Lecture 1-Professionalism/Ethics

Question 1

Define ethics-morals

-As morals ethics pertains to:

Answer 1

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

Question 2

Define ethics-methods

-As methods ethics pertains to:

Answer 2

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

Question 3

Define ethics-rules

Answer 3

right and wrong

laws, regulations, codes, etc

Question 4

define ethics-values

Answer 4

good and bad

ends, virtue, mission, goals, consequences

Question 5

define ethics-deontological

Answer 5

rules-based reasoning-behave!

legalism, principlism

Question 6

define ethics-teleological

Answer 6

values-based reasoning-be good!

utilitarianism, virtue, ethics, consequentialism

Question 7

Describe “physician-patient relationship”

Answer 7

• A professional relationship
• A voluntary relationship
• A socially binding contract
• A moral relationship

Question 8

Describe “physician-patient relationship”

-professional

Answer 8

involving an imbalance of power and vulnerability

Question 9

Describe “physician-patient relationship”

-voluntary-except when?

Answer 9

except in an emergency situation

Question 10

Describe “physician-patient relationship”

-a socially binding contract and/or covenant

Answer 10

a relationship between persons one of whom promises benefits or gifts while requiring certain behaviors of the beneficiary

Question 11

Describe “physician-patient relationship”

-moral relationship

Answer 11

bound by principles, codes, laws

with ideals of the “good doc” (good patient)

Question 12

Understand professional power in relation to patient’s vulnerability
-sexual attraction and relationships

Answer 12

• 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

Question 13

Understand professional power in relation to patient’s vulnerability
-sexual relationships-the moral

Answer 13

the moral: no sexual relationship with patients

Question 14

Understand professional power in relation to patient’s vulnerability
-the method-deontologically

Answer 14

DON’T

Question 15

Understand professional power in relation to patient’s vulnerability
-the method-teleologically

Answer 15

If you do, there will be consequences

Question 16

Name the 4 basic principles of biomedical ethics

Answer 16

beneficence, non-maleficence, respect autonomy, and justice

Question 17

Beneficence

Answer 17

Do what benefits your patient

Question 18

Non-maleficence

Answer 18

Do not harm your patient

Question 19

Respect autonomy

Answer 19

patient’s autonomy

contra clinical paternalism

Question 20

justice

Answer 20

distributive justice relative to scarce healthcare resources

fair and equitable access to such resources

Question 21

Explain how the morals of medicine are applied methodically to ethical issues involving patients

Answer 21

?

Question 22

Differentiate “patient abandonment” from mere termination of a physician-patient relationship
-Not usually problematic if?

Answer 22

• change of patient’s insurance provider

- physician illness, retirement, moving

Question 23

Differentiate “patient abandonment” from mere termination of a physician-patient relationship
-potentially problematic if?

Answer 23

• dysfunctional therapeutic relationship
• involving discrimination
• no other provider seems willing to take patient

Question 24

Differentiate “patient abandonment” from mere termination of a physician-patient relationship
-abandonment

Answer 24

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