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Internationally-trained
    Professionals’ Workshop

    Practicing as a Bioethicist in
               Canada.
               August 28, 2012


Moji Adurogbangba; BDS, MPH, MA.
Bioethicist.


                                     1
Objectives
• The role of Bioethicist as it is generally
  experienced in Canada

• Common areas of responsibilities

• Education and specific training requirements

• Q&A
                                                 2
What is Bioethics?
Ethics: that branch of philosophy dealing with:

-values relating to human conduct

-rightness and wrongness of certain actions

 -goodness and badness of the motives and ends
of such actions

                                                  3
What is Bioethics?

Field of study concerned with the ethics and philosophical
implications of:
 certain biological and medical procedures, technologies,
treatments, as organ transplants, genetic engineering,
 and care of the terminally ill.




                                                             4
What is Bioethics?
    Application of ethics to medicine and healthcare




  Professionalism                         Academia
utilizing practical and literary skills   engage in higher education and
                                          research




                                                                           5
Role as experienced
               Health Care Organization (health care ethics)




  Professionalism                          Academia
Bioethicist, Clinical ethicist, Ethicist   Research ethicist




                                                               6
……….as a profession
Common areas of responsibilities:
•Develop and management of ethics program infrastructure
•Organizational ethics leadership
•Identification of ethical issues
•Ethics consultation
•Policy development
•Education
•Professional development



                                                           7
Example issues
•   Is withdrawal appropriate?
•   What constitutes best interests?
•   How do we accommodate religious values?
•   Substitute Decision Making
•   Interpretation of Advanced Directives
•   Capacity
•   Moral Distress
•   Privacy/Confidentiality
•   The “non-compliant” patient

                                              8
How relevant is health care ethics?
•   Accreditation Canada
•   Tri-Council Policy Statement
•   CIHR
•   Professional colleges
•   Cultural diversity
•   Increasing technology
•   A more knowledgeable public


                                      9
A more knowledgeable
                      public
Winnipeg Free Press: Judge upholds life support.
By: Kevin Rollason Updated: February 13, 2008


 Doctors wanting to pull life support from an 84-year-
old Winnipeg man (Golubchuck Samuel) have not
only been ordered not to, but to do everything
necessary to keep him alive.




                                                         10
A more knowledgeable public

  The medical dispute is being followed by people
from around the world with even an on-line petition on
the Internet garnering more than 2,800 signatures of
support just days after being set up. And when you
google ‘Golubchuk’ and ‘petition’, 421 websites pop
up.



                                                         11
Academia

• Lecturer: College & University

• Researcher




                                   12
Qualification
• Graduate degree in bioethics
    – Doctorate, or a Master’s degree
    – Clinical background for health care ethics


                        Or
• Equivalent combination of education and/or
  experience


                                                   13

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Medical ethics aug2012

  • 1. Internationally-trained Professionals’ Workshop Practicing as a Bioethicist in Canada. August 28, 2012 Moji Adurogbangba; BDS, MPH, MA. Bioethicist. 1
  • 2. Objectives • The role of Bioethicist as it is generally experienced in Canada • Common areas of responsibilities • Education and specific training requirements • Q&A 2
  • 3. What is Bioethics? Ethics: that branch of philosophy dealing with: -values relating to human conduct -rightness and wrongness of certain actions -goodness and badness of the motives and ends of such actions 3
  • 4. What is Bioethics? Field of study concerned with the ethics and philosophical implications of: certain biological and medical procedures, technologies, treatments, as organ transplants, genetic engineering, and care of the terminally ill. 4
  • 5. What is Bioethics? Application of ethics to medicine and healthcare Professionalism Academia utilizing practical and literary skills engage in higher education and research 5
  • 6. Role as experienced Health Care Organization (health care ethics) Professionalism Academia Bioethicist, Clinical ethicist, Ethicist Research ethicist 6
  • 7. ……….as a profession Common areas of responsibilities: •Develop and management of ethics program infrastructure •Organizational ethics leadership •Identification of ethical issues •Ethics consultation •Policy development •Education •Professional development 7
  • 8. Example issues • Is withdrawal appropriate? • What constitutes best interests? • How do we accommodate religious values? • Substitute Decision Making • Interpretation of Advanced Directives • Capacity • Moral Distress • Privacy/Confidentiality • The “non-compliant” patient 8
  • 9. How relevant is health care ethics? • Accreditation Canada • Tri-Council Policy Statement • CIHR • Professional colleges • Cultural diversity • Increasing technology • A more knowledgeable public 9
  • 10. A more knowledgeable public Winnipeg Free Press: Judge upholds life support. By: Kevin Rollason Updated: February 13, 2008 Doctors wanting to pull life support from an 84-year- old Winnipeg man (Golubchuck Samuel) have not only been ordered not to, but to do everything necessary to keep him alive. 10
  • 11. A more knowledgeable public The medical dispute is being followed by people from around the world with even an on-line petition on the Internet garnering more than 2,800 signatures of support just days after being set up. And when you google ‘Golubchuk’ and ‘petition’, 421 websites pop up. 11
  • 12. Academia • Lecturer: College & University • Researcher 12
  • 13. Qualification • Graduate degree in bioethics – Doctorate, or a Master’s degree – Clinical background for health care ethics Or • Equivalent combination of education and/or experience 13