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Case Study: Dr. David A look at the CDC and ADA’s Corporate Medical Ethics Insert name.

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Presentation on theme: "Case Study: Dr. David A look at the CDC and ADA’s Corporate Medical Ethics Insert name."— Presentation transcript:

1 Case Study: Dr. David A look at the CDC and ADA’s Corporate Medical Ethics Insert name

2 The David Acer Story Dr. David J. Acer, a Florida Dentist, sent a letter to all his former patients informing them that he was infected with the AIDS virus and that they should all be tested. (This just a few months before he succumbed to the disease.) Dr. David J. Acer, a Florida Dentist, sent a letter to all his former patients informing them that he was infected with the AIDS virus and that they should all be tested. (This just a few months before he succumbed to the disease.) Dr. Acer continued to treat patients after learning in 1986 that he was infected with H.I.V. and after developing AIDS symptoms in 1987. Dr. Acer continued to treat patients after learning in 1986 that he was infected with H.I.V. and after developing AIDS symptoms in 1987. When Dr. Acer stopped practicing dentistry he told his patients that it was due to Cancer. Although he knew, he never disclosed that the Cancer was in fact AIDS related and that he had been HIV-positive since 1988. When Dr. Acer stopped practicing dentistry he told his patients that it was due to Cancer. Although he knew, he never disclosed that the Cancer was in fact AIDS related and that he had been HIV-positive since 1988. While assuring his patients in his letter that he had followed every measure to keep them safe, he also included in his letter before he died of AIDS in 1990, "I am a gentle man, and I would never intentionally expose anyone to this disease. I have cared for people all my life, and to infect anyone with this disease would be contrary to everything I have stood for." While assuring his patients in his letter that he had followed every measure to keep them safe, he also included in his letter before he died of AIDS in 1990, "I am a gentle man, and I would never intentionally expose anyone to this disease. I have cared for people all my life, and to infect anyone with this disease would be contrary to everything I have stood for." To date, 6 of Dr. Acers patience have been confirmed to be positive for HIV, all directly linked to the doctor’s practice. These patients rage in age from 15 yrs old to 65 yrs old. To date, 6 of Dr. Acers patience have been confirmed to be positive for HIV, all directly linked to the doctor’s practice. These patients rage in age from 15 yrs old to 65 yrs old. He died in September 1990. He died in September 1990.

3 Dr. Acer & Kimberly Bergalis Dr. Acer & Kimberly Bergalis Kimberly Bergalis had a December 1987 procedure to have her molar teeth removed. By Dr. David Acer, had been diagnosed with AIDS three months before performing the procedure. Kimberly Bergalis had a December 1987 procedure to have her molar teeth removed. By Dr. David Acer, had been diagnosed with AIDS three months before performing the procedure.molarAIDSmolarAIDS Kimberly, a self proclaimed virgin, claimed she never used intravenous needless or engaged in sexual intercourse learns that she is HIV- positive, the investigation leads to the procedure she had done by Dr. Acer. Kimberly then became an advocate for patients and urged Congress to demands laws that require healthcare workers to be tested for HIV to protect patients. Kimberly, a self proclaimed virgin, claimed she never used intravenous needless or engaged in sexual intercourse learns that she is HIV- positive, the investigation leads to the procedure she had done by Dr. Acer. Kimberly then became an advocate for patients and urged Congress to demands laws that require healthcare workers to be tested for HIV to protect patients.

4 Major Problems After extensive investigation, it was found that Dr. Acer had in fact infected 6 of his patients. The six patients, all of whom were probably infected by mid-1988, include four women and two men ranging in age from about 15 to about 65. After extensive investigation, it was found that Dr. Acer had in fact infected 6 of his patients. The six patients, all of whom were probably infected by mid-1988, include four women and two men ranging in age from about 15 to about 65. Instead of the ADA(American Dental Association) and the CDC (Center for Disease Control) accepting responsibility for the oversight in their ethical policies regarding healthcare workers, and looking into changing things, they began attacking the patients claims, lifestyles and reputations. This then caused a snowball effect of “cover-ups.” Instead of the ADA(American Dental Association) and the CDC (Center for Disease Control) accepting responsibility for the oversight in their ethical policies regarding healthcare workers, and looking into changing things, they began attacking the patients claims, lifestyles and reputations. This then caused a snowball effect of “cover-ups.” It wasn’t until after the CDC was forced to conduct Epidemiology reports ( investigation caused by the death of the 4 th patient of Dr. Acer from related symptoms) where the strand of the disease that infected Dr. Acer was compared to that of the patients claiming to have been infected by Dr. Acer, that these patients were vindicated. It wasn’t until after the CDC was forced to conduct Epidemiology reports ( investigation caused by the death of the 4 th patient of Dr. Acer from related symptoms) where the strand of the disease that infected Dr. Acer was compared to that of the patients claiming to have been infected by Dr. Acer, that these patients were vindicated. The Epidemiology reports taken by the scientists at the disease control centers determined that the H.I.V. strain carried by the six of Dr. Acer's patients matched his strain. It was then determined that the patients could not have contracted the disease anywhere else but from the doctor. The Epidemiology reports taken by the scientists at the disease control centers determined that the H.I.V. strain carried by the six of Dr. Acer's patients matched his strain. It was then determined that the patients could not have contracted the disease anywhere else but from the doctor. It was then up to the ADA and CDC to determine whether or not Dr. Acer’s patents were infected intentionally. Statistics showed that Dr. Acer’s case was the only reported case of healthcare provider to patient transmission of a disease recorded in history. The insurmountable number or patients infected by the patient was no coincidence……. So what happened in the doctors office? It was then up to the ADA and CDC to determine whether or not Dr. Acer’s patents were infected intentionally. Statistics showed that Dr. Acer’s case was the only reported case of healthcare provider to patient transmission of a disease recorded in history. The insurmountable number or patients infected by the patient was no coincidence……. So what happened in the doctors office?

5 Major problems continued.. A possible motive was suggested by Edward Parsons, a nurse who was a friend of Dr. Acer. He told The Palm Beach Post last year that Dr. Acer had said to him in 1988 that mainstream America was ignoring AIDS because it affected mostly homosexuals like himself, hemophiliacs and drug addicts. "When it starts affecting grandmothers and younger people, then you'll see something done," Mr. Parsons said Dr. Acer told him. A possible motive was suggested by Edward Parsons, a nurse who was a friend of Dr. Acer. He told The Palm Beach Post last year that Dr. Acer had said to him in 1988 that mainstream America was ignoring AIDS because it affected mostly homosexuals like himself, hemophiliacs and drug addicts. "When it starts affecting grandmothers and younger people, then you'll see something done," Mr. Parsons said Dr. Acer told him.

6 Center for Disease Control Mission CDC Mission CDC Mission To promote health and quality of life by preventing and controlling disease, injury, and disability. To promote health and quality of life by preventing and controlling disease, injury, and disability. As the Nation's prevention agency, we accomplish our mission by working with partners throughout the Nation and the world to: As the Nation's prevention agency, we accomplish our mission by working with partners throughout the Nation and the world to: monitor health monitor health detect and investigate health problems detect and investigate health problems conduct research to enhance prevention conduct research to enhance prevention develop and advocate sound public health policies develop and advocate sound public health policies implement prevention strategies implement prevention strategies promote healthy behaviors promote healthy behaviors foster safe and healthful environments foster safe and healthful environments provide leadership and training provide leadership and training

7 CDC Values CDC Core Values CDC Core Values Accountability — As diligent stewards of public trust and public funds, we act decisively and compassionately in service to the people’s health. We ensure that our research and our services are based on sound science and meet real public needs to achieve our public health goals. Accountability — As diligent stewards of public trust and public funds, we act decisively and compassionately in service to the people’s health. We ensure that our research and our services are based on sound science and meet real public needs to achieve our public health goals. Respect — We respect and understand our interdependence with all people, both inside the agency and throughout the world, treating them and their contributions with dignity and valuing individual and cultural diversity. We are committed to achieving a diverse workforce at all levels of the organization. Respect — We respect and understand our interdependence with all people, both inside the agency and throughout the world, treating them and their contributions with dignity and valuing individual and cultural diversity. We are committed to achieving a diverse workforce at all levels of the organization. Integrity — We are honest and ethical in all we do. We will do what we say. We prize scientific integrity and professional excellence. Integrity — We are honest and ethical in all we do. We will do what we say. We prize scientific integrity and professional excellence.

8 American Dental Association ADA Mission & Vision ADA Mission & Vision ADA Mission Statement ADA Mission Statement The ADA is the professional association of dentists committed to the public's oral health, ethics, science and professional advancement; leading a unified profession through initiatives in advocacy, education, research and the development of standards. The ADA is the professional association of dentists committed to the public's oral health, ethics, science and professional advancement; leading a unified profession through initiatives in advocacy, education, research and the development of standards. ADA Vision Statement ADA Vision Statement The American Dental Association: The oral health authority committed to the public and the profession. The American Dental Association: The oral health authority committed to the public and the profession.

9 SWOT ANALYSIS-Strengths The CDC and the ADA participants doctors/dentist adhere to the oldest most sacred vow/promise known to man and that is the HIPPOCRATIC OATH which states: The CDC and the ADA participants doctors/dentist adhere to the oldest most sacred vow/promise known to man and that is the HIPPOCRATIC OATH which states: I do solemnly vow, to that which I value and hold most dear: I do solemnly vow, to that which I value and hold most dear: That I will honor the Profession of Medicine, be just and generous to its members, and help sustain them in their service to humanity; That I will honor the Profession of Medicine, be just and generous to its members, and help sustain them in their service to humanity; That just as I have learned from those who preceded me, so will I instruct those who follow me in the science and the art of medicine; That just as I have learned from those who preceded me, so will I instruct those who follow me in the science and the art of medicine; That I will recognize the limits of my knowledge and pursue lifelong learning to better care for the sick and to prevent illness; That I will recognize the limits of my knowledge and pursue lifelong learning to better care for the sick and to prevent illness; That I will seek the counsel of others when they are more expert so as to fulfill my obligation to those who are entrusted to my care; That I will seek the counsel of others when they are more expert so as to fulfill my obligation to those who are entrusted to my care; That I will not withdraw from my patients in their time of need; That I will not withdraw from my patients in their time of need; That I will lead my life and practice my art with integrity and honor, using my power wisely; That I will lead my life and practice my art with integrity and honor, using my power wisely; That whatsoever I shall see or hear of the lives of my patients that is not fitting to be spoken, I will keep in confidence; That whatsoever I shall see or hear of the lives of my patients that is not fitting to be spoken, I will keep in confidence; That into whatever house I shall enter, it shall be for the good of the sick; That into whatever house I shall enter, it shall be for the good of the sick; That I will maintain this sacred trust, holding myself far aloof from wrong, from corrupting, from the tempting of others to vice; That I will maintain this sacred trust, holding myself far aloof from wrong, from corrupting, from the tempting of others to vice; That above all else I will serve the highest interests of my patients through the practice of my science and my art; That above all else I will serve the highest interests of my patients through the practice of my science and my art; That I will be an advocate for patients in need and strive for justice in the care of the sick. That I will be an advocate for patients in need and strive for justice in the care of the sick. I now turn to my calling, promising to preserve its finest traditions, with the reward of a long experience in the joy of healing. I now turn to my calling, promising to preserve its finest traditions, with the reward of a long experience in the joy of healing. I make this vow freely and upon my honor. I make this vow freely and upon my honor. (above is one of many revised editions of the HIPPOCRATIC OATH from Weill Cornell Medical College) (above is one of many revised editions of the HIPPOCRATIC OATH from Weill Cornell Medical College)

10 SWOT ANALYSIS CON’T WEAKNESSESS WEAKNESSESS While the CDC and ADA rely heavily on the Hippocratic Oath that doctors/dentist take when they become doctors… this oath still is based on personal morals and integrity and if the doctor/dentist does not possess those traits he or she’s oath is meaningless. While the CDC and ADA rely heavily on the Hippocratic Oath that doctors/dentist take when they become doctors… this oath still is based on personal morals and integrity and if the doctor/dentist does not possess those traits he or she’s oath is meaningless. Both the CDC and ADA’s participants “pay” their way into the associations. Meaning, any dentist willing to pay the monthly/quarterly/ or yearly dues can say that they are CDC or ADA certified. It does not seem as though the associations base their membership on values and traits that would make the members more reputable. Both the CDC and ADA’s participants “pay” their way into the associations. Meaning, any dentist willing to pay the monthly/quarterly/ or yearly dues can say that they are CDC or ADA certified. It does not seem as though the associations base their membership on values and traits that would make the members more reputable. The CDC and ADA seem to be more concerned about protecting the healthcare professionals that keep their associations running rather than protecting the safety and lives of the public. The CDC and ADA seem to be more concerned about protecting the healthcare professionals that keep their associations running rather than protecting the safety and lives of the public.

11 SWOT ANALYSIS -Threats As the public becomes more aware of the health risks associated with some procedures performed by healthcare providers, the CDC and ADA risk being under extreme scrutiny for their lack of concern for patients. As the public becomes more aware of the health risks associated with some procedures performed by healthcare providers, the CDC and ADA risk being under extreme scrutiny for their lack of concern for patients.

12 Recommendations….. My personal recommendation for the CDC and also the ADA would be to implement a “Right to Choose” regulation. Within this clause, healthcare workers with communicable diseases are to make their patients aware of their status and any possible threat before any procedure is performed. Thus giving the patient the “choice” whether or not they wish to be treated by said provider. My personal recommendation for the CDC and also the ADA would be to implement a “Right to Choose” regulation. Within this clause, healthcare workers with communicable diseases are to make their patients aware of their status and any possible threat before any procedure is performed. Thus giving the patient the “choice” whether or not they wish to be treated by said provider. Another recommendation would simply cause for a deeper look into the Code of Ethics within the healthcare profession. Coming up with such regulations that accommodate those healthcare providers who may be apprehensive to disclose certain things to patients for fear of prejudice and also for the best interest of patients without ignoring possible dangers to the general public. Another recommendation would simply cause for a deeper look into the Code of Ethics within the healthcare profession. Coming up with such regulations that accommodate those healthcare providers who may be apprehensive to disclose certain things to patients for fear of prejudice and also for the best interest of patients without ignoring possible dangers to the general public.


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