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Caring And Competent Physcian Block 2 > Ethics > Flashcards

Flashcards in Ethics Deck (22)
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What us the earliest known medical ethics?

Hippocratic oath


What serves as a guide for ethical conduct for physicians?

AOA code of ethics- 19 sections

Basis for this document is the physician/patient relationship and professionalism as a physician


Section 1 of AOA code of ethics summery

Physicians will keep in confidence whatever they learn about a patient during the stay and after discharge

Information will only be divulged when required by law or authorized by patient


Section 2 of AOA code of ethics summary

Physician is required to give a summary/account of a patients condition to the patients or those responsible for the patients care


Section 3 of AOA code of ethics summary

Physcian-patient relationship so founded apron mutual trust, cooperation and respect


Section 4 AOA code of ethics summary

A physician is never justified in abandonment. Must give due notice to the patient


Abandonment requirements

Must be a physician-patient relationship

Can only occur when the patient is in need of medical attention “critical stage”

It had to have occurred abruptly


Valid reasons to end relationship w/ patients

Physician has insufficient knowledge or resources to provide treatment

Patient violates physician policies

Patient has numerous missed appointments

Patient will not follow physician recommendations

Patient w/ inappropriate behavior


AOA code of ethics section 5 summary

Physician should use body of systematized and scientific knowledge to maintain competent care of health for a patient.

Use Evidence based medicine and maintains competence through CME


AOA code of ethics section 6 summary

Physicians are required to maintain high standards and therefore continuously regulate themselfs

Maintain memberships, actively support local state and national associations


Stark Law

U.S federal law that prohibits self-referral and physicians from referring patients to an entity that the physician is related to


Autonomy description


Patient has the freedom of thought and action when making decisions regarding health care procedures

Patient must understand all risks and benefits of the procedure and likelihood of success

Patient may freely choose loyalties or systems of religious believes that may adversely affect them


Autonomy in children

The principle of avoiding harm and death takes precedence.

Autonomy of the child’s parents as surrogate decision makers takes priority next


Double effect definition

When interventions undertaken by physicians produce a positive and negative outcome at the same time


Non-maleficence definition

Above all, do no harm

Make sure procedure does not do unnecessary harm

Physicians are obligated to not prescribe medications they know are harmful


Medical malpractice definition

Act of omission by a health care provider that deviates from accepted standards of practice which causes unnecessary injury to the patient


Beneficence definition

Practitioner should act in “the best interest” of the patient.

Procedure should provide intended good to the patient

Requires health care provider to develop and maintain skills and knowledge by continually updating training and to consider individual circumstances of all patients.


Justice definition

“Fairness and equality”

Distribution of health resources should be fairly distributed as well as benefits and burdens of experimental treatments.


4 main areas that justice must be considered

Fair distribution of scarce resources

Competing needs

Rights and obligations

Potential conflicts with established legislations


Fidelity definition

Do what you say you are going to do and respect confidentiality


Utility definition

Use drugs and interventions to the best utility for patient health.

Perfect health = 1

Death = 0


4 main principles of medical ethics