Medical Ethics and Professionalism – SMD 524

Total Contact Hours:

37 hours

Course Director:

Ashley Fernandes, M.D., Ph.D., Assistant Professor, Community Health

Course Description:

This course examines the ethical, social and legal issues that accompany physicians' interactions with patients and contribute to their effectiveness as healers and professionals. The social factors include characteristics the physician brings to the relationship from his or her own personal and educational background, as well as characteristics patients bring to the encounter. Various ethical issues are explored, including bedside dilemmas, conflicts experienced by medical students, contextual questions pertaining to public and international health, and the structure and financing of health care delivery systems. Relevant legislation and case law is presented corresponding to particular issues.

The topics chosen are intended to address current trends in health care, which include an increasingly diverse patient population, changing professional expectations of physicians, and new legal and financial constraints of which physicians must be aware.


Course Learning Goals, Assessment, Practice, Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:

What does our institution want our graduates to do?

If your students mastered the content of your course, what would they be able to do?
 

What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal?

How will students get the information they need to learn?

1.
Institutional Objectives

2.
Learning Goals

3.
Assessment
Activities (graded)

4.
Practice/
Feedback Activities (non-graded)

5.
Teaching and Learning Activities

K2, K3

C2, C3

P1, P2, P3

Foundational Knowledge
Use basic ethical terminology, understand meanings, and delineate limits to rights and principles (e.g., autonomy, competence etc.)

Debate (student)

Exam

Four-Box analysis - individual

Quizzes - USMLE

Reflection

TBL

ARS cases

Four-Box analysis - group (periodically)

Quizzes – Ethical Theory

Debate (faculty)

Panels

Presentations

Readings

Small groups

K1, K2, K3

C2, C3

P1, P2, P3

Foundational Knowledge
Use basic ethical and legal theory (why and how patients and doctors decide) in clinical case scenarios.

Debate (student)

Exam

Four-Box analysis - individual

Quizzes - USMLE

Reflection

TBL

ARS cases

Four-Box analysis - group (periodically)

Quizzes – Ethical Theory

Debate (faculty)

Panels

Presentations

Readings

Small groups

K1, K2, K3

C2, C3

P1, P2

Foundational Knowledge
Use an algorithm (4 Box Method) for clinical ethical decision making.

Four-Box analysis - individual

Quiz - USMLE

ARS cases

Four-Box analysis - group (periodically)

Presentation

Readings

Small groups

K1, K2, K3

C2, C3

P1, P3

Foundational Knowledge
Describe the social structure and social impact of the health care system on patients and populations (health care reform, health care disparities, global health etc.).

Debate (student)

Quizzes - USMLE

ARS cases

Debate (faculty)

DVD module

Panels

Presentations

Readings

Small groups

K1, K2, K3

C1, C2, C3

P1, P2, P3

Application
Work through an ethical dilemma as part of a team.

Debate (student)

Reflection

TBL

Four-Box analysis - group (periodically)

Debate (faculty)

DVD module

Panels

Presentations

Readings

Small groups

K1, K2, K3

C1, C2, C3

P1, P2, P3

Application
Articulate (written and orally) and advocate for a position on a controversial bioethics topic.

Debate (student)

Exam

Four-Box analysis - individual

Reflection

TBL

Four-Box analysis - group (periodically)

Debate (faculty)

Panels

Presentations

Readings

Small groups

K2, K3

C1, C2, C3

P1, P2, P3

Application
Understand the importance of speaking up, and the relationship between personal and professional virtues.

Debate (student)

Exam

Four-Box analysis - individual

Quizzes - USMLE

Reflection

TBL

ARS cases

Four-Box analysis - group (periodically)

Quizzes – Ethical Theory

Debate (faculty)

Panels

Presentations

Readings

Small groups

K1, K2, K3

C1, C2, C3

P1, P2, P3

Integration
To use ethical foundational knowledge and problem solving skills in medical school, clinical practice, and as citizens (social aspect.)

Debate (student)

Exam

Four-Box analysis - individual

Quizzes - USMLE

Reflection

TBL

ARS cases

Four-Box analysis - group (periodically)

Quizzes - Ethical Theory

Debate (faculty)

DVD module

Panels

Presentations

Readings

Small groups

K3

C1, C2, C3

P1, P2

Human Dimension
Develop empathy and respect for patients and colleagues through patient narratives.

Reflection

Final

 

Panels

Presentations

Readings (esp. humanities)

Small groups

K1, K2, K3

C1, C2, C3

P2, P3

Human Dimension
Identify the responsibilities of physicians beyond the specific patient at the bedside (e.g., social, global view)

Quizzes - USMLE

Reflection

TBL

Final

ARS cases

Quizzes - Ethical Theory

Debate (faculty)

DVD module

Panels

Presentations

Readings

Small groups

K1, K2, K3

C1, C2

P2, P3

Human Dimension
Respect the dignity of persons by understanding the specific health care needs of vulnerable populations and diverse cultures.

Debate (student)

Exam

Four-Box analysis - individual

Quizzes - USMLE

Reflection

TBL

ARS cases

Four-Box analysis - group (periodically)

Quizzes - Ethical Theory

Debate (faculty)

DVD module

Panels

Presentations

Readings

Small groups

K3

C2, C3

P2

Human Dimension
Practice professional values/virtues with colleagues and faculty.

Debate (student)

Quizzes - USMLE

Reflection

TBL

Exam

Four-Box analysis - group (periodically)

Quizzes - Ethical Theory

Debate (faculty)

DVD module

Panels

Presentations

Readings Small groups

K3

C1, C2, C3

P1, P2, P3

Caring
Develop appreciation for ethics in medicine (“medicine as ethics”)

Debate (student)

Exam

Four-Box analysis - individual

Reflection

TBL

ARS cases

Four-Box analysis - group (periodically)

Debate (faculty)

DVD module

 

Panels

Presentations

Readings (esp. humanities)

Small groups

K1, K2, K3

C1, C2, C3

P1, P2, P3

Learning How to Learn
Be able to research answers to bioethical queries as they arise in their careers.

Debate (student)

Four-Box analysis - individual

ARS cases

Four-Box analysis - group (periodically)

TBL

Debate (faculty)

Readings

Small groups

K3

C1, C2, C3

P1, P2, P3

Learning How to Learn
Self-reflect and communicate persuasive arguments effectively.

Debate (student)

Four-Box analysis - individual

Reflection

TBL

Final

Four-Box analysis - group (periodically)

Debate (faculty)

DVD module

Exam

Panels

Presentations

Readings

Small groups