Lecture 1-Professionalism/Ethics Flashcards
Define ethics-morals
-As morals ethics pertains to:
As morals ethics pertains to:
- The ought or ought not of the physician-patient relationship-trust, respect, confidentiality, care
- What constitutes a “good doctor” or “bad doctor”
- rules and values
Define ethics-methods
-As methods ethics pertains to:
As methods ethics pertains to:
- Discerning what ought or ought not be done in particular situations-and on what moral grounds
- How to discern the “good doc” from the “bad doc”
- Or whether the patient or family caregiver is being “good” or “bad” in any particular clinical situation-and on what grounds
- deontological and teleological
Define ethics-rules
right and wrong
laws, regulations, codes, etc
define ethics-values
good and bad
ends, virtue, mission, goals, consequences
define ethics-deontological
rules-based reasoning-behave!
legalism, principlism
define ethics-teleological
values-based reasoning-be good!
utilitarianism, virtue, ethics, consequentialism
Describe “physician-patient relationship”
- A professional relationship
- A voluntary relationship
- A socially binding contract
- A moral relationship
Describe “physician-patient relationship”
-professional
involving an imbalance of power and vulnerability
Describe “physician-patient relationship”
-voluntary-except when?
except in an emergency situation
Describe “physician-patient relationship”
-a socially binding contract and/or covenant
a relationship between persons one of whom promises benefits or gifts while requiring certain behaviors of the beneficiary
Describe “physician-patient relationship”
-moral relationship
bound by principles, codes, laws
with ideals of the “good doc” (good patient)
Understand professional power in relation to patient’s vulnerability
-sexual attraction and relationships
- With professional power and patients’ vulnerability comes the responsibility not to violate public trust-i.e. fidelity
- Sexual attraction happens but professional sexual misconduct happens ONLY if the doctor violates the rules, misusing power against the vulnerable, thus abusing his/her patient
Understand professional power in relation to patient’s vulnerability
-sexual relationships-the moral
the moral: no sexual relationship with patients
Understand professional power in relation to patient’s vulnerability
-the method-deontologically
DON’T
Understand professional power in relation to patient’s vulnerability
-the method-teleologically
If you do, there will be consequences
Name the 4 basic principles of biomedical ethics
beneficence, non-maleficence, respect autonomy, and justice
Beneficence
Do what benefits your patient
Non-maleficence
Do not harm your patient
Respect autonomy
patient’s autonomy
contra clinical paternalism
justice
distributive justice relative to scarce healthcare resources
fair and equitable access to such resources
Explain how the morals of medicine are applied methodically to ethical issues involving patients
?
Differentiate “patient abandonment” from mere termination of a physician-patient relationship
-Not usually problematic if?
- change of patient’s insurance provider
- physician illness, retirement, moving
Differentiate “patient abandonment” from mere termination of a physician-patient relationship
-potentially problematic if?
- dysfunctional therapeutic relationship
- involving discrimination
- no other provider seems willing to take patient
Differentiate “patient abandonment” from mere termination of a physician-patient relationship
-abandonment
Unilateral withdrawal by a physician from a patient’s care without first formally transferring that care to another qualified physician who is acceptable to the patient
