october 24, 2014 capa annual conference halifax, nova scotia brad olmstead sharona kanofsky
TRANSCRIPT
PAS DOING RIGHT: TEACHING ETHICAL DECISION MAKINGTO PA STUDENTS
October 24, 2014CAPA Annual ConferenceHalifax, Nova Scotia
Brad OlmsteadSharona Kanofsky
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DISCLOSUREThe presenters have no conflict of interests to disclose.
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LEARNING OBJECTIVESBy the end of this session, participants will be able to:
Describe an approach to teaching ethical decision making to PA students
Describe how this ethical decision-making approach is applied by PA students to real-world ethical dilemmas from clinical practice
Appreciate the use of educational technology in delivering a medical ethics course to PA students distributed across a large geographic area
MEDICAL ETHICS COURSEConsortium of PA Education
Based on DND course
second year course, delivered while students are in second half of clinical training
Structured based on textbook: Doing Right: A Practical Guide to Ethics for Medical Trainees and Physicians by Philip Hébert
PURPOSE Identify the basic ethical principles
AutonomyBeneficence/non-maleficence Justice
Describe a step-by-step ethical decision making framework
Apply an ethical decision making framework to assigned cases and real-world ethical dilemmas encountered in clinical practice
Prepare future PAs with the skills and capacity to participate in informed ethical decision-making processes in clinical practice!!
HÉBERT’S DECISION-MAKING FRAMEWORK1. Describe the case: summary including pertinent facts
2. Identify the ethical dilemma
3. Identify all possible alternatives
4. Identify the key considerations based on each of the ethical principles (autonomy; beneficence; justice) and the specific context of the situation
5. Propose a resolution
6. Critically review this choice
7. Do the right thing!
COURSE LEARNING ACTIVITIES/ASSESSMENTS Delivery entirely online Case Discussions
1. Leah’s case – autonomy and self-determination2. Truth-telling – cultural context3. Dax’s case – the right to die
Applying the framework to a case Group debate on reproductive health case Expert guest-facilitated online workshops
End-of-life care Bringing it all together with Dr. Hébert
Individual presentations on students’ own cases encountered in clinical placement (reflective exercise)
TOPICS COVERED General introduction to ethical decision-making in medicine Basic ethical principles
Autonomy Beneficence/non-maleficence Justice
Confidentiality Truth telling Informed consent Capacity Reproductive health End-of-life care
SUMMARY AND DISCUSSION