Module Objectives

Welcome to Module Six!

Welcome to Module 6. Let’s first become familiar with the aims of this module. When you complete this module, you will be aware of:

  • Ethics of Medicine: The key principles of the CMA Code of Ethics. As well, you will be introduced to the Medical Council of Canada (MCC) Considerations for Cultural-Communication, Legal, Ethical, and Organizational (C2LEO) Aspects of the Practice of Medicine.
  • Confidentiality: Trust in the doctor patient relationship; the patient’s right to confidentiality; legal obligations to disclose to public authorities; disclosure to third parties (with consent of patient; duty to notify of planned or required disclosure; incapacitated patient).
  • Consent to Investigation or Treatment: Expressed consent, oral and written (current, advanced directives); informed choice (disclosure of material risks and alternatives); voluntariness (free choice made on own’s own accord; free from coercion); consent for emergency treatment; capacity to give consent (impairment, consent by minors, assessment of capacity); implied consent; substitute decision makers or proxies; refusal or revocation of consent.
  • Truth Telling: Ethical basis for a patient’s right to know; consequences of violating a patient’s right to know; disclosure of relevant information; prohibition from transmitting false information; incomplete disclosure; exceptions (cultural, potential harm).
  • Doctor Patient Relationship: Obligations and restrictions; conflict of interest, disclosure of personal or moral limitations; professional boundaries; physician’s and patient’s rights; care of friends and family.
  • Personal and Professional Conduct: We will explore the notion of collegiality and discuss the conduct expected of physicians and your responsibilities if a colleague demonstrates unprofessional conduct.
  • Controversial Ethical Issues: Abortion; euthanasia; physician-assisted death; advanced reproductive technology; fetal tissue; genetic testing, etc.

In order to help you achieve these outcomes, we’re going to focus on the following Content, Communication and Cultural goals:

Content Goals

  • Gain an understanding of the basics of conflict management.
  • Understand physician’s responsibilities in the medical complaint process and produce responses to complaint letters.
  • Develop an increased understanding of physician roles and responsibilities with regard to patient care.
  • Learn expressions to elicit the patient’s expectations, and enlist their cooperation in treatment.
  • Identify your own personal biases (issues of conscience) and how to deal with these in a professionally appropriate manner.
  • Identify legal issues related to abortion in Canada.

Communication Goals

  • Refine interview management skills for dealing with difficult and/or emotionally charged patients (e.g. demonstrating increased empathy or understanding for patient perspective where needed; when to clarify the reasons behind a patient’s decisions; how to actively listen and to move the interview forward to the plan of care where needed).
  • Develop interview strategies to reinforce the patient-physician partnership by involving the patient and developing rapport, providing the correct amount and type of information, aiding the patient in accurate recall and understanding, forward planning and ensuring an appropriate point of closure.
  • Develop strategies to facilitate patients’ need to express their negative emotions in an appropriate manner.
  • Apologize and to take responsibility for a medical error in a sincere and culturally appropriate manner.

Cultural Goals

  • Gain knowledge on how to prevent medical errors and what to do in the event of a medical error.
  • Gather information on physician expectations in the event of a medical error or patient complaints.
  • Discuss ethical considerations regarding pregnancy termination.
  • Investigate community resources relevant to the case and scenarios within this module.
  • Develop awareness of the Canadian laws and ideas about abortion, the potential social stigma attached to this procedure, and the counseling, support systems available.

How will I be evaluated?

Please click here to view the assessment rubric that the instructor will use to evaluate your performance during the module.

Now that you understand the goals and objectives for this module, let’s begin.

Course Content

Course Content

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