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Biomedical subjects

D C Thomasma

Publications and source records attributed to D C Thomasma.

At least 109 records · Page 6Linked to original sources
PubMed1980

A philosophy of a clinically based medical ethics.

Pellegrino and Siegler have argued that medical ethics must be taught 'at the bedside', or clinically. This paper is an attempt to establish the need for clinical teaching of medical ethics both to medical students and to medical ethicists who are not physicians. Through a critique of six positions regarding the aims of medical ethics, four principles are established which are the basis of a philosophy of education for medical ethics. The need for a clinically-based educational programme in medical ethics is thereby established, not on practical grounds, but on solid philosophical ones. The paper concludes with practical examples of a clinically-based medical ethics programme following from the four principles.

Curriculum↗
PubMed1979

The basis of medicine and religion: respect for persons.

The nature of the physician-patient relationship underlies the professional's obligation to respect each person. Religion moves those involved in caring for the sick beyond professionalism to a profound sense of common humanity under the Father, of healing as a work of God, and of love as the primary bond with patients.

Catholicism↗
PubMed1979

Human values and ethics: professional responsibility.

Following professional codes does not automatically lead to ethical decision-making. Because the health professional makes a commitment to care for human beings and these persons are in a state of need which only expert advice can rectify, a professional decision requires ethical analysis of values. Such analysis engages the whole person in a process of self-reflection and critique of action, something a code of ethics does not provide. For health professionals, including nutritionists and dietitians, the insight is not just philosophical; it stems from the very nature of the profession.

Child↗
PubMedDate not supplied

The context as a moral rule in medical ethics.

A purely deductive medical ethics cannot properly account for the varieties of circumstances which arise in medical practice. By contrast, a purely inductive medical ethics lacks sufficient guidance from ethical principles. In resolving ethical dilemmas in medicine, most often an appeal is made to middle-level axioms and methodological rules to mediate between theory and practice. I argue that this appeal must be augmented by considerations of context, such considerations, in effect, constituting a moral rule based on the social structure of medical practice. A contextual grid is proposed which assists the process of weighing values in resolving cases.

Bioethical Issues↗
PubMedDate not supplied

Access to healthcare.

There are strategic questions about national healthcare that need to be asked. They represent the moral center of the enterprise that is healthcare delivery and they have an impact on healthcare executives.

Ethics, Institutional↗
PubMedDate not supplied

Ethical duties to employees.

Ethical standards of practice do not just happen automatically. They require explicit attention, articulation, education, practice, reinforcement, and rewards.

Chief Executive Officers, Hospital↗