Lecture 1-Professionalism/Ethics Flashcards Preview

Bioethics 1-6, 10, 11 > Lecture 1-Professionalism/Ethics > Flashcards

Flashcards in Lecture 1-Professionalism/Ethics Deck (24):
1

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

2

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

3

Define ethics-rules

right and wrong
laws, regulations, codes, etc

4

define ethics-values

good and bad
ends, virtue, mission, goals, consequences

5

define ethics-deontological

rules-based reasoning-behave!
legalism, principlism

6

define ethics-teleological

values-based reasoning-be good!
utilitarianism, virtue, ethics, consequentialism

7

Describe "physician-patient relationship"

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

8

Describe "physician-patient relationship"
-professional

involving an imbalance of power and vulnerability

9

Describe "physician-patient relationship"
-voluntary-except when?

except in an emergency situation

10

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

11

Describe "physician-patient relationship"
-moral relationship

bound by principles, codes, laws
with ideals of the "good doc" (good patient)

12

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

13

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

the moral: no sexual relationship with patients

14

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

DON'T

15

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

If you do, there will be consequences

16

Name the 4 basic principles of biomedical ethics

beneficence, non-maleficence, respect autonomy, and justice

17

Beneficence

Do what benefits your patient

18

Non-maleficence

Do not harm your patient

19

Respect autonomy

patient's autonomy
contra clinical paternalism

20

justice

distributive justice relative to scarce healthcare resources
fair and equitable access to such resources

21

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

?

22

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

23

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

24

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