1. Ethics of ER Call Ethics Champions Dec. 5, 2007 Rev. Christina Fernandez and Carol Bayley, CHW

2. Three Realms of Ethics Individual Institutional Societal

3. The Case Cases are examples. Don’t get caught in the details; use it as an instance. Think about where this case fits in the three realms model.

4. Legal Guidelines Federal Law: Emergency Medical Treatment and Active Labor Act (EMTALA); SSA Sec. 1867, and promulgating regulations State Law requirements for ED Call coverage (in California: Title XXII of Health and Safety Code Sec. 1250(a) et seq; Regulation: Sec. 70455) Case Law

5. Hospital Policies Administrative Policy and Procedures re: EMTALA and On-Call Responsibilities Medical Staff Policy: Emergency Dep’t Call Medical Staff Bylaws Department of Surgery Rules & Regulations (JD for Chairperson) Physician Contracts

6. Ethical guidelines American Medical Association: Principles of Medical Ethics Guiding Principles for Physician-Hospital Relationships (State—CMA) Professional Oaths Professional practice Ethical and Religious Directives for Catholic Health Facilities General Principles of Ethics

7. The Philip Question What do you take the moral problem to be? At which of the three levels does the moral problem reside? How would you address the problem?