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Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Introduction to Medical Law, Ethics, and Bioethics
Chapter 1
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Welcome to HS101
Sara Udelhofen
MBA, MT (ASCP), CT (ASCP), CCA (AHIMA)
Medical Assistant Instructor
641.494.3514 - phone
[email protected]*Relator*Repsonsibility*Futuristic*Arranger
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
HS101 Seminar RubricGrade Evaluation Criteria Points
A
Frequent interactions on concepts being discussed by students and instructor Posts are on topic and contribute to the quality of the seminar Student arrives on time and stays the entire seminar Student supplies reference to back up comment
90-100%18-20 points
B
Some interactions on concepts being discussed by students and instructor Posts are generally on topic and contribute to the quality of the seminar Student is tardy or leaves early
80-89%16-17 points
C Few interactions on concepts being discussed by students and instructor Student is tardy and leaves early
70-79%14-15 points
D
No interactions on concepts being discussed by students and instructor Off topic conversations Student attends less than half of the seminar Student appears unfamiliar with seminar topic
60-69%12-13 points
F
Off topic conversations and/or abusive or inappropriate behavior No interactions with students and instructor Student attends a fraction of the seminar
<60%0-11 points
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
HS101 Discussion Board RubricGrade Evaluation Criteria Points
A
Participates with the required number of relevant postings of required length
Initial response posted by Saturday; comments posted by Tuesday.
Consistently responds to postings Consistently uses Standard American English with rare misspellings Frequently attempts to motivate the group discussion Presents creative approaches to topic Accurately cites information.
90-100%
36-40 points
B
Participates with the required number of relevant postings of required length Initial response posted by Saturday; comments posted by Tuesday. Postings reflect the reading and some outside source material but may not be accurately cited. Consistently uses Standard American English with rare misspellings Comments are logical and reflect critical thinking.
80-89%
32-35 points
C
Participates with the required number of relevant postings of required length Initial response posted by Saturday; comments posted by Tuesday. Participates, but does not post anything that encourages others to respond to the posting. Minimal grammatical or spelling errors are noted in posts Opinions and ideas are stated clearly
70-79%
28-31 points
D
Participates with the required number of relevant postings Initial response not posted by Saturday; comments posted by Tuesday. Significant errors in spelling and/or grammar Occasionally posts off topic Posts do not meet length requirements
60-69%
24-27 points
F
Does not meet the required number of posts on time Poor spelling and grammar appear in most posts Posts topics which do not relate to the discussion content
<60%
0-23 points
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Late Work Policy
Extenuating Circumstances: If you have extenuating circumstances that prevent you from completing projects, quizzes, seminars or participating in the class, please contact the instructor to make alternative arrangements. The possibility of alternative arrangements is at the discretion of the instructor. Active communication is the key to overcoming any hurdles you may encounter during the term. It is your responsibility to inform the instructor (ahead of time, whenever possible) of extenuating circumstances that might prevent you from completing work by the assigned deadline. In those situations, we will work together to come up with a mutually acceptable alternative. Prior notification does not automatically result in a waiver of the late penalties. Please note that evaluation of extenuating circumstances is at the discretion of the instructor and documentation may be required for verification of the extenuating circumstance. Examples of extenuating circumstances may include but are not limited to: personal/family member hospitalization, death in the family, weather/environmental evacuation due to fire/hurricane, or active military assignment where internet connectivity is unavailable for a limited time period. Computer-related issues, internet connectivity issues and clinical blocks are not considered extenuating circumstances.
Late Work Policy
Students are expected to submit all outside-of-class assignments and projects on the due date as listed in the course syllabus. The University acknowledges that at times extenuating circumstances occur, so late work or alternative assignments will be accepted up to one week after the original due date. Ten percent (10%) will be deducted for any late assignment. The instructor may require an alternative version of the assignment be submitted.
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Unit 1 Outcomes
HS101-U1-1: Explain the syllabus, objectives, and policies of the HS101 course.
HS101-U1-2: Begin getting to know your fellow students using the discussion areas.
HS101-U1-3: Identify the effect personal ethics may have on professional performance.
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Why Study Law, Ethics, and Bioethics?
Illegal is almost always unethical Basic understanding of law as it applies to medical
practice is essential Helps protect employee and employer from lawsuits Assists medical professional in making decisions
based on reason and logic rather than on just emotion
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Medical Law
Addresses legal rights and obligations that affect patients and protect individual rights, including rights of health care employees
Provides yardstick to measure actions
Punishes unlawful actions
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Medical Practice Acts
Apply to how medicine is practiced in individual states
Define meaning of the practice of medicine in that state
List requirements and methods for licensure Define what constitutes unprofessional conduct
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Ethics
Branch of philosophy related to morals, moral principles, and moral judgment
Uses reason and logic to analyze problems and find solutions
Concerned with actions and practices that improve welfare of people in a moral way
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Medical Ethics
Concerns issues related to practice of medicine
Explores and promotes principles regulating conduct of health care professionals
Involves consideration of others in deciding how to act
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Utilitarianism
Greatest good for the greatest number
Impact of actions on welfare of society as a whole
Ends justify the means
Example: Medicare
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Rights-Based Ethics
Emphasis on individuals’ rights
Rights belong to all people
Duty-Based Ethics
Focuses on performing duty
Explores conflicting opinions about “duty”
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Virtue-Based Ethics
Emphasis on people, not on decisions or principles involved
Examples: fairness and honesty
Seeking the “good life”
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Values That Drive Ethical Behavior
Beneficence Fidelity Gentleness Humility Justice
Perseverance Responsibility Sanctity of life Tolerance Work
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Interpersonal Ethics
Respect
Integrity
Honesty
Fairness
Empathy
Sympathy
Compassion
Loyalty
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Three-Step Ethics Model
1. Is it legal?
2. Is it balanced?
3. How does it make me feel?
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Seven-Step Model for Examining Ethical Dilemmas
1. Determine the facts
2. Define the precise ethical issue
3. Identify the major principles, rules, and values
4. Specify the alternatives
5. Compare values and alternatives
6. Assess the consequences
7. Make a decision
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Dr. Bernard Lo’s Clinical Model
Gather information Clarify the ethical issues Resolve the dilemma
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
What Ethics Is Not
Not about how you feel
Not about sincerity of beliefs
Not about emotional response
Not only about religious beliefs
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Bioethics
Moral dilemmas and issues resulting from advanced medicine and medical research
Examples: cloning, stem cell research, and gene therapy
Bioethicists: specialists in the field of bioethics
Medical Law and Ethics, Second EditionBonnie F. Fremgen
©2006 Pearson Education, Inc.Pearson Prentice HallUpper Saddle River, NJ 07458
Student Responsibilities
Unit 1– Post to the
introduction– Post to the
Discussion Board– Participate in Seminar
or complete Option 2
Due 9-25-12 @ EOD
Unit 2– Post to the
Discussion Board – Participate in Seminar
or complete Option 2– Complete Unit 2 Quiz
Project (55 points)
Due 10-2-12 @ EOD