Doctor's dilemma

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    18-Dec-2014

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  • 1. It is impossible to practice medicine without beinginfluenced by ones own moral and ethical ideals.Many of the important issues and dilemmas of"clinical" decision-making, and difficult challengeswithin the physician-patient relationship are atcore, questions of values and ethical principles.In The Doctors Dilemma, you will have a chance to explore your own approach to medical ethics.

2. In the course of the program, you will take the role of Dr. Pat Newman a family physician in an independent private practice for about 17 yearsUsing this program, you will experience a typical week in Dr. Newmans professional life, during which you will be called upon to make decisions in ten cases that raise ethical issues similar to those faced by many physicians in their practices.The ethical considerations in these cases are often as important as those dealing with diagnosis and treatment. 3. It is the goal of the program that by working through thesecases & confronting the difficult and often controversialdilemmas they present you become more aware of theethical dimensions of medical practice and have theopportunity to explore the consequences of differentchoices. 4. The Doctors Dilemma contains a considerable amount ofinformation about the law and legal matters. While greatcare has been given to assure that information is accurate, itis not intended, in any way, to constitute legal advice norshould it be relied upon it as such. Nothing in this applicationshould be interpreted as an offer or acceptance of any of theresponsibilities incidental to an attorney-client relationship.The characters presented in The Doctors Dilemma (the doctors,consultants, and patients) are fictional and any similarities toany persons living or dead are unintended and coincidental.Similarly, the photographs that appear throughout theprogram are of people who were chosen because theymatched the physical characteristics of the role they portray.These people do not necessarily have any of the medical orpersonal problems of the characters. 5. Throughout The Doctors Dilemma, there is a menubar positioned on the left side of the screen thatfunctions as the navigation port for the entireprogram.By selecting the various options in the menu, youcan easily move throughout the program. 6. To assist in your decision making, you will have access to useful information through conversations with the consultants. These individuals are people with whom you also have a personal relationship, and you feel quite comfortable soliciting theiropinions.They will have access to useful background information which willhelp you finalize your ethical conclusions for each case. 7. Where possible, the role of law in medical ethics throughout The Doctors Dilemma will be based upon the applicable law in yourstate. Choose your state on the map to view the state specificinformation.If information for a particular state is not available, information fromthe state of Georgia can be used as an example. You should beaware that laws may vary significantly among differentjurisdictions. 8. Once you have selected the "Get Started" option from the introductory menu, a screen will appear that gives you theoption of choosing a male or female doctor role. Select a role/gender to begin the first case. 9. Case Links represent the steps that should be followed within each case.The Schedule presents your complete daily schedule of patients and/or appointments, and tells you when you will be meeting with the patient whose case poses the ethical dilemma. 10. The Patient File provides you with medical and other background information about your patient and their condition. 11. The Patient button is the conversation or meeting with your patient and/or their family.Within the course of your conversation, you will discuss the facets of the case that require ethical and medical consideration. 12. You can hover your mouse over the middle divider line and when yousee the curser turn into a double sided arrow, you can click & drag onthat center line either all the way to the right OR all the way to the left.This will make 1 conversation window that you can just scroll down andread. 13. To assist in your decision making, you will have access to useful information through conversations with the consultants. These individuals are people with whom you also have a personal relationship, and you feel quite comfortable soliciting theiropinions.They will have access to useful background information which willhelp you finalize your ethical conclusions for each case. 14. The transcript of the conversation you have with the consultants may have certain words underlined and in bold.You can click on the words and a pop-up window will appear, and the definition, contents of additional information related to the word will be displayed within it. When you are finished reviewing all of the background information, close the window, and resume activities within the case 15. The characters that you have conversations with may suggest that you review certain documentsThe Resources will provide pertinent legal and ethical background information which will assist you in making your final decision about each case.To view them click on the [Resources] button and a list of the available resource documents for this case will appear. Choose a document you wish to view and a pop-up window will open. The contents of the box, each time you click on a different document name.When you are finished reviewing all of the backgroundinformation, close the window, and resumeactivities within the case 16. Select the Decide option once you feel you have thoroughly reviewed the information about the case, and are ready to make your decision. This will lead you through a series of screens that will question the decision you have selected, and will ultimately inform you of the consequences of your choice. 17. Use the End Case option when youare ready to begin the next case. Ifyou want to skip ahead to anothercase, choose the Patient Listoption under the Program Linksheading.