Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ETHICS
HENKY
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Responsible units/departments
The responsible/leading unit/department may be
forensic medicine, or the medical education unit
or department of medical ethics
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MOTIVATE
Ethics
...ethics is the study of morality careful
and systematic reflection on and analysis
of moral decisions and behaviour (WMA)
Moral
CONSTRAIN
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PATERNALISTIC
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COOPERATIVE
Patients Expectation
High quality, clever, and skillful healthcare
Friendly and honest in answering patient
questions
Provide sufficient time (to communicate, check
out-thorough, treat, give an explanation)
Able to hear and respect for the patient as a
whole person
Trustworthy, able to keep a secret
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TRUST
TRUST
PROFESSIONALISM
BIOMEDICAL ETHICS
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Goals of Education
Develop Knowledge: Scientific concepts,
generalization & ethical principle, Understanding
complexity, questions that are posed by science
& technology
Develop Skills: Cognitive challenge, critical
thinking, decision making, informed-choice,
self reflection
Personal Moral Development: diversity, moral
obligation, values and responsibility, holistic
appraisal, values clarification and analysis
Making
MakingEthical
Ethical
Decisions
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Decisions
STEPS
1) Moral perception (seeing the ethical
problem)
2) Moral reasoning (resolving the problem
analytically)
3) Moral action (implementing the chosen
solution)
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MORAL
PERCEPTION
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Best Interest?
1. Capacity
2. Advance
Directives
3. Value & Others
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MORAL
REASONING
7+7
3+3
8+8
4+4
2) Nonmaleficence
Primum non plus nocere quam succurrere
Above all, do not harm more than succor
4) Justice
Act fairly, distribute resources, whistleblowing,
legal issues, respect human right
Beauchamp & Childress, 2008
Derivative Principles
Prima Facie
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Prima Facie
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Ethical Theory
Teleological/Utilitarian/Consequentialism
Deontological/Kantianism
Casuistry Principlism - Relativism
Virtue ethics (Moral Behaviour)
Compassion,
discernment,
trustworthiness,
integrity,
conscientiousness, courage, benevolence and nonmalevolence
Double effect
The act must be good or at least morally neutral
The moral agent must intend only the good effect
The bad effect must not be the means of bringing about the
good effect
The good and the bad effect must be proportional
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Making Decisions...
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MORAL
ACTION
5W + 1H
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Research Ethics
1.
2.
3.
4.
5.
Clinical Trial
Stem Cell
NAMRU
Publications
etc
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A Doctors Become....
When patients seek help
When patients cured
When patients asked to
pay 50,000 USD
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A Doctors Become....
When patients seek help
When patients cured
When patients asked to
pay 50,000 Rp
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THANK YOU