Key Issue |
Curricular Objectives |
Paradigm Case |
Pedagogic Method |
Truth Telling |
- To be able to use arguments supporting truth telling
- To recognize exceptions to truth telling
|
Don't tell my husband he has cancer |
Standardized patient (SP)
discussion |
Consent and Capactiy |
- To know the ethical, legal and policy justifications for consent, and the elements of consent
- To be able to negotiate a refusal of life-sustaining treatment
|
Refusal of
amputation |
SP
discussion |
Disclosure |
- To know the elements of disclosure, and the standards for disclosure
- To be able to perform a competent disclosure regarding a proposed treatment
|
Carotid
endarterectomy |
SP
discussion |
Substitute Decision-Making |
- To know the justification for substitute decision-making
- To be able to perform substitute decision-making, including in an emergency
|
Blood transfusion for an unconscious child of a Jehovah's Witness |
SP/Case
discussion |
Confidentiality |
- To know the basis for fiduciary duties
- To understand the duty to treat
- To understand the obligation of confidentiality
- To understand the exceptions to confidentiality
|
Elevator talk
HIV |
Case
discussion |
Conflict of Interest |
- To understand fiduciary duties
- To know the distinction between primary and secondary interests
- To be able to discuss methods of resolving or managing conflicts of interest
|
Finder's fee for
research |
Case
discussion |
Surgical Competence |
- To know the definition of surgical competence
- To know the standard of competence
- To be able to describe the appropriate management of deficiencies of competence
|
Dr. I has a problem
in the operating room |
Case
discussion |
End of Life |
- To become familiar with the definitions, distinctions, and legal status of euthanasia, assisted suicide, palliative care, and decisions to forego life-sustaining treatment
- To develop a framework for managing end of life issues in surgical patients
|
Morrison |
Case
discussion |
Resource Allocation |
- To be able to discuss resource allocation and justice
- To recognize morally relevant criteria for resource allocation
- To recognize legally proscribed criteria for resource allocation
|
Transplantation
No beds in ICU |
Case
discussion |
Research Ethics |
- To develop a framework for understanding the ethical issues raised by performing research in human subjects
- To understand the concept of clinical equipoise
- To understand the procedural requirements for conducting a clinical research study
|
Trial of a new
laparoscopic fixation
technique |
Case
discussion |
