Modules

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  • Introduction to Year 1 and Year Outcomes
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  • Brain and Behaviour 1
  • Human Development 1
  • Medicine in Society 1
  • Clinical Communication Skills
  • Student Selected Component (SSC)
• Year 2
  • Introduction to Year 2 and Year Outcomes
  • Cardiorespiratory 2
  • Metabolism 2
  • Brain and Behaviour 2
  • Human Development 2
  • Human Sciences and Public Health 2
  • Locomotor 2
  • Cancer Week
  • Moving and Handling Training
  • Year 2 Lifesaver Programme
  • Clinical Communication Skills
  • Medicine in Society 2
  • Extended Patient Contact
  • Student Selected Component (SSC)
• Year 3
  • Introduction to Year 3 and Year Outcomes
  • Clinical Science and Professionalism (Weeks 1-3)
  • Cardiovascular, Respiratory and Haematology (CR3)
  • Gastroenterology and Cancer (MET3A)
  • Public Health
  • Endocrinology and Renal Medicine (MET3B)
  • General Practice and Community Care
  • Student Selected Component (SSC)
  • Clinical and Communication Skills
• Year 4
  • Introduction and Year 4 Outcomes
  • Obstetrics and Gynaecology
  • Child Health
  • HIV & Sexual Health
  • Musculoskeletal
  • Health Care of the Elderly
  • Neuroscience
  • Dermatology
  • General Practice and Community Care
  • Psychiatry
  • Ear, Nose and Throat
  • Global Health and Ethics
  • Ophthalmology
  • Clinical & Communication Skills
  • Student Selected Component (SSC)
• Year 5
  • Introduction to Year 5 and Year Outcomes
  • Teaching Week 1
  • Teaching Week 2
  • Anaesthesia & ITU (AN & ITU)
  • Breaking Bad News
  • Clinical Pharmacology & Therapeutics
  • Community Care
  • Doctors as Teachers and Educators (DATE)
  • Emergency Medicine (EMERG MED)
  • General (Internal) Medicine (G(I)M)
  • Immediate Life Support (ILS)
  • Student Assistantship
  • Simulation
  • Surgery
  • Student Selected Component (SSC)
• Year GEP 1
  • Cancer Week
  • Movement and Posture
  • Carriage of Oxygen
  • Human Sciences and Public Health
  • Digestion, Growth and Metabolism
  • Infection and Immunity
  • Ethics
  • Brain and Behaviour
  • Human Development
  • Clinical Communication Skills
  • Medicine in Society (GEP)

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Year GEP 1 : Ethics

• Dr Miran Epstein
• m.epstein@qmul.ac.uk

Teaching Material for this Module

Introduction

The Module on Ethics will consider:

• Moral Theories
• A Sociological-Historical Approach to Medical Ethics
• Consent
• Confidentiality
• Medical Science in its Ethical, Legal and Social Context
• Principles of Ethics in research involving Humans: The Declaration of Helsinki
• Patient lifestyle and responsibility

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Index

• General Outcomes for the Whole Person
• General Outcomes for Obstetrics and Gynaecology
• Fertility and Infertility

• General Outcomes for the Whole Person
  • Medical knowledge: SOCIOLOGY (TD 10 a-e)
    • General Topics
      1. Understand implications of the debate on the role of the doctor.
  • Medical knowledge: PUBLIC HEALTH and GLOBAL HEALTH (TD 11 a-j)
    • Lifestyle and Disease
      1. Provide the major arguments supporting denial of NHS treatment from those condition was caused by their lifestyle.
      2. Provide the major arguments against denial of NHS treatment from such patients.
      3. Understand the social context of the question.
    • Social Policy
      1. Understand the social context of the question.
  • Clinical skills: FORMULATING A TREATMENT PLAN (TD 14 g)
    • Disease Management in the Community
      1. Provide the major arguments supporting denial of NHS treatment from those condition was caused by their lifestyle.
      2. Provide the major arguments against denial of NHS treatment from such patients.
  • Professional issues: ETHICS and LAW (TD 20 a-g)
    • Research Ethics
      1. Understand the historical context of the Declaration of Helsinki.
      2. Outline the main principles of the Declaration.
      3. Identify problems in the Declaration.
    • Informed Consent
      1. Outline the legal implications of a failure to obtain valid consent when such consent should be obtained.
      2. Describe the acceptable legal standard of the information that should be offered to patients in the UK when obtaining valid consent.
      3. Compare the local standard to acceptable standards elsewhere of information that should be offered to patients.
      4. Articulate the rights of competent patients as regards refusal of medical interventions.
      5. Specify when consent may not or should not be obtained and how one should proceed in such cases.
    • Legal, Moral, Ethical Responsibilities of Patient Care
      1. Describe the official history of our medical ethics.
      2. Explain the ethico-legal importance of the duty of confidentiality.
      3. Describe some unorthodox historical accounts of our medical ethics.
      4. Provide the major arguments against denial of NHS treatment from such patients.
      5. Outline the possible implications of breach of these duties both for the patient as well as for the student/doctor.
      6. Compare the local standard to acceptable standards elsewhere of information that should be offered to patients.
      7. Understand the explanatory power as well as shortcomings of the aforementioned historical theories and narratives.
      8. Articulate the rights of competent patients as regards refusal of medical interventions.
      9. Offer a theory that can overcome the problems of the existing historiography.
      10. Specify the moral and legal problems of respecting a patient's right not to be told the truth.
      11. Understand the importance of getting the history of our medical ethics correct, especially vis-a-vis its possible moral implications.
      12. Offer leadership in ethical and legal matters in clinical practice.
      13. Provide education and supervision for colleagues and students in relation to ethical and legal matters.
    • Management of Medical Information: Truth Telling & Confidentiality
      1. Explain in what respects truth-telling is important both to patient and doctor/student.
      2. Give classical justifications for and against deception and assess the strength and weaknesses of both.
      3. Describe circumstances where the duty can be relaxed.
      4. Relate personal experience of deception to the concepts of rights and corresponding 'strict' duties and to the moral impropriety of professional deception.
      5. Describe circumstances within healthcare in which it would be appropriate to be 'economical' with the truth.
      6. Specify the moral and legal problems of respecting a patient's right not to be told the truth.
    • Moral Philosophy
      1. Understand the difference between 'ethical' and 'moral'.
      2. Understand basic concepts of philosophical ethics.
      3. Describe different moral theories, and be able to apply them to different situations.
      4. Explain the importance of moral arguments and their limitations.
      5. Apply and critically analyse ethical and legal theory to ethico-legal dilemmas/issues encountered in professional practice.
    • Personal Accountability
      1. Outline the possible implications of breach of these duties both for the patient as well as for the student/doctor.
      2. Demonstrate a precise knowledge of the complaints procedure
    • General Outcomes for Medical Professionalism
      1. Describe circumstances within healthcare in which it would be appropriate to be 'economical' with the truth.
      2. Demonstrate a precise knowledge of the complaints procedure
      3. Apply and critically analyse ethical and legal theory to ethico-legal dilemmas/issues encountered in professional practice.
      4. Offer leadership in ethical and legal matters in clinical practice.
      5. Provide education and supervision for colleagues and students in relation to ethical and legal matters.
    • Ethics and Mental Illness
      1. Specify when consent may not or should not be obtained and how one should proceed in such cases.
    • Ethics in Paediatrics
      1. Specify when consent may not or should not be obtained and how one should proceed in such cases.
• General Outcomes for Obstetrics and Gynaecology
  • Professional issues: ETHICS and LAW (TD 20 a-g)
    • Ethics in Obstetrics and Gynaecology
      1. Identify ethical issues surrounding the use of human embryos for research and treatment
      2. Discuss conflicting opinions on the justification for the generation and use of human embryos for research
      3. Consider the religious views of patients who seek IVF and other fertility treatments
      4. Access the new embryo ethics teaching website and give feedback on its utility
    • Research Ethics
      1. Identify ethical issues surrounding the use of human embryos for research and treatment
      2. Discuss conflicting opinions on the justification for the generation and use of human embryos for research
• Fertility and Infertility
  • General Outcomes for Fertility, Implantation and Infertililty
    1. Understand the biological basis for assisted reproductive technologies and embryo development
    2. Summarise the legal framework of IVF and embryo research in the UK

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