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Part II

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Part II

  1. 1. Medical Ethics for PA Students Charles Walker, PA-C, PhD Department of Orthopaedic Surgery LSU Health Sciences Center Shreveport, LA. July 2005 ortho.sh.lsuhsc.edu/Downloads/Downloads.html
  2. 2. Ethical Theories <ul><li>Deontological Theory </li></ul><ul><ul><li>Immanuel Kant </li></ul></ul><ul><ul><li>Duty </li></ul></ul><ul><li>Teleological (Consequentialist or Utilitarian) Theory </li></ul><ul><ul><li>J S Mill and Jeremy Bentham </li></ul></ul><ul><ul><li>Goal oriented </li></ul></ul>
  3. 3. Principles of Medical Ethics <ul><li>Beneficience -- Do Good; Provide a medical benefit to the patient </li></ul><ul><ul><li>Deontological – a duty to do make better </li></ul></ul><ul><ul><li>Teleological – a value to be maximized </li></ul></ul>
  4. 4. Principles of Medical Ethics <ul><li>Non-Maleficience -- &quot;First, do no harm&quot; Primum non nocere </li></ul><ul><ul><li>Deontological – a more stringent duty than beneficience </li></ul></ul><ul><ul><li>Teleological – maximizing good while minimizing evil </li></ul></ul>
  5. 5. Principles of Medical Ethics <ul><li>Autonomy -- To be autonomous is to be a law to oneself; autonomous agents are self-governing agents </li></ul><ul><ul><li>Coherentist </li></ul></ul><ul><ul><li>Reasons-responsive </li></ul></ul><ul><ul><li>Responsiveness to reasoning </li></ul></ul><ul><ul><li>Incompatabilist </li></ul></ul>
  6. 6. Principles of Medical Ethics <ul><li>Justice – Treat others fairly </li></ul><ul><ul><li>Egalitarian </li></ul></ul><ul><ul><li>Resource Based </li></ul></ul><ul><ul><li>Welfare Based </li></ul></ul><ul><ul><li>Desert Based </li></ul></ul><ul><ul><li>Libertarian Principles </li></ul></ul><ul><ul><li>Feminist Principles </li></ul></ul>
  7. 7. Case Discussions <ul><li>Advanced Directives </li></ul><ul><li>Truth Telling </li></ul><ul><li>Cultural Issues </li></ul>
  8. 8. Additional Topics <ul><li>Patient Self Determination Act 1991 </li></ul><ul><li>Truth Telling </li></ul><ul><li>Ethics Committees </li></ul><ul><li>PA Patient Relationships </li></ul>
  9. 9. Physician Assistant Code of Ethics <ul><li>I.    Physician Assistants Shall be committed to providing competent medical care, assuming as their primary responsibility the health, safety, welfare and dignity of all humans . </li></ul>
  10. 10. Physician Assistant Code of Ethics <ul><li>II.    Physician Assistants Shall extend to each patient the full measure of their ability as dedicated, empathetic health care providers and shall assume responsibility for the skillful and proficient transactions of their professional duties. </li></ul>
  11. 11. Physician Assistant Code of Ethics <ul><li>III.    Physician Assistants Shall deliver health care services to health consumers without regard to sex, age, race, creed, socio-economic and political status. </li></ul>
  12. 12. Physician Assistant Code of Ethics <ul><li>IV.    Physician Assistants Shall adhere to all state and federal laws governing informed consent concerning the patient's health care. </li></ul>
  13. 13. Physician Assistant Code of Ethics <ul><li>V.    Physician Assistants Shall seek consultation with their supervising physician, other health providers, or qualified professionals having special skills, knowledge or experience whenever the welfare of the patient will be safeguarded or advanced by such consultation . Supervision should include ongoing communication between the physician and the physician assistant regarding the care of all patients. </li></ul>
  14. 14. Physician Assistant Code of Ethics <ul><li>VI.    Physician Assistants Shall take personal responsibility for being familiar with and adhering to all federal/state laws applicable to the practice of their profession. </li></ul>
  15. 15. Physician Assistant Code of Ethics <ul><li>VII.    Physician Assistants Shall provide only those services for which they are qualified via education and/or experience and by pertinent legal regulatory process. </li></ul>
  16. 16. Physician Assistant Code of Ethics <ul><li>VIII.    Physician Assistants Shall not misrepresent in any manner, either directly or indirectly, their skills, training, professional credentials, identity, or services. </li></ul>
  17. 17. Physician Assistant Code of Ethics <ul><li>IX.    Physician Assistants Shall uphold the doctrine of confidentiality regarding privileged patient information, unless required to release such information by law or such information becomes necessary to protect the welfare of the patient or the community. </li></ul>
  18. 18. Physician Assistant Code of Ethics <ul><li>X.    Physician Assistants Shall strive to maintain and increase the quality of individual health care services through individual study and continuing education . </li></ul>
  19. 19. Physician Assistant Code of Ethics <ul><li>XI.    Physician Assistants Shall have the duty to respect the law, to uphold the dignity of the physician assistant profession and to accept its ethical principles. The physician assistant shall not participate in or conceal any activity that will bring discredit or dishonor to the physician assistant profession and shall expose, without fear or favor, any illegal or unethical conduct in the medical profession . Physician Assistants, ever cognizant of the needs of the community, shall use the knowledge and experience acquired as professionals to contribute to an improved community. </li></ul>
  20. 20. Physician Assistant Code of Ethics <ul><li>XII.    Physician Assistants Shall place service before material gain and must carefully safeguard against conflicts of professional interest . </li></ul>
  21. 21. Physician Assistant Code of Ethics <ul><li>XIII.    Physician Assistants Shall strive to maintain a spirit of cooperation with their professional organizations and the general public. </li></ul>

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