Doing Right A Practical Guide to Ethics for Medical Trainees and Physicians

by Hébert, Philip C.

• ISBN13: 9780195428414
• ISBN10: 0195428412
• Edition: 2nd
• Format: Paperback
• Copyright: 2009-04-15
• Publisher: Oxford University Press

Summary

Doing Right is a comprehensive introduction to ethics in the healthcare professions. Philip Hebert outlines realistic scenarios (many of them based on actual cases) and explores the ethical challenges they pose for healthcare professionals. In this way, readers learn how to analyze problems, weigh alternatives, and make difficult decisions.

Author Biography

Philip C. Hebert is a family physician at Sunnybrook Health Sciences Centre. He currently chairs the Research Ethics Board and acts as a bioethics consultant for the hospital. In addition, he is an Associate Professor of Family Medicine at the University of Toronto.

Table of Contents

Preface	p. ix
Acknowledgments	p. xi
Introduction: A Revolution in Learning	p. 1
Ethics Matters: Principles and Ethically Sound Medicine
Ethical Reasoning and Principles in Medicine	p. 8
Three Ethical Principles and Questions	p. 13
'Resolving' Ethical Dilemmas	p. 17
'Doing Right': A Decision-Making Procedure for Clinical Ethics	p. 19
Applying the Ethics Decision-Making Procedure	p. 24
The Almost Revolution: Autonomy and Patient-Based Care
The Autonomy Principle	p. 30
The Case of Mrs Malette and Dr Shulman	p. 36
Choices: The Good, the Bad, and the Ugly	p. 38
Reduced Autonomy	p. 45
No Man An Island: Confidentiality and Trust
Confidentiality	p. 50
Control of Health Information	p. 52
Trade Secrets	p. 55
Limits to Confidentiality	p. 63
The Power To Heal: Truth, Lies, and Deception in Clinical Practice
Truthtelling and Deception	p. 72
Some Reasons Not to Tell the Truth	p. 73
Some Reasons to Tell the Truth	p. 76
Modern Law and the Profession	p. 81
The Changing Practice of Medicine	p. 82
Some Exceptions to Truthtelling	p. 83
The Power to Choose: Due Care and Informed Consent
The Essence of Informed Consent	p. 95
Ethical Consent	p. 96
The Doctor Who Didn't: The Case of Mr Reibl versus Dr Hughes	p. 98
The Essential Elements of Consent: When, Who, What, How?	p. 100
Exceptions to Consent	p. 111
The Waning and Waxing Self: Capacity and Incapacity in Medical Care
Assessing Capacity	p. 115
Treatment of the Vulnerable	p. 127
When Not to Rescue: Messrs Gallagher and Reid versus Dr Fleming	p. 129
Failure to Care for Self	p. 132
Cases Involving Minors	p. 135
Helping and Not Harming: Beneficence and Non-Maleficence
The Principles of Beneficence and Non-maleficence	p. 139
The 'Duty to Rescue' the Patient	p. 146
The Duty to Protect the Public	p. 149
Minors and Necessary Medical Care	p. 153
Parental Requests for Treatment	p. 157
Conduct Becoming: Medical Professionalism and Managing Error
Professionalism in Healthcare	p. 163
Professionals and the Drug Industry	p. 169
Boundaries and Crossings	p. 172
The Error of Our Ways	p. 177
Beyond The Patient: Doing Justice in Medical Care
Justice in Everyday Medicine	p. 187
Minimal and Optimal Justice	p. 191
Medically Necessary Treatment	p. 194
Practice Guidelines: A Solution for Just Medicine in Hard Times?	p. 200
The Health Professional's Master	p. 203
Labour Pains: Ethics and New Life
Birthing and Reproductive Choice	p. 207
In the Interest of the Child: Being Born and Living Life	p. 214
The New Age of Reproduction	p. 216
Desperately Seeking Stem Cells	p. 221
A Dark Wood: End-of-Life Decisions
Allowing Death: The Right to Say No	p. 225
When No Means No	p. 231
Advance Directives	p. 233
The Dying, the Dead, and the Almost Dead	p. 234
Physician-Assisted Death	p. 241
Conclusion: Where to Go from Here?	p. 249
Notes	p. 253
Index	p. 285
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