scholarly journals New age issues in medical ethics - time to address

2021 ◽  
Vol 8 (2) ◽  
pp. 998
Author(s):  
Juhi Yadav ◽  
Shalini Gupta
Keyword(s):  
Medical Ethics ◽  
Decision Maker ◽  
Medical Technology ◽  
Ethical Dilemmas ◽  
New Age ◽  
Medical Negligence ◽  
Key Issues ◽  
Guiding Principles ◽  
Provision Of Care ◽  
Current Code

Medical technology advancements and understanding along with constricted resources in provision of care to the needed, has arised ethical dilemmas. These are associated with the necessity of making decisions dependent on conflicting priorities, in the absence of established polices about the choice of the decision maker and the guiding principles checklist. Varying values and ethical models conflict current code of medical ethics making it inadequate. This article summarises key issues in contemporary medical ethics and a special note of medical negligence.

scholarly journals Paediatric Residents and Fellows Ethics (PERFEct) survey: perceptions of European trainees regarding ethical dilemmas

2021 ◽  
Author(s):  
M. C. den Boer ◽  
A. Zanin ◽  
J. M. Latour ◽  
J. Brierley
Keyword(s):  
Medical Education ◽  
Medical Ethics ◽  
Ethics Education ◽  
Ethical Dilemmas ◽  
Moral Dilemmas ◽  
Ethics Training ◽  
Healthcare Team ◽  
Medical Ethics Education ◽  
European Paediatric ◽  
Future Practice

AbstractWith an increasingly complex healthcare environment, ethics is becoming a more critical part of medical education. We aimed to explore European paediatric trainees’ experiences of facing ethical dilemmas and their medical ethics education whilst assessing their perceptions of ethical dilemmas in current and future practice. The Young Sections of the European Academy of Paediatrics and European Society of Paediatric and Neonatal Intensive Care developed an explorative online survey covering demographics, ethical dilemmas faced and ethics training. The survey was made available in nine languages from November 2019 to January 2020 via newsletters and social media. Participants (n = 253) from 22 countries, predominantly female (82%) and residents (70%), with a median age of 29-years, completed the survey. The majority (58%) faced ethical dilemmas monthly or more frequently. Most ethics training was received by ethics lectures in medical school (81%) and on the job (60%). A disagreement between the healthcare team and patient/family was the most frequently faced moral dilemma (45%); the second was withholding/withdrawing life-prolonging measures (33%). The latter was considered the most challenging dilemma to resolve (50%). Respondents reported that ethical issues are not sufficiently addressed during their training and wished for more case-based teaching. Many have been personally affected by moral dilemmas, especially regarding withholding/withdrawing life-prolonging measures, and often felt inadequately supported.Conclusion: Paediatric trainees face many moral issues in daily practice and consider that training about managing current and future ethical dilemmas should be improved, such as by the provision of a core European paediatric ethics curriculum. What is Known:• Paediatric services are becoming more complex with an increase in ethical dilemmas asking for rigorous training in ethics.• Ethics training is often lacking or covered poorly in both pre- and postgraduate medical education curricula.• Existing ethics training for European paediatric trainees is haphazard and lacks standardisation. What is New:• The PaEdiatric Residents and Fellows Ethics (PERFEct) survey provides insight into the European paediatric trainees’ views regarding ethical dilemmas in their current and future practice.• European paediatric trainees report a lack of ethics training during paediatric residency and fellowship.• This study provides content suggestions for standardised medical ethics training for paediatric trainees in Europe.

What Is Medical Ethics Consultation?

2008 ◽  
Vol 36 (1) ◽  
pp. 95-118 ◽  
Author(s):  
Giles R. Scofield
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Medical Ethics ◽  
Medical Technology ◽  
Clinical Decision Making ◽  
Ethics Consultation ◽  
Clinical Decision ◽  
Law Students ◽  
Medical Ethicist ◽  
Care Decision

As everybody knows, advances in medicine and medical technology have brought enormous benefits to, and created vexing choices for, us all – choices that can, and occasionally do, test the very limits of thinking itself. As everyone also knows, we live in the age of consultants, i.e., of professional experts who are ready, willing, and able to give us advice on any and every conceivable question. One such consultant is the medical ethics consultant, or the medical ethicist who consults.Medical ethics consultants involve themselves in just about every aspect of health care decision making. They help legislators and judges determine law, hospitals formulate policies, medical schools develop curricula, etc. In addition to educating physicians, nurses, and lawyers, amongst others, including medical, nursing, and law students, they participate in clinical decision making at the bedside.

Medical and Nursing Civil Liability and Ethics in the Provision of Health Services

2021 ◽  
pp. 260-269
Author(s):  
Theophano Papazissi ◽  
Fotios Chatzinikolaou
Keyword(s):  
Health Services ◽  
Medical Ethics ◽  
Civil Liability ◽  
Nursing Profession ◽  
Special Focus ◽  
Nursing Ethics ◽  
Oncological Patients ◽  
Presidential Decree ◽  
Nursing Activity ◽  
Current Code

After 2000, specific legislation on civil liability and ethics of nurses and doctors was introduced, as well as specific acts. For nurses and the nursing profession, since 2001, the Code of Nursing Ethics (NCSD, Presidential Decree 216/2001) has been in force. In 2005, the current Code of Medical Ethics (KID, Law 3418/2005) was passed. Special Law 3305/2005 on the application of assisted reproduction methods was introduced to specify how the methods introduced in the Civil Code were applied as methods of generating kinship among persons under Law 2089/2002 (MAP). The chapter summarizes the main points regarding civil liability of medical and nursing activity with a special focus on oncological patients.

The Significance of the Hidden Curriculum in Medical Ethics

2013 ◽  
Vol 3 (4) ◽  
pp. 1-12
Author(s):  
Annaswamy Nalini
Keyword(s):  
Medical Ethics ◽  
Ethics Education ◽  
Hidden Curriculum ◽  
Ethical Dilemmas ◽  
Basic Knowledge ◽  
Formal Curriculum ◽  
Analytical Skills ◽  
Medical Ethics Education ◽  
P 16 ◽  
Medical Educators

The need to teach medical professionalism, especially medical ethics, has been emphasized by medical educators. The aim of medical ethics education is providing the basic knowledge regarding ethical analysis, enabling the students to develop the analytical skills for resolving the ethical dilemmas in clinical practice. But, a more important aspect is the assimilation of the core values of the profession by the students. The hidden curriculum, “the informal learning in which the students engage and which is unrelated to what is taught” (Harden, 2001, p.16) has a greater role in imparting education regarding the humanistic aspects of medical practice than the formal curriculum. Experiences of the medical students in the clinical setting should be considered significant for ethics education by the teachers. A review of the experiences of the students and the ethical dilemmas they face during the clinical clerkships is provided and their impact on the moral development of the students is analysed.

Guiding Principles for Identifying and Promoting Best Practice in Virtual Campuses

2011 ◽  
pp. 147-162 ◽  
Author(s):  
Mark Stansfield ◽  
Thomas Connolly
Keyword(s):  
Best Practice ◽  
Virtual Campus ◽  
High Profile ◽  
Key Stakeholders ◽  
E Learning ◽  
Key Issues ◽  
Level Model ◽  
Guiding Principles ◽  
Executive Agency ◽  
Different Levels

This chapter will outline a set of guiding principles underpinning key issues in the promotion of best practice in virtual campuses. The work was conducted as part of the “Promoting Best Practice in Virtual Campuses” (PBP-VC) project that is aimed at identifying underlying issues and examples of best practice in providing a better understanding into virtual campus development and sustainability. The PBP-VC project was a two year European Commission Education Audiovisual and Culture Executive Agency (EACEA) co-financed project running from March 2007 to February 2009. The PBP-VC project team have worked with key stakeholders from virtual campus projects across Europe and globally in identifying and exploring key issues relating to best practice. The importance of developing a practical set of guiding principles for identifying, evaluating and promoting best practice in virtual campuses and e-learning can be demonstrated by the significant number of high profile e-learning and virtual campus failures that have occurred over the last decade both within Europe and globally at great financial cost. This chapter will highlight key enablers and inhibitors to success, provide a description of the different elements comprising the guiding principles in the promotion of best practice, as well as describing a tentative four level model aimed at illustrating different levels of virtual campus maturity in the achievement of sustainability and organisational transformation.

Ethics of Incongruity: moral tension generators in clinical medicine

2019 ◽  
Vol 45 (4) ◽  
pp. 244-248 ◽  
Author(s):  
Nicholas Kontos
Keyword(s):  
Medical Ethics ◽  
Moral Philosophy ◽  
Ethical Dilemma ◽  
Clinical Medicine ◽  
Ethical Dilemmas ◽  
Ethical Principles ◽  
Right Action ◽  
Patients Experience

Affectively uncomfortable concern, anxiety, indecisionand disputation over ‘right’ action are among the expressions of moral tension associated with ethical dilemmas. Moral tension is generated and experienced by people. While ethical principles, rules and situations must be worked through in any dilemma, each occurs against a backdrop of people who enact them and stand much to gain or lose depending on how they are applied and resolved. This paper attempts to develop a taxonomy of moral tension based on its intrapersonal and interpersonal sources and expressions. The proposed ‘ethics of incongruity’ (EoI) outlines ways in which values, actions and needs can find themselves mismatched in morally relevant ways between patients and their clinicians, their own psychologies and their societies. Patient–clinician incongruities may manifest as discord, value misalignment and deception. Patient–patient (ie, intrapersonal) incongruities may manifest as incapacity, akrasia and self-deception. Patient–society incongruities may manifest as disenfranchisement, disaffiliation and disregard. Brief explanations of the incongruities in this scheme are provided, as are suggestions on working within them. Using concepts from moral philosophy when applicable, these suggestions may either ease direct resolution of problems arising from the incongruities, or make sense of the moral tension that arises from the human context of the ethical dilemma at hand. This presentation of content and resolution methods for the EOI is no doubt incomplete. Hopefully, refinement of this preliminary proposal will follow, particularly from clinicians, as the ones who, along with their patients, experience medical ethics in directly tension-inducing ways.

A DECISION-MAKER'S TOOL FOR SUSTAINABILITY-CENTRED STRATEGIC ENVIRONMENTAL ASSESSMENT

2010 ◽  
Vol 12 (01) ◽  
pp. 1-27 ◽  
Author(s):  
PETER CROAL ◽  
ROBERT B. GIBSON ◽  
CHARLES ALTON ◽  
SUSIE BROWNLIE ◽  
ERIN WINDIBANK
Keyword(s):  
Decision Making ◽  
Decision Maker ◽  
Environmental Assessment ◽  
Comparative Evaluation ◽  
Development Process ◽  
Strategic Environmental Assessment ◽  
Sustainability Criteria ◽  
Trade Offs ◽  
Key Issues

This paper outlines a Decision-Maker's Tool (DM Tool), designed to guide practitioners and their inter-disciplinary teams through a typical strategic environmental assessment (SEA) process. While SEA properly includes post-decision follow-up, the DM Tool covers the SEA process up to the creation of a Briefing Note for the decision maker. Together, use of the DM Tool and the Briefing Note should facilitate positive contributions to sustainability through well considered and aligned policies, plans and programmes (PPPs), by enhancing the comprehensiveness, consistency, clarity, accessibility and credibility of decision making information. The discussion presumes that the SEA is central to the PPP development process, rather than being a separate exercise. The DM Tool and Briefing Note are designed to recommend PPP action based on clearly stated needs and purposes, addressing the key issues, and application of explicit sustainability criteria in the comparative evaluation of feasible alternatives. Particular attention is paid to recognising trade-offs and residual risks, and presenting all this information concisely for the decision maker.

scholarly journals Pedeutologia. Prawno-etyczne podstawy zawodu nauczyciela

2021 ◽  
Author(s):  
Joanna Madalińska-Michalak
Keyword(s):  
Empirical Study ◽  
Code Of Ethics ◽  
Ethical Dilemmas ◽  
Teaching Profession ◽  
Professional Responsibility ◽  
Ethical Perspective ◽  
Specific Nature ◽  
Professional Code ◽  
Current State ◽  
Key Issues

A theoretical-empirical study on pedeutology, which helps understand the complexity of from the legal and ethical perspective, The author describes the specific nature of the teaching profession in a competent and accessible manner, presenting her own model of differentia specifica. She also presents the current state and the dynamics of changes in this profession in Poland. She analyses key issues such as teacher’s professional responsibility, ethical dilemmas and a professional code of ethics. She reflects on the attractiveness of the job and the measures of it. Finally, she presents seven significant challenges that should be faced to strengthen the teaching profession.

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