Bioethics and Moral Hazard in Short-Term International Medical Training 2 February 2013

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Bioethics and Moral Hazard in Short-Term International Medical Training 2 February 2013"

Transcription

1 Bioethics and Moral Hazard in Short-Term International Medical Training 2 February 2013 Carolyn Smith-Morris, Ph.D., M.S., LPC Associate Professor, Medical Anthropology Southern Methodist University

2 Suchdev, P., K. Ahrens, E. Click, L. Macklin, D. Evangelista, E. Graham (2007). A Model for Sustainable Short-Term International Medical Trips. Ambulatory Pediatrics 7(4): Ethical Challenges of International Health Work Self-serving Raising unmet expectations Ineffective Imposing burdens on local health facilities Inappropriate providing value for visitors but without meeting the local community s needs sending volunteer practitioners and trainees who do not have appropriate language or medical training or accountability providing temporary, short-term therapies that fail to address root causes providing culturally irrelevant or disparaging care and leave behind medical waste failing to follow current standards of health care delivery (continuity, access) or public health programs (equity, sustainability)

3 Principles of Biomedical Ethics a Western philosophical construct 1. Respect for autonomous persons 2. Justice 3. Nonmaleficence 4. Beneficence

4 Challenges to Ethical Care Culture and Language Communication breakdowns and cultural differences are ubiquitous Less likely to receive care Less likely to be compliant Greater risk of experiencing medical errors Respect for autonomous individuals requires providers to acknowledge and honor a patient s ability to consent for treatment. Jesus, J.E. (2010). Ethical Challenges and Considerations of Short-Term International Medical Initiatives: An Excursion to Ghana as a Case Study. Annals of Emergency Medicine 55(1):

5 Challenges to Ethical Care Lack of Adequate Time, Resources Triage identifying medical needs and likelihood of benefit. The principle of justice obligates medical personnel to consider the medical utility and prospect of success as factors in the decisions about how to allocate resources The Utilitarian Approach To do the most good for the most people To offer the best possible care (for the community? for the individual?) with available medications and equipment

6 Challenges to Ethical Care Chronic Care and Elective Surgery Nonmaleficence requires physicians to consider what care should not be offered. Without the ability to provide long-term follow-up care, avoid chronic care medication and elective surgery. (Jesus 2010: 19)

7 Challenges to Ethical Care Sustainability * A rational and beneficent approach to serving communities in the developing world should involve teaching and training community members and local health care workers.

8 Challenges to Ethical Care Delivery of Care by Nonlicensed Personnel and the Need for Oversight The principle of respect for autonomous persons requires the protection of populations with diminished autonomy All personnel and administrators must have the humility to recognize their limitations, and tailor their actions accordingly.

9 Global Health Ethics for Students 1. Humility 2. Introspection 3. Solidarity Medical Tourism can undermine existing health care and cause harm to local systems and (power) structures. 4. Social Justice Ultimately, global health should be concerned with health inequity seen in the world. Work to align your goals with those of the community. Be aware of one s own privilege Pinto, A.D. and R.E.G. Upshur (2007). Global Health Ethics for Students. Developing World Bioethics (online)

10 Additional Resources Crump, J.A. and J. Sugarman (2008). Ethical Considerations for Short-Term Experiences by Trainees in Global Health. JAMA 300(12): Decamp, M. (2007). Scrutinizing Global Short-Term Medical Outreach. Hastings Center Report 37(6): Drain, P.K., A. Primack, D.D. Hunt, W.W. Fawzi, K.K. Holmes and P. Gardner (2007). Global Health in Medical Education: A Call for More Training and Opportunities. Academic Medicine 82(3): Shah, S. and T. Wu (2008). The Medical Student Global Health Experience: Professionalism and Ethical Implications. Journal of Medical Ethics 34: CONTACT INFORMATION: Carolyn Smith-Morris, AND OF INTEREST: Physicians for Human Rights (2010). Hospital Staff Upholds International Medical Ethics During Unrest in Bangkok: A Briefing Paper by PHR. Beagan, B.L. (2003). Teaching Social and Cultural Awareness to Medical Students: It s All Very Nice to Talk about It in Theory, But Ultimately It Makes No Difference. Academic Medicine 78(6):

11 Why do you hope to do this work? Questions for Students Prior to Global Health Work (Handout) What are your objectives, both personal and structural, short and long-term? What are the benefits and who will receive them, and what are the costs, and who will bear them? In the context of very limited institutional and societal resources for global health needs, is your elective justified? What alternatives exist, or how can the justification for this allocation of resources be improved? What do you need to do to prepare for your elective, both practical and personal? Where are the weaknesses in your plan, specifically? Is the work feasible, cost-effective, necessary, focused, and justified? Will it work to undermine disparity in the host community, or will it contribute to disparity? Will there be a net benefit to the community? What do you hope to bring back to your own community or institution? Is your work sustainable locally? If not, will this program or your group s presence leave any negative impacts or potential unjustified disruption? Adapted From: A.D. Pinto and R.E.G. Upshur (2007). Global Health Ethics for Students. Developing World Bioethics (online).

ACTIVITY DISCLAIMER. Common Ethical Issues in Global Health DISCLOSURE. Learning Objectives. Audience Engagement System Step 1 Step 2 Step 3

ACTIVITY DISCLAIMER. Common Ethical Issues in Global Health DISCLOSURE. Learning Objectives. Audience Engagement System Step 1 Step 2 Step 3 Common Ethical Issues in Global Health Calvin Wilson, MD ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only.

More information

Global Health Training Ethics and Best Practice Guidelines for Training Experiences in Global Health

Global Health Training Ethics and Best Practice Guidelines for Training Experiences in Global Health Am. J. Trop. Med. Hyg., 83(6), 2010, pp. 1178 1182 doi:10.4269/ajtmh.2010.10-0527 Copyright 2010 by The American Society of Tropical Medicine and Hygiene Global Health Training Ethics and Best Practice

More information

Ethics in Biomedical Engineering. Ethics and morality. Ethical theories. Kantianism (Kant, 1724-1804) Act Utilitarianism (Bentham, 1748-1832)

Ethics in Biomedical Engineering. Ethics and morality. Ethical theories. Kantianism (Kant, 1724-1804) Act Utilitarianism (Bentham, 1748-1832) Ethics in Biomedical Engineering E. Morin, Queen s University Ethics and morality Ethics is the philosophical study of morality Examination of moral beliefs and behaviours Study of right and wrong and

More information

Why We Need Bioethics Committees?

Why We Need Bioethics Committees? Objectives: Why? What? Who? How? Why We Need Bioethics Committees? Strategies for starting and sustaining a committee and some best practices - Felicia Cohn, PhD, Bioethics Director Kaiser Permanente Orange

More information

Ethical Principles in Clinical Research. Christine Grady Department of Bioethics NIH Clinical Center

Ethical Principles in Clinical Research. Christine Grady Department of Bioethics NIH Clinical Center Ethical Principles in Clinical Research Christine Grady Department of Bioethics NIH Clinical Center 1 Ethical principles Are these studies ethical? How do we know? Ethics of clinical research The goal

More information

February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow

February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow February 17, 2010 Sheela Vardey, HO III Lynn Tran, 2 nd year Neonatology Fellow Objectives To define ethics and introduce how it applies to clinical medicine To discuss the fundamental principles of ethics

More information

The role of short-term volunteers in a global health capacity building effort: the Project HOPE-GEMC experience

The role of short-term volunteers in a global health capacity building effort: the Project HOPE-GEMC experience Rominski et al. International Journal of Emergency Medicine (2015) 8:23 DOI 10.1186/s12245-015-0071-6 ORIGINAL RESEARCH Open Access The role of short-term volunteers in a global health capacity building

More information

Position Statement on Capitation s Impact on Medical Ethics (Approved by the Board of Directors March 10, 2000)

Position Statement on Capitation s Impact on Medical Ethics (Approved by the Board of Directors March 10, 2000) Position Statement on Capitation s Impact on Medical Ethics (Approved by the Board of Directors March 10, 2000) The basic tenets of the ethical practice of medicine are based on the following principles:

More information

Chapter 9. Application of Ethical Principles to Genetic Testing

Chapter 9. Application of Ethical Principles to Genetic Testing Chapter 9 Application of Ethical Principles to Genetic Testing Ethical Principles................................................... Autonomy................................................................

More information

Alyssa Finn Ethics and Policy Occupational Therapy Fall Occupational therapy is a field that has morphed overtime. It is a profession that

Alyssa Finn Ethics and Policy Occupational Therapy Fall Occupational therapy is a field that has morphed overtime. It is a profession that Alyssa Finn Ethics and Policy Occupational Therapy Fall 2009 Occupational therapy is a field that has morphed overtime. It is a profession that intertwines human occupation with overall health. Human occupation

More information

Ethical Challenges in Emergency Medical Services

Ethical Challenges in Emergency Medical Services Ethical Challenges in Emergency Medical Services A special contribution of the Ethics Committee, National Association of Emergency Medical Services Physicians, Chair: James G. Adams, USAF, MC. Reviewed

More information

Ethical Guidelines for the Development of Emergency Plans

Ethical Guidelines for the Development of Emergency Plans Ethical Guidelines for the Development of Emergency Plans FOR MORE INFORMATION CONTACT: Peggy Connorton Director, Quality and Long Term Care Trend Tracker 1201 L St. NW Washington, D.C. 20005 Tel: 202-898-4000

More information

Compensation in Safeguarding Children: Pediatric Medical Countermeasure Research

Compensation in Safeguarding Children: Pediatric Medical Countermeasure Research Compensation in Safeguarding Children: Pediatric Medical Countermeasure Research Contents I. Introduction... 1 II. Learning Objectives... 2 III. Background... 2 A. Guiding Ethical Principles... 2 B. Legislative

More information

Ethical considerations in Global Health education

Ethical considerations in Global Health education Ethical considerations in Global Health education Ruth E. Berggren, M.D. Director Center for Medical Humanities & Ethics UT Health Science Center San Antonio What are the ethical questions that should

More information

ORGAN TRANSPLANTATION AND ORGAN DONATION

ORGAN TRANSPLANTATION AND ORGAN DONATION ORGAN TRANSPLANTATION AND ORGAN DONATION Source: Peter A. Singer, A. M. Viens. The Cambridge Textbook of Bioethics (2008). Claudio Buccelli, Mariano Paternoster University of Naples Federico II Department

More information

End Of Life Option Act: Ethical Considerations. Scott Christensen, MD Professor, Hematology/Oncology Chair, UC Davis Bioethics Consultation Committee

End Of Life Option Act: Ethical Considerations. Scott Christensen, MD Professor, Hematology/Oncology Chair, UC Davis Bioethics Consultation Committee End Of Life Option Act: Ethical Considerations Scott Christensen, MD Professor, Hematology/Oncology Chair, UC Davis Bioethics Consultation Committee 17th Annual Advances in Oncology September 30-October

More information

Virtual Mentor American Medical Association Journal of Ethics July 2009, Volume 11, Number 7:

Virtual Mentor American Medical Association Journal of Ethics July 2009, Volume 11, Number 7: Virtual Mentor American Medical Association Journal of Ethics July 2009, Volume 11, Number 7: 506-510. MEDICAL EDUCATION Beyond Medical Tourism: Authentic Engagement in Global Health Frank W. J. Anderson,

More information

Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants

Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants Preface The statements in this code set out the core ethical responsibilities of individuals performing healthcare ethics

More information

Ethical Issues Surrounding the Conduct of Pediatric Clinical Studies

Ethical Issues Surrounding the Conduct of Pediatric Clinical Studies Ethical Issues Surrounding the Conduct of Pediatric Clinical Studies Karsten A. Holm Saint Joseph s University Graduate Ethics Paper Competition, Fall 2013 (Word Count 3000) 1 Introduction The ethical

More information

GENERAL BIOETHICS COMMISSION

GENERAL BIOETHICS COMMISSION GENERAL BIOETHICS COMMISSION BIOETHICS FORMATION FRAMEWORK GENERAL OBJECTIVE HOSPITALLER ORDER OF ST JOHN OF GOD To provide a framework to help the Provinces and the Centres of the Order to design their

More information

Code of Conduct. Property of UKAPA 20/11/2009 1

Code of Conduct. Property of UKAPA 20/11/2009 1 Code of Conduct A Physician Assistant (now associate) (PA) is defined as someone who is: a new healthcare professional who, while not a doctor, works to the medical model, with the attitudes, skills and

More information

Residency Programs and Global Health

Residency Programs and Global Health Residency Programs and Global Health Overcoming Hoops & Hurdles APPD Annual Conference April 2, 2011 Who Are We? Maneesh Batra U of Washington Christiana Russ Boston Children s Nikki St. Clair Medical

More information

Following are detailed competencies which are addressed to various extents in coursework, field training and the integrative project.

Following are detailed competencies which are addressed to various extents in coursework, field training and the integrative project. MPH Epidemiology Following are detailed competencies which are addressed to various extents in coursework, field training and the integrative project. Biostatistics Describe the roles biostatistics serves

More information

International Clinical Trials: Global Compliance Norms The Declaration of Helsinki

International Clinical Trials: Global Compliance Norms The Declaration of Helsinki International Clinical Trials: Global Compliance Norms The Declaration of Helsinki John R. Williams, Ph.D. University of Ottawa, Canada II International Pharmaceutical Regulatory and Compliance Congress

More information

MEDICAL ETHICS MEDICAL ETHICS STUDIES PRINCIPLES OF RIGHT AND WRONG FOUR PRINCIPLES OF MEDICAL ETHICS AUTONOMY JUSTICE BENEFICENCE NON-MALEFICENCE

MEDICAL ETHICS MEDICAL ETHICS STUDIES PRINCIPLES OF RIGHT AND WRONG FOUR PRINCIPLES OF MEDICAL ETHICS AUTONOMY JUSTICE BENEFICENCE NON-MALEFICENCE MEDICAL ETHICS MEDICAL ETHICS STUDIES PRINCIPLES OF RIGHT AND WRONG FOUR PRINCIPLES OF MEDICAL ETHICS AUTONOMY JUSTICE BENEFICENCE NON-MALEFICENCE AUTONOMY REQUIRES THAT THE PATIENT HAVE AUTONOMY OF THOUGHT,

More information

Approaches to Social Work Ethical Decision-Making

Approaches to Social Work Ethical Decision-Making Approaches to Social Work Ethical Decision-Making Steve R. Wilson, Ph.D., LCSW Lisa K. Jennings, Ph.D., LCSW School of Social Work California State University, Long Beach California Hospice and Palliative

More information

The Belmont Principles The Belmont Report: Ethical Principles and Guidelines for the Protection of Human of Research

The Belmont Principles The Belmont Report: Ethical Principles and Guidelines for the Protection of Human of Research The Belmont Principles The Belmont Report: Ethical Principles and Guidelines for the Protection of Human of Research National Commission for the Protection of Human Subjects of Biomedical and Behavioral

More information

ETHICAL ISSUES IN RESEARCH ON RARE DISEASES

ETHICAL ISSUES IN RESEARCH ON RARE DISEASES ETHICAL ISSUES IN RESEARCH ON RARE DISEASES The views expressed are my own. They do not represent any position or policy of the NIH or DHHS David Wendler Department of Bioethics NIH Clinical Center Same

More information

Objectives Patient Advocacy Deborah Hunt PhD (c), MS, RN Doctoral Candidate Assistant Professor of Nursing Define Patient Advocacy. Identify key components of the role of the patient advocate. Discuss

More information

Cross Cultural Principles for Bioethics

Cross Cultural Principles for Bioethics 11 Cross Cultural Principles for Bioethics Mette Ebbesen University of Aarhus Denmark 1. Introduction Ethics in relation to the practice of medicine had continuity from the time of Hippocrates (ca. 460-377

More information

Improving Communication Improving Care. An Ethical Force Program Consensus Report

Improving Communication Improving Care. An Ethical Force Program Consensus Report An Ethical Force Program Consensus Report Improving Communication Improving Care How health care organizations can ensure effective, patient-centered communication with people from diverse populations

More information

Ethical Considerations in the Delivery of Health Care and Rehabilitation Services to People with Disabilities

Ethical Considerations in the Delivery of Health Care and Rehabilitation Services to People with Disabilities Ethical Considerations in the Delivery of Health Care and Rehabilitation Services to People with Disabilities Lex Frieden, Professor, Biomedical Informatics & Rehabilitation, University of Texas Health

More information

Chapter 2 The Underlying Principles of Ethical Patient Care

Chapter 2 The Underlying Principles of Ethical Patient Care Chapter 2 The Underlying Principles of Ethical Patient Care Medical ethics is based on a series of ethical principles that are particularly relevant to medical practice and patient care. The principles

More information

Elaboration of the Declaration on Universal Norms on Bioethics : Third Outline of a Text

Elaboration of the Declaration on Universal Norms on Bioethics : Third Outline of a Text United Nations Educational, Scientific and Cultural Organisation Organisation des Nations Unies pour l éducation, la science et la culture International Bioethics Committee (IBC) Distribution: limited

More information

Ethical Considerations for Prepositioning Medical Countermeasures for the Public

Ethical Considerations for Prepositioning Medical Countermeasures for the Public Ethical Considerations for Prepositioning Medical Countermeasures for the Public Drue H. Barrett, Ph.D. Lead, Public Health Ethics Unit Office of Science Integrity Office of the Associate Director for

More information

Discussion Questions for Essential Ethics for Psychologists Thomas F. Nagy, Ph.D.

Discussion Questions for Essential Ethics for Psychologists Thomas F. Nagy, Ph.D. Discussion Questions for Essential Ethics for Psychologists Thomas F. Nagy, Ph.D. CHAPTER 1: 1. What are the three attributes of ethical actions? 2. Explain the basic difference between an ethics code

More information

Recruitment for Clinical Research. Ensuring the rights and welfare of participants while encouraging research enrollment

Recruitment for Clinical Research. Ensuring the rights and welfare of participants while encouraging research enrollment Recruitment for Clinical Research Ensuring the rights and welfare of participants while encouraging research enrollment Benjamin S. Wilfond MD Co-Director, Regulatory Support and Bioethics Core, Institute

More information

OT AUSTRALIA. Australian Association of Occupational Therapists. Code of Ethics

OT AUSTRALIA. Australian Association of Occupational Therapists. Code of Ethics Introductory Statement The ethos of the occupational therapy profession and its practice requires its members to discharge their duties and responsibilities, at all times, in a manner which professionally,

More information

Professional Standards and Guidelines

Professional Standards and Guidelines College of Physicians and Surgeons of British Columbia Professional Standards and Guidelines Conflict of Interest Arising from Clinical Research Preamble This document is a guideline of the Board of the

More information

Dr. Lloyd Webb, Professor and Director (GPHP) webbl@mytu,tuskegee.edu; Tel: 334-727-8476

Dr. Lloyd Webb, Professor and Director (GPHP) webbl@mytu,tuskegee.edu; Tel: 334-727-8476 TUSKEGEE UNIVERSITY COLLEGE OF VETERINARY MEDICINE, NURSING AND ALLIED HEALTH GRADUATE PUBLIC HEALTH PROGRAM (GPHP) Contact Information: Dr. Lloyd Webb, Professor and Director (GPHP) webbl@mytu,tuskegee.edu;

More information

MORAL THEORY By John McMillan, PhD

MORAL THEORY By John McMillan, PhD MORAL THEORY By John McMillan, PhD EXECUTIVE SUMMARY Introduction Moral theories can help physicians to justify and reflect upon the ethical decisions that they make. Moral theories are different from

More information

Philosophy 279 Biomedical Ethics

Philosophy 279 Biomedical Ethics Philosophy 279 Biomedical Ethics Course Objectives This course will provide a systematic survey of some important ethical issues in medicine, showing how an understanding of these questions depends on

More information

GUIDELINES FOR PSYCHOLOGICAL PRACTICE IN HEALTH CARE DELIVERY SYSTEMS

GUIDELINES FOR PSYCHOLOGICAL PRACTICE IN HEALTH CARE DELIVERY SYSTEMS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 GUIDELINES FOR PSYCHOLOGICAL PRACTICE IN HEALTH CARE DELIVERY SYSTEMS INTRODUCTION Psychologists practice in an increasingly diverse range

More information

Ethical considerations relating to health care resource allocation decisions

Ethical considerations relating to health care resource allocation decisions Ethical considerations relating to health care resource allocation decisions N a t i o n a l H e a l t h a n d M e d i c a l R e s e a r c h C o u n c i l NHMRC Commonwealth of Australia 1993 Reprinted

More information

Health coaching for patients with diabetes: Changing behavior and health

Health coaching for patients with diabetes: Changing behavior and health Fairview Health Services Fairview Medical Group Influencing patient behaviors and habits is difficult to accomplish in a short clinic visit. Since primary care providers struggle with insufficient time

More information

LEGAL & ETHICAL ISSUES Dr Les Gemmell MBBS, FRCA, MA

LEGAL & ETHICAL ISSUES Dr Les Gemmell MBBS, FRCA, MA LEGAL & ETHICAL ISSUES Dr Les Gemmell MBBS, FRCA, MA Many doctors are unsure of their roles and responsibilities in their interactions with the legal system. This is not surprising, given the increased

More information

Ethical Principles Applied to Ebola Virus Disease Treatment

Ethical Principles Applied to Ebola Virus Disease Treatment Ethical Principles Applied to Ebola Virus Disease Treatment October 24, 2014 Executive Summary The highly infectious and potential lethality of Ebola Virus Disease requires thoughtful application of medical

More information

2013 AHA-McKesson Quest for Quality Prize Criteria

2013 AHA-McKesson Quest for Quality Prize Criteria 2013 AHA-McKesson Quest for Quality Prize Criteria Please be aware that these criteria reflect a vision for health care that is well described in the Institute of Medicine report (IOM), Crossing the Quality

More information

Systems of Law RSPT 1101. Application of the Law to Respiratory Care. Public Law. Private Law. Types of Negligence. Tort Law

Systems of Law RSPT 1101. Application of the Law to Respiratory Care. Public Law. Private Law. Types of Negligence. Tort Law RSPT 1101 Application of the Law to Respiratory Care Systems of Law Public Law - deals with relationships of private parties and the government Private Law - concerned with the recognition and enforcement

More information

Ethical issues in medical genetics and genetic services

Ethical issues in medical genetics and genetic services Ethical issues in medical genetics and genetic services WHO documents: 1999, 2003 Summarised by Hanan Hamamy Training Course in Sexual and Reproductive Health Research Geneva 2013 Relevant Ethical Principles

More information

Grace Cullen Oligario, NP C, ACHPN Nurse Practitioner, Oncology and Palliative Care Ethics Consultant Detroit VA Medical Center

Grace Cullen Oligario, NP C, ACHPN Nurse Practitioner, Oncology and Palliative Care Ethics Consultant Detroit VA Medical Center Grace Cullen Oligario, NP C, ACHPN Nurse Practitioner, Oncology and Palliative Care Ethics Consultant Detroit VA Medical Center Introduction to Ethics Introduction to the process of Ethics Consultations

More information

Masters of Science (MS) in Educational Psychology

Masters of Science (MS) in Educational Psychology College of Education and Human Development (CEHD) Graduate School of Education (GSE) School of Recreation, Health, and Tourism (SRHT) Masters Programs Teacher Licensure Certification Programs & Advanced

More information

Good Scientific Practice

Good Scientific Practice Section 1: The purpose of this document There are three key components to the Healthcare Science workforce in the UK: 1. Healthcare Science Associates and Assistants who perform a diverse range of task

More information

UNESCO and Bioethics. Copenhagen, 7 November 2006. Henk ten Have, MD PhD, United Nations Educational, Scientific and Cultural Organization

UNESCO and Bioethics. Copenhagen, 7 November 2006. Henk ten Have, MD PhD, United Nations Educational, Scientific and Cultural Organization UNESCO and Bioethics Henk ten Have, MD PhD, Director, Division of Ethics of Science and Technology Copenhagen, 7 November 2006 United Nations Educational, Scientific and Cultural Organization Established

More information

Resolution 1-S14. Devising Strategies that Increase the Representation of Private Practitioners/Self-Employed Physicians within ACP Leadership

Resolution 1-S14. Devising Strategies that Increase the Representation of Private Practitioners/Self-Employed Physicians within ACP Leadership Resolution 1-S14. Devising Strategies that Increase the Representation of Private Practitioners/Self-Employed Physicians within ACP Leadership (Sponsor: District of Columbia Chapter) WHEREAS, the American

More information

Code of Ethics December 2013

Code of Ethics December 2013 Code of Ethics December 2013 Ethical Principles The following ethical principles form the basis of the Audiology Australia Code of Conduct: Respect the rights, needs, well-being and autonomy of people

More information

Principal Investigator and Sub Investigator Responsibilities

Principal Investigator and Sub Investigator Responsibilities Principal Investigator and Sub Investigator Responsibilities I. Purpose To define the roles and responsibilities of Principal Investigators conducting research at GRU. II. Definition The term Principal

More information

UT Health Science Center at San Antonio School of Medicine. Review and Approval of CME Ethics and/or Professional Responsibility Credit Policy

UT Health Science Center at San Antonio School of Medicine. Review and Approval of CME Ethics and/or Professional Responsibility Credit Policy UT Health Science Center at San Antonio School of Medicine Review and Approval of CME Ethics and/or Professional Responsibility Credit Policy Continuing Medical Education Policy and Procedure Manual Goal:

More information

A Novel Graduate Program in Healthcare Technologies Management

A Novel Graduate Program in Healthcare Technologies Management Session 1609 A Novel Graduate Program in Healthcare Technologies Management Jay R. Goldberg, William R. Hendee Marquette University/Medical College of Wisconsin Steven R. Krogull Medical College of Wisconsin

More information

Boundaries and Dangers in the Supervisory Relationship. Philip R. Budd, Psy.D. Saint Anthony Hospital Family Medicine Residency Program

Boundaries and Dangers in the Supervisory Relationship. Philip R. Budd, Psy.D. Saint Anthony Hospital Family Medicine Residency Program Boundaries and Dangers in the Supervisory Relationship Philip R. Budd, Psy.D. Saint Anthony Hospital Family Medicine Residency Program In Treatment Video Watch the video assessing: 1) Is this supervision

More information

An Ethical Approach to Financial Issues in Medical Practice. The National Medical Ethics Committee

An Ethical Approach to Financial Issues in Medical Practice. The National Medical Ethics Committee An Ethical Approach to Financial Issues in Medical Practice The National Medical Ethics Committee Foreword Advances in science and technology have wide-ranging social and economic effects. The impact of

More information

Professional Certificate Course in Renal Nursing. The Open University of Hong Kong 2011

Professional Certificate Course in Renal Nursing. The Open University of Hong Kong 2011 Professional Certificate Course in Renal Nursing The Open University of Hong Kong 2011 Objectives provide students with a specialist training in the knowledge and techniques of essential renal nursing

More information

MEDICAL DIRECTOR: ROLE AND RESPONSIBILITIES AS LEADER AND MANAGER

MEDICAL DIRECTOR: ROLE AND RESPONSIBILITIES AS LEADER AND MANAGER MEDICAL DIRECTOR: ROLE AND RESPONSIBILITIES AS LEADER AND MANAGER FUNCTIONS AND ASSOCIATED TASKS Function 1 - Administrative The medical director participates in administrative decision making and recommends

More information

Legal & Ethical Issues of Patient Transfers

Legal & Ethical Issues of Patient Transfers Legal & Ethical Issues of Patient Transfers The Situation Scott a 30yr old is in the ED with meningococcal meningitis; he is very sick and requires Intensive Care. The hospital s ICU is full although there

More information

Ethics in Contemporary Healthcare. Fall 2015. Prof. James Giordano, PhD

Ethics in Contemporary Healthcare. Fall 2015. Prof. James Giordano, PhD Ethics in Contemporary Healthcare Fall 2015 Prof. James Giordano, PhD Office: GUMC, Bldg D, Rm 238. Contact: 202 687-1160 james. giordano@georgetown.edu Office hours: By appointment Narrative Description

More information

THE PRINCIPLE OF JUSTIFICATION

THE PRINCIPLE OF JUSTIFICATION THE PRINCIPLE OF JUSTIFICATION AND ITS RELATION WITH RADIOLOGICAL INFORMED CONSENT IN THE CONTEXT OF EU LAW Legal Adviser at the Instituto Superior Técnico / Campus Tecnológico e Nucler, Lisbon University

More information

Overview of Presentation. Current Ethical Issues for School Counselors and Psychologists. Ethics. Ethics. Deontological. Ethical Traditions

Overview of Presentation. Current Ethical Issues for School Counselors and Psychologists. Ethics. Ethics. Deontological. Ethical Traditions Current Ethical Issues for School Counselors and Psychologists Tony Cellucci, Ph.D & Peter Vik, Ph.D. Idaho State University Overview of Presentation Ethical Traditions in Philosophy Contemporary Models

More information

CLINICAL CLINICAL TRIALS. How Clinical Trials Work for Children

CLINICAL CLINICAL TRIALS. How Clinical Trials Work for Children CLINICAL CLINICAL TRIALS How Clinical Trials Work for Children Today, there are only a handful of drugs approved by the U.S. Food and Drug Administration (FDA) to treat hepatitis B, C or D in adults. There

More information

CARDIOLOGY ROTATION GOALS AND OBJECTIVES

CARDIOLOGY ROTATION GOALS AND OBJECTIVES CARDIOLOGY ROTATION GOALS AND OBJECTIVES PGY-1 Core Medicine Rotation The trainee will have the opportunity to develop clinical skills, the ability to analyze patients problems, and make treatment plans

More information

G. The Seven Step Method for Analyzing Ethical Situations mental checklist to insure completeness

G. The Seven Step Method for Analyzing Ethical Situations mental checklist to insure completeness G. The Seven Step Method for Analyzing Ethical Situations SOURCE: From Class Notes by J. Brooke Hamilton III Ph.D., Management Department, University of Louisiana at Lafayette, based on material developed

More information

WHAT IS MEDICAL MANAGEMENT? WHAT IS THE PURPOSE OF MEDICAL MANAGEMENT?

WHAT IS MEDICAL MANAGEMENT? WHAT IS THE PURPOSE OF MEDICAL MANAGEMENT? WHAT IS MEDICAL MANAGEMENT? How health plans make decisions to approve payment for medical treatment is a poorly understood part of the healthcare system. One part of the process, known as medical management,

More information

Session 10. Autonomy, Beneficence, and the Rights of Parents and Children: Exploring the Application of Ethical Principles in Pediatrics

Session 10. Autonomy, Beneficence, and the Rights of Parents and Children: Exploring the Application of Ethical Principles in Pediatrics American Academy of Pediatrics Bioethics Resident Curriculum: Case-Based Teaching Guides Session 10. Autonomy, Beneficence, and the Rights of Parents and Children: Exploring the Application of Ethical

More information

RESEARCH STUDY PROTOCOL. Study Title. Name of the Principal Investigator

RESEARCH STUDY PROTOCOL. Study Title. Name of the Principal Investigator RESEARCH STUDY PROTOCOL Study Title Name of the Principal Investigator For research involving human subjects, certain elements must be included with each new IRB submission to ensure an effective review

More information

Ethics and Justice : Theories as Applied to Age-Based Rationing

Ethics and Justice : Theories as Applied to Age-Based Rationing Ethics and Justice : Theories as Applied to Age-Based Rationing Hengameh Hosseini PHD Seton Hall University What I Intend to Do Discuss the rising costs of health care and its causes Discuss the impact

More information

The MPH. ability to. areas. program. planning, the following. Competencies: research. 4. Distinguish. among the for selection

The MPH. ability to. areas. program. planning, the following. Competencies: research. 4. Distinguish. among the for selection MPH COMPETENCIES The MPH competencies are based on those approved by the Association of Schools of Public Health (ASPH) in 2006. By graduation, all MPH students must demonstrate the ability to apply public

More information

Testimony of Marjorie A. Speers, Ph.D. Executive Director Association for the Accreditation of Human Research Protection Programs, Inc. Former Acting Executive Director National Bioethics Advisory Commission

More information

STUDENT PROFESSIONALISM

STUDENT PROFESSIONALISM STUDENT PROFESSIONALISM CMA Code of Ethics (Updated 2004 reviewed March 2012) This Code has been prepared by the Canadian Medical Association as an ethical guide for Canadian physicians, including residents,

More information

Clinical and Organizational Ethical Decision Making Guidelines

Clinical and Organizational Ethical Decision Making Guidelines Clinical and Organizational Ethical Decision Making Guidelines Developed by: Health PEI Clinical Ethics Committee Approved by: Health PEI Executive Leadership Committee Guidelines will be revised as required

More information

Clinical research: where are we with the new (Paediatric) RC trial Regulation

Clinical research: where are we with the new (Paediatric) RC trial Regulation where are we with the new (Paediatric) RC trial Regulation, MD, PhD Ethical Committee DEEP Former member of the PDCO EMA With the aid of Fabio D'Atri European commission and Anabela Marcal of EMA The new

More information

Future direction of the district health care system Role of the primary care doctors and family physicians in this system.

Future direction of the district health care system Role of the primary care doctors and family physicians in this system. Future direction of the district health care system Role of the primary care doctors and family physicians in this system Jeanette R Hunter 5 June 2014 Content CONTENT Current Situation The DHS going forward

More information

Chapter 5. Slide show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College of SC

Chapter 5. Slide show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College of SC Chapter 5 Slide show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College of SC 2.15.2016 Key Chapter Questions What is the scope of Health Law, Policy, and Ethics? What legal

More information

Complementary/Alternative Medicine

Complementary/Alternative Medicine COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO P O L I C Y S TAT E M E N T # 3-1 1 Complementary/Alternative Medicine APPROVED BY COUNCIL: REVIEWED AND UPDATED: PUBLICATION DATE: KEY WORDS: LEGISLATIVE

More information

CHAPTER THREE PHYSICIANS AND SOCIETY

CHAPTER THREE PHYSICIANS AND SOCIETY 62 CHAPTER THREE PHYSICIANS AND SOCIETY Looking AIDS in the Face Gideon Mendel/CORBIS 63 Medical Ethics Medical Manual Ethics Principal Manual Features Physicians of Medical and Society Ethics Objectives

More information

member of from diagnosis to cure Eucomed Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Devices

member of from diagnosis to cure Eucomed Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Devices Eucomed Six Key Principles for the Efficient and Sustainable Funding & Reimbursement of Medical Devices Contents Executive Summary 2 Introduction 3 1. Transparency 4 2. Predictability & Consistency 5 3.

More information

Ethical Issues in Health Care for Older Persons. Bruce Leff, MD Associate Professor Johns Hopkins University Schools of Medicine and Public Health

Ethical Issues in Health Care for Older Persons. Bruce Leff, MD Associate Professor Johns Hopkins University Schools of Medicine and Public Health This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

UNIVERSITY OF NORTH FLORIDA COLLEGE OF HEALTH SCHOOL OF NURSING. Permission of the Faculty

UNIVERSITY OF NORTH FLORIDA COLLEGE OF HEALTH SCHOOL OF NURSING. Permission of the Faculty UNIVERSITY OF NORTH FLORIDA COLLEGE OF HEALTH SCHOOL OF NURSING COURSE TITLE Applied Nursing Ethics COURSE NUMBER NUR 4826 CREDIT HOURS PRE/COREQUISITE 2 Semester Hours NUR 3167 Nursing Science II Permission

More information

To IRB, or Not to IRB? That Is the Question!

To IRB, or Not to IRB? That Is the Question! To IRB, or Not to IRB? That Is the Question! A presentation by Mary Sapp, Ph.D. Assistant Vice President, Planning & Institutional Research University of Miami and Thomas K. Martin, Ph.D. Associate Vice

More information

Public health: an ethical imperative?

Public health: an ethical imperative? Public health: an ethical imperative? Hugh Whittall Director, Nuffield Council on Bioethics (UK) The Nuffield Council on Bioethics Established in 1991 Independent body that examines ethical questions raised

More information

ETHICAL ISSUES IN REHABILITATION MEDICINE

ETHICAL ISSUES IN REHABILITATION MEDICINE Scand J Rehab Med 2000; 32: 51 55 ETHICAL ISSUES IN REHABILITATION MEDICINE Jeff Blackmer From the Department of Physical Medicine and Rehabilitation, University of Saskatchewan, Saskatoon City Hospital,

More information

Code of Professional Conduct and Ethics for Social Workers. Bord Clárchúcháin na noibrithe Sóisialta Social Workers Registration Board

Code of Professional Conduct and Ethics for Social Workers. Bord Clárchúcháin na noibrithe Sóisialta Social Workers Registration Board Code of Professional Conduct and Ethics for Social Workers Bord Clárchúcháin na noibrithe Sóisialta Social Workers Registration Board 1 Code of Professional Conduct and Ethics for Social Workers Contents

More information

Grace Medical Home, Inc. Financial Statements

Grace Medical Home, Inc. Financial Statements Grace Medical Home, Inc. Financial Statements For The Years Ended December 31, 2013 and 2012 REPORT OF INDEPENDENT AUDITORS The Board of Directors Grace Medical Home, Inc. Orlando, Florida We have audited

More information

Master of Arts in Bioethics

Master of Arts in Bioethics Master of Arts in Bioethics WAKE FOREST GRADUATE SCHOOL OF ARTS & SCIENCES Where Theory Meets Practice Engaging the Ethics of Clinical Care, Biomedical Research, and Health Policy and Administration WHAT

More information

The Right to Choose: A Cancer Case Study

The Right to Choose: A Cancer Case Study Cancer Education Project The Right to Choose: A Cancer Case Study Overview: This activity develops students understanding that individuals with cancer must weigh the risks, benefits, and tradeoffs associated

More information

A Practitioner's Guide to Ethical Decision Making

A Practitioner's Guide to Ethical Decision Making A Practitioner's Guide to Ethical Decision Making Holly Forester-Miller, Ph.D. Thomas Davis, Ph.D. Copyright 1996, American Counseling Association. A free publication of the American Counseling Association

More information

Compensation in Moral Science: Protecting Participants in Human Subjects Research

Compensation in Moral Science: Protecting Participants in Human Subjects Research Compensation in Moral Science: Protecting Participants in Human Subjects Research Contents I. Introduction... 1 II. Learning Objectives... 2 III. Background... 2 A. Guiding Principles... 2 B. Legal Background...

More information

Hollie Goddard Sr. IRB Coordinator McKesson Specialty Health

Hollie Goddard Sr. IRB Coordinator McKesson Specialty Health Hollie Goddard Sr. IRB Coordinator McKesson Specialty Health We are responsible for acquiring, analyzing, and protecting medical information vital to providing quality patient care HIM professionals ensure

More information

The Use of Patient Records (EHR) for Research

The Use of Patient Records (EHR) for Research The Use of Patient Records (EHR) for Research Mary Devereaux, Ph.D. Director, Biomedical Ethics Seminars Assistant Director, Research Ethics Program & San Diego Research Ethics Consortium Abstract The

More information

Ethics Programs at BIDMC

Ethics Programs at BIDMC A major teaching hospital of Harvard Medical School Ethics Programs at BIDMC Lachlan Forrow, MD Director, Ethics Support Service Beth Israel Deaconess Medical Center Associate Professor of Medicine Harvard

More information

Ethical Issues in Nursing

Ethical Issues in Nursing Ethical Issues in Nursing Ethical Aspects of Nursing Advance directives Two types Living wills Durable power of attorney Patient Self-Determination Act (PSDA) of 1991 requires all health care institutions

More information

International Academy of Life Care Planners Standards of Practice

International Academy of Life Care Planners Standards of Practice International Academy of Life Care Planners Standards of Practice 2009 by International Association of Rehabilitation Professionals All rights reserved No part may be reproduced in any form or by any means

More information