited; charges must be transparent and not exploitative of patients.
- Implied consent in emergency
- Where a patient lacks capacity and no surrogate is available, life-saving treatment may proceed on implied consent, documented with the reasoning.
- Accreditation process steps
- Quality assurance follows self-study, evidence submission, peer-review site visit, report and Council decision on full, conditional or denied accreditation.
- Minimum standards domains
- Standards cover governance, curriculum, assessment, staffing ratios, library and ICT, skills laboratories, and adequate clinical training sites with patient volume.
- Clinical training adequacy
- Programmes must provide supervised bedside teaching with sufficient patient volume and case mix, verified through logbooks and documented competency achievement.
- Curriculum integration requirement
- Basic sciences must be linked to clinical practice, with ethics, public health, communication skills, research methods and information technology embedded throughout.
- Assessment standards
- Assessment must be valid, reliable and transparent, including workplace-based methods, with documented remediation and appeal mechanisms for students.
- Accreditation status categories
- Outcomes include full accreditation, provisional or conditional status with a deadline to correct deficiencies, and denial, each requiring re-inspection before confirmation.
- Substantial change notification
- Changes to curriculum, intake numbers or training sites must be reported to the Council, which may require a fresh accreditation review.
- Quality improvement records
- Accredited programmes must keep curriculum maps, staff development records, student feedback and improvement cycles for review at re-accreditation.
- Housemanship definition
- A supervised full-time internship with rotating clinical placements, completed after the recognised degree and before eligibility for full registration.
- Intern logbook certification
- Rotations and competencies must be recorded and certified by supervising consultants and the training institution before full registration is granted.
- Accredited internship centre
- A training institution approved by the Council to offer housemanship, providing defined supervision, structured teaching and adequate clinical exposure.
- CPD obligation
- All registered practitioners must participate in continuing professional development, documented and potentially required for licence renewal or register retention.
- CPD credit cycle
- CPD is organised as credit points accumulated over a defined cycle, spanning clinical knowledge, ethics and professionalism, and practice improvement activities.
- CPD activity types
- Accredited conferences, workshops, online modules, journal-based learning, case presentations and clinical audit each carry defined credit values.
- CPD record retention
- Practitioners must keep certificates and evidence of participation for verification; false claims of CPD completion constitute professional misconduct.
- Residency progression
- After housemanship, specialist training runs through accredited residency programmes with examinations and workplace-based assessments governing progression.