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Ethical Dilemmas …. Doing What’s Right When No One’s Looking ! Mitchell D Forman, DO, FACOI, FACR, MACP, FRCP Professor of Medicine UNLV School of Medicine Weldon (Don) Havins, MD, JD, LLM, FCLM, FACS Professor of Medical Jurisprudence Touro University Nevada

Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

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Page 1: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Ethical Dilemmas …. Doing What’s Right When

No One’s Looking !

Mitchell D Forman, DO, FACOI, FACR, MACP, FRCPProfessor of Medicine

UNLV School of Medicine

Weldon (Don) Havins, MD, JD, LLM, FCLM, FACSProfessor of Medical Jurisprudence

Touro University Nevada

Page 2: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Disclosures:

None

Page 3: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Objectives:

• Understand the importance of patient confidentiality in clinical practice• Understand & justify the importance of healthcare providers as patient

advocates• Understand the responsibility of healthcare providers in identifying and

reporting the unprofessional, unethical & illegal behaviors of their colleagues

• Understand the legal responsibility of healthcare providers in reporting elder abuse

• Understand the responsibility of healthcare providers in reporting the potential for harm to others by our patients

Page 4: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Ethics, Professionalism & Legal Aspects of Healthcare

Ethical principles should define the interactions between healthcare professionals, their patients and their colleagues. Ethics, laws and healthcare principles influence what are considered appropriate and inappropriate behaviors.

The short vignettes that accompany this presentation portray interactions between healthcare professionals, their patients and their colleagues.

It is the intention of this program to facilitate discussions amongst participants regarding what is and is not appropriate and how to incorporate ethics, professionalism and legal aspects of healthcare into our practices.

Page 5: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

It’s Not What You Say……It’s How You Say It!

Page 6: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Marriage Proposal Gone Wrong

Page 7: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Giving bad news - poorly

Page 8: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Marriage Proposal Gone Right!

Page 9: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Giving Bad News

Page 10: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Loose Lips Sink Ships!

Page 11: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Leaving messages on a phone

Page 12: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

But He’s My Son!

Page 13: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Drug abusing patient ?

Page 14: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

It’s Only One Beer!

Page 15: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Impaired physician

Page 16: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Telemedicine

Now inhale deeply Mrs. Saunders

Page 17: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Telemedicine out of Country

Page 18: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Pharm Representatives

Page 19: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Assertive Pharmacy Representative

Page 20: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

The Seductive Patient

Page 21: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Seductive Patient

Page 22: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Depression

Page 23: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Psychiatric Consultation issue ?

Page 24: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Signing the Declaration of Independence

Just write it down !

Page 25: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare
Page 26: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

What is more dangerous –Meat or Vegetables?

Page 27: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Threatening spouse

Page 28: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Ask the…….Pick One___________ !Rabbi

Page 29: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Religious consideration in organ donation

Page 30: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Trust Me…..I’m A Doctor!

Page 31: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Treating physician

Page 32: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Bartering For Your Health

Page 33: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Bartering patient

Page 34: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Confidentiality and Minors

Page 35: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Confidentiality and the minor age patient

Page 36: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Res Ipsa Loquitur

Page 37: Ethical Dilemmas …. Doing What’s Right When No One’s LookingEthics, Professionalism & Legal Aspects of Healthcare Ethical principles should define the interactions between healthcare

Going to jail