etika kuliah (slide 2011)
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What’s Your Comment
( I spit in te toilet
( I spit in front of te class
( I spit upon you
%)HICS
( A*solute
( $ni+ersal
( &*,ecti+e
( Consistent
HUMAN ALUE!DI"NITY
"olden rule
( -Don not "o someting to anyone if you "o not .ant anyone "o te same ting to
you 0-1angan memperlakukan orang se*agaimana an"a ti"ak ingin "iperlakukan-23
( A ealty tinker use te !ol"en Rule as a parameter of life
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What is moral
( Moral is norms
( Moral corelate" .it reason /rationality
( Moral is "e+eloping
( 4rom cil" to a"ultoo"
( 4rom ol" age to ne. era
( )e *asic of moral is etics
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Ethi#al theories
Ethi#s of Condu#t
5at sort of action
.e perform?
Ethi#s of Chara#ter
5at sort of people
soul" .e *e?
Deontolo$%!dut%&'ased ethi#s
)e goo" is
"efine"
in"epen"ently of
te rigt
Teleolo$%!Conse(uentialism
)e rigt action is te
one tat pro"uces
te most intrinsic
goo"
Aristoteleanism
#irtue is a mean
*et.een e6tremes
of action or passion
)e central focus is
te caracter of te
person 0eg3 Doctor2
4or te agent7
Ethi#al e$oism
4or e+eryone
effecte"7
Utilitarianism
)antianism
Action must satisfy
te categorical
imperati+e
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teleolo$% deontolo$% irtue ethi#s
83 An action is rigt if itpromotes te *estconce9uences
83 Action is rigt in acoor" amoral rule/principle
83 Rigt if it is .at +irtuousagent .oul" "o in te samecircumstances
:3 )e *est conse9unces;appiness is ma6imi<e"
:3 A moral rule 0is lai" on us*y !o"/is lai" on us *yreason/.oul" *e cosen *yall rational *eings
:3 A +irtue is caracter traita uman *eeing nee"s inor"er to flouris
=3 )e teory "epen"s onconcept of appiness =3 )e teory "epen"s onconcept of rationality =3 Depen"s on te conceptof uman flourising
Dis#uss *
5at is te strengt an" .eakness of 83 teleology/conse9uentalism/utilitarianism
:3 Deontology/"uty>*ase" etics
=3 #irtue etics teory
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3 %tical )eory
=3 'rinciples
:3 Rules
83 'articular 1u"gement
Medi#al ethi# +rin#i+les
( 'rinciple of nonmaleficence
( 'rinciple of *eneficence
('rinciple of ,ustice( 'rinciple of autonomy
( 'rinciple of +eracity
( 'rinciple of confi"entiality
'rimary
Secon"ary
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Medi#al ethi# +rin#i+les
( Nonmalefi#en#e
@ -I ne+er use treatment to in,ure or .rong te sick
@ If you cant "o te *est at least "o no arm
@ Not legali<e" any effort for getting te goo" result( ,enefi#en#e
@ Some one nee" elp *ecause of in great "anger con"ition
@ )e elper can eliminate or pre+ent te treat
@ )e *enefit muc greater tan te arm recei+e" *y te elper at minimal risk
( -usti#e
@ %+ery person is -create" e9ualso must *e treate" in e9ual
@ Accor"ing to prosperity an" re9uirement
( Autonom%
@ Autonomy ; te capacity to tinkB "eci"e an" act on te *asis of suc tougt
an" "ecision freely an" in"epen"ently
( era#it%
@ Dr an" patient tell te trut
( Confidentialit%
@ -I .ill respect te secrets .ic are confi"e" in meB e+en after te patient
as "ie"
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( AS&L$)%
( $NI#%RSAL( &1%C)I#%
( C&NSIS)%N)
A++li#ation.dilemma
dilemma
Culture!#ustom!
sose#!edu!la/!et#
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Can %ou diferentiate
( %tics( Religion( La.
( %tical co"e( %ti9uette
The future threat
0the d%nami# medi#al +ro'lems1
( Incresing of Doctor num*er ( #ariation in Speciali<ation
( )e gro.ing of Me"ical e9uipment 9uality
0sopisticate"2
( Me"ical tecnology in repro"ucti+e an" treatment
0cloning/stem cell/e6trauterine fertili<ation2( Commercialisation/ussiness influences
( Increasing "eman" for *etter 9uality ser+ices
( Doctors professionalism +s pateients rigt/autonomy
temes of ioetics
83 irt
:3 Sickness/illness
=3 Ageing3 Deat
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Com+onents of 2ational Moralit%
34 5air&mindedness
( )o.ar"s te rele+ant people
( Appreciation to +arious moral +ie.points
64 alid reasonin$( Logically soun" argument
( Conceptual analysis 0"efinition of key terms/eluci"ating concept/making"istinction 0splitting2/i"entifying similarity *et.een concept2
( Reasoning from principle an" teory
( Consistency an" case comparison74 2efle#ti8e e(uili'rium /ith dialo$ue
( Specific circumstances +s general teories an" priciples
( Dialogue .it oters
Ho/ to sol8e the +ro'lem
( I"entify te real me"ical etics pro*lem only
( %+aluate etical +alues an" conflicts of +alue
( Looking for te alternati+es
( Select te *est alternati+e *ase" on me"ical in"icationB me"ical etics principleBla.B religion/patients *eliefB tra"ition an" socio>economic con"ition
( %6amine te "ecision7 "iscuss .it your inner min"B .it your colleagueB in aseminar or in pu*lic "e*ate
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Dis#uss9 Cases in medi#al ethi#s
Nonmaleficence !i+ing morpine to a terminally ill?
Must sa+e te li+e of te ma,or congenital "efect ne.*orn *a*y?
eneficence )e in*alance of *enefit an" cost?
1ustice 5at rules of ,ustice soul" gui"e our priorities?
Autonomy 'atient +s Dr autonomy
Confi"entiality %pileptic or ) scool cil"ren *us "ri+er?
'5HA .ant to marry?
#eracity 5ole story for untreata*le "isease?
'atient "oesnt .ant to kno. te "isease?
A +rofessional(National stan"ar"i<e" e"ucation(Humanity(%tical co"e(Legal(Life>long e"ucation
('rofessional organi<ation
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Professionals are #ommitted to9
%6cellence
Continuous impro+ement
Integrity
Compassion Altruism
5orking in partnersip .it mem*ers of te .i"er ealtcare team
:ran$&oran$ +rofesional ;elihatan dari
( Attitu"e( Appearance
( Speec
( &rgani<ation
( 4rien"liness