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Basic Standards Ethical Issues

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.

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Basic Standards Ethical Issues

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  1. Basic Standards Ethical Issues Bernard Heilicser D.O., M.S., F.A.C.E.P.

  2. Basic Standards for Approval of ResidencyTraining in Emergency Medicine • Where is ETHICS?

  3. 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.”

  4. Standards for Residents • “D. The resident is legally, morally, and ethically, responsible to pursue exclusively the agreed upon program of training.”

  5. Standards for Curriculum, Instruction, and Evaluation • “A. 6. The curriculum shall include instruction in medical ethics and interpersonal skills.”

  6. 3 Times • Informed Consent Process • Job Restriction • What Instruction? What Interpersonal Skills?

  7. Core Curriculum • Outline Form • Administrative Aspects of Emergency Medicine • Departmental Administration • Hospital Administration

  8. Broad Topics • Ethical Principles • Professional Relations • Life-Sustaining Treatment • Academic Ethics

  9. Documents and Ethics • AOA Code of Ethics 1998 • Position Papers • Bylaws of the COEP (March 2001)

  10. 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

  11. Standard 1 - Mission • Purpose and Need • Professional Responsibility • Societal Responsibility

  12. Standard 2 – Educational Program Goals and Objectives • Achieve What? • Enumerate Objectives • Institutional • Residents

  13. Standard 3 – Institutional Requirement for Program Approval • How to incorporate? • Who is responsible? • Oversight

  14. Standard 4 – Faculty and Administration • Who will teach? • Formal • Subjectively

  15. Standard 5 - Residents • Importance and legitimacy • Consequences of failure • Professionally • Legally

  16. Standard 6 – Curriculum and Instruction • Core Curriculum is Framework • Amplify • Case Presentations • Ethics Rounds • All Case Presentations • Journal Club

  17. Casuistry • Learn the rules and appreciate uniqueness • Role modeling

  18. Standard 7 – Facilities and Other Resources • References • Conflict resolution

  19. Standard 8 - Evaluation • Didactic testing • Faculty review of case management

  20. Conclusion • Essential • Better physicians and better patient care • “Virtuous people making right and good decisions”

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