Role of ethics in modern healthcare: 1.
What is ethics and where does it leave the individual conscience-controlled practitioner? In this, the first of two articles on ethics in modern healthcare, the former question is examined.
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What is ethics and where does it leave the individual conscience-controlled practitioner? In this, the first of two articles on ethics in modern healthcare, the former question is examined.
This paper examines the attempts to develop and implement an ethics curriculum for the Internal Medicine Residency Program at the University of Maryland Medical Center. The objectives of the curriculum were to enhance moral reasoning skills and to promote humanistic attitudes and behavior among the residents. The diverse methodologies used to achieve these objectives included case discussions, literature reading, role playing, writing, and videos. These activities occurred predominantly within the forum of morning report sessions and ethics ward rounds. The author also describes efforts to overcome the initial constraints associated with the implementation of this curriculum and concludes by exploring future directions for the curriculum.
The more advanced oncologic therapies are directing toward new frontiers, on account of the remarkable undesirable effects of chemio- and radio-therapies. This new therapeutic experiences are of type biological (vaccines), or genic (substitution again genes with shutters meaning-tumoral). This therapies involve, to be effected, some ethical shrewdnesses: choice of the patient, the engineering modality of the genes, the transfer of the genes in cells of the exclusively somatic line, the elimination of the pathogenic risk of the vector virus, the obligatory use of sterile rooms, the attention to the administration of the drug, a legal issue of the judgment of notoriety.
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Having been established just as Ronald Reagan withdrew funds from its American equivalent, the French national bioethics committee is the longest established such committee anywhere. Unfortunately it has not had the international influence of the American President's Commission largely, on suspects, because it works in the wrong language. It has just celebrated its tenth anniversary with a meeting at the Sorbonne.
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Five Southern California medical schools were examined using a case study approach. In-depth interviews were conducted with faculty members and administrators from Loma Linda University, the University of Southern California, and the University of California at Irvine, Los Angeles, and San Diego, Schools of Medicine. Using an interview instrument based on a needs assessment model, the interviewer examined interviewees' perspectives on the current curriculum and their opinions on the 'ideal' medical ethics curriculum. Key issues of concern for each medical school's medical ethics curricula were discussed.
Since the development of recombinant DNA technology in the mid 1970s, there has been increasing interest in the ethical, legal, and social implications of genetics and related fields. The web sites of five different organizations (government, academic, and independent not-for-profit) that deal explicitly with genetics and ethics are reviewed here. Some of the sites cover genetics and other issues in bioethics while others cover human genetics exclusively. The target audiences for the sites include medical and scientific professionals, students, and the general public. Among the issues examined are genetic testing, genetic discrimination in employment and health insurance, genetically modified foods, stem cells and DNA patenting. Resources for those interested in legal issues are particularly well-represented on these sites.
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In the late 1950s and early 1960s, emerging advances in the biomedical sciences raised insufficiently noticed ethical issues, prompting science reporters to serve as a sort of Early Warning System. As awareness of bioethical issues increased rapidly everywhere, and bioethics itself arrived as a recognized discipline, the need for this early-warning press role has clearly diminished. A secondary but important role for the science journalist is that of investigative reporter/whistleblower, as in the Tuskegee syphilis trials and the government's secret plutonium experiments. Because the general public gets most of its information from the popular media, ways are suggested for journalists and bioethicists to work together.
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