200 likes | 331 Views
Basic Standards Ethical Issues. Bernard Heilicser D.O., M.S., F.A.C.E.P. Basic Standards for Approval of Residency Training in Emergency Medicine. Where is ETHICS?. Introduction.
E N D
Basic Standards Ethical Issues Bernard Heilicser D.O., M.S., F.A.C.E.P.
Basic Standards for Approval of ResidencyTraining in Emergency Medicine • Where is ETHICS?
Introduction • “…Shall provide meaningful objectives that prepare the resident to: 4. Make sound, ethical, and legal judgments as to the expected risks arising from therapy as well as the condition being treated.”
Standards for Residents • “D. The resident is legally, morally, and ethically, responsible to pursue exclusively the agreed upon program of training.”
Standards for Curriculum, Instruction, and Evaluation • “A. 6. The curriculum shall include instruction in medical ethics and interpersonal skills.”
3 Times • Informed Consent Process • Job Restriction • What Instruction? What Interpersonal Skills?
Core Curriculum • Outline Form • Administrative Aspects of Emergency Medicine • Departmental Administration • Hospital Administration
Broad Topics • Ethical Principles • Professional Relations • Life-Sustaining Treatment • Academic Ethics
Documents and Ethics • AOA Code of Ethics 1998 • Position Papers • Bylaws of the COEP (March 2001)
Where Do We Begin? • How do you teach a physician to be ethical? • How do you standardize this? • How do you exceed the minimum? • What are the ethical standards we should hold ourselves to? • Professional • Societal
Standard 1 - Mission • Purpose and Need • Professional Responsibility • Societal Responsibility
Standard 2 – Educational Program Goals and Objectives • Achieve What? • Enumerate Objectives • Institutional • Residents
Standard 3 – Institutional Requirement for Program Approval • How to incorporate? • Who is responsible? • Oversight
Standard 4 – Faculty and Administration • Who will teach? • Formal • Subjectively
Standard 5 - Residents • Importance and legitimacy • Consequences of failure • Professionally • Legally
Standard 6 – Curriculum and Instruction • Core Curriculum is Framework • Amplify • Case Presentations • Ethics Rounds • All Case Presentations • Journal Club
Casuistry • Learn the rules and appreciate uniqueness • Role modeling
Standard 7 – Facilities and Other Resources • References • Conflict resolution
Standard 8 - Evaluation • Didactic testing • Faculty review of case management
Conclusion • Essential • Better physicians and better patient care • “Virtuous people making right and good decisions”