Medical Ethics and the GP curriculum Dr Ranjeeta Bakashi
Medical Ethics
Learning Objectives-RCGP Curriculum Recognise the ethical dimension of every healthcare encounter Understand the nature of values and how they impact on healthcare Identify the values that patients, families and members of the healthcare team bring to a specific healthcare decision Demonstrate moral reasoning skills in the process of choosing an appropriate course of action or resolving conflicting values
Learning Objectives-RCGP Curriculum Demonstrate the knowledge skills and attitudes for effective communication in eliciting and understanding the values of patients, negotiating an acceptable course of action and justifying that course of action Demonstrate knowledge of the professional ethical guidelines and legal framework within which healthcare decisions should be made Recognise their personal values and how these influence their decision-making
Application Primary Care Management- patient’s values/carers values/public issues Person-centred approach- consent/ confidentiality/capacity/continuity of care Specific problem solving- framework of moral reasoning Comprehensive approach- changes in patient’s views/comorbidity and disease progression/ terminal illness- have proactive strategies
application Community Orientation-distributive justice/balance patient needs with wider community needs Holistic Approach- Patient autonomy- overall picture Contextual Aspects- local beliefs within the community Attitudinal aspects- awareness of own values/feelings/attitudes/capabilities/work-life interaction Scientific aspects- ethical principles in research/process for approval for research
Triangular approach to case discussion Ethical Principle Competency level achieved Curriculum Heading
Today’s Program Ethical Approach- The Competency Ethical Practice- The Framework Group Sessions Case Based Discussions Useful Resources Summary and Feedback
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