week 1 - introduction to ethics in medical practice Flashcards
where does the word “ethics” come from?
- from the greek word “ethos”, which means manner, custom, way, practice
- ethics revolves around good vs. bad, and rights vs. responsibilities
what is virtuous living according according to Aristotle?
- how to live a good life
- a moral life which is made up of good conduct
- a life that leads to happiness
what is the objective/aim of ethics in practice?
- to be good
- to act well in your profession
what is morality?
- the value dimension of human behavior; good-bad duality
- involved adhering to a specific belief system or code of conduct
what is ethics?
- concerned with how a person should behave in a way that is morally correct is good
- based on values and reasoning
- refers to the rules that form moral codes about what is right/wrong etc
ethics is primarily a matter of _____, whereas morality is a matter of _____
- knowing
- doing
what is ethics in medicine?
refers to how doctors must conduct themselves and how they can address the ethical dilemmas that arise in clinical practice
what is medical ethics (or healthcare ethics)?
- an area of ethics concerned with the practice of clinical medicine and scientific research
- has a flexible set of solutions (facts, logic, syllogism)
- seen as a proscriptive activity telling you what you cannot do
- can be very freeing in many cases; affirming that you are doing the right thing
what is bioethics?
- concerned with the ethical issues of biomedical scientific technologies and the future of human life
- studies the philosophical, social, legal issues arising in medicine and life sciences
what are examples of modern issues of bioethics?
- designer babies
- DNA banks
- genetic modification / agricultural activity
- human genome & associated challenges
why is medical ethics important?
- to help resolve disputes between family, patients, physicians, and other parties
- to adhere to professional duty and maintain a clear conscience
- to identify an ethical challenge and not make yourself look uninformed
- to maintain the respect of your patients
- to maintain respectful relationships with other clinicians
- to maintain some efficiency in decision in decision making and the care process
- to reduce burnout (when physicians’ personal values contradict those of their organization)
what are the consequences of the absence of ethics?
- ethical violations
- medical errors
- the patient feeling their dignity is not respected; they are not heard
- lack of trust in the doctor-patient relationship & the medical profession
- lack of adherence to treatment
- conflict of interest
- causing physical/emotional/financial injury to patients through inappropriate behavior
- doctors withholding treatments or promoting unnecessary treatments to meet personal or institutional interests
what are the 3 core values of the medical ethics code?
- compassion: concern for patient’s condition and distress
- competence: scientific, technical, cultural, ethical
- autonomy or self-determination: individual and collective decision-making procedures
list the points of the Hippocratic oath
1) I swear by all the gods, making them my witnesses, that I will fulfill according to my ability and judgement this oath and this covenant
2) To hold the one who has taught me this art as equal to my parents and to live my life in partnership with him
3) I will apply dietetic measures for the benefit of the sick according to my ability and judgement; I will keep them from harm and injustice
4) I will neither give a deadly drug to anyone if asked for it nor will I make a suggestion to this effect, will not give to a woman an abortive remedy and will guard my life and my art.
5) I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work.
6) Into whatever houses I may enter, I will come for the benefit of the sick, remaining clear of all voluntary injustice and of other mischief
7) Things I may see or hear in the course of the treatment or even outside of treatment I will keep to myself holding such things unutterable [‘‘shameful to be spoken’’]
8) If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art if I transgress it and swear falsely, may the opposite of all this be my lot
what is the relevance of the Hippocratic oath today?
- abortion
- physician-assisted suicide (EUTHANASIA)