|| *Key Issue* || *Curricular Objectives* || *Paradigm Case* || *Pedagogic Method* ||
| [Truth Telling] | * To be able to use arguments supporting truth telling
* To recognize exceptions to truth telling | Don't tell my husband he has cancer | Standardized patient (SP) \\
discussion |
| [Consent and Capactiy|Main:Consent and Capacity] | * To know the ethical, legal and policy justifications for consent, and the elements of consent
* To be able to negotiate a refusal of life-sustaining treatment | Refusal of \\
amputation | SP \\
discussion |
| [Disclosure] | * To know the elements of disclosure, and the standards for disclosure
* To be able to perform a competent disclosure regarding a proposed treatment | Carotid \\
endarterectomy | SP \\
discussion |
| [Substitute Decision-Making|Main:Substitute Decision Making] | * To know the justification for substitute decision-making
* To be able to perform substitute decision-making, including in an emergency | Blood transfusion for an unconscious child of a Jehovah's Witness | SP/Case \\
discussion |
| [Confidentiality] | * To know the basis for fiduciary duties
* To understand the duty to treat
* To understand the obligation of confidentiality
* To understand the exceptions to confidentiality | Elevator talk \\
HIV | Case \\
discussion |
| [Conflict of Interest] | * To understand fiduciary duties
* To know the distinction between primary and secondary interests
* To be able to discuss methods of resolving or managing conflicts of interest | Finder's fee for \\
research | Case \\
discussion |
| [Surgical Competence] | * To know the definition of surgical competence
* To know the standard of competence
* To be able to describe the appropriate management of deficiencies of competence | Dr. I has a problem \\
in the operating room | Case \\
discussion |
| [End of Life] | * To become familiar with the definitions, distinctions, and legal status of euthanasia, assisted suicide, palliative care, and decisions to forego life-sustaining treatment
* To develop a framework for managing end of life issues in surgical patients | Morrison | Case \\
discussion |
| [Resource Allocation] | * To be able to discuss resource allocation and justice
* To recognize morally relevant criteria for resource allocation
* To recognize legally proscribed criteria for resource allocation | Transplantation \\
No beds in ICU | Case \\
discussion |
| [Research Ethics] | * To develop a framework for understanding the ethical issues raised by performing research in human subjects
* To understand the concept of clinical equipoise
* To understand the procedural requirements for conducting a clinical research study | Trial of a new \\
laparoscopic fixation \\
technique | Case \\
discussion |
| [Truth Telling] | * To be able to use arguments supporting truth telling
* To recognize exceptions to truth telling | Don't tell my husband he has cancer | Standardized patient (SP) \\
discussion |
| [Consent and Capactiy|Main:Consent and Capacity] | * To know the ethical, legal and policy justifications for consent, and the elements of consent
* To be able to negotiate a refusal of life-sustaining treatment | Refusal of \\
amputation | SP \\
discussion |
| [Disclosure] | * To know the elements of disclosure, and the standards for disclosure
* To be able to perform a competent disclosure regarding a proposed treatment | Carotid \\
endarterectomy | SP \\
discussion |
| [Substitute Decision-Making|Main:Substitute Decision Making] | * To know the justification for substitute decision-making
* To be able to perform substitute decision-making, including in an emergency | Blood transfusion for an unconscious child of a Jehovah's Witness | SP/Case \\
discussion |
| [Confidentiality] | * To know the basis for fiduciary duties
* To understand the duty to treat
* To understand the obligation of confidentiality
* To understand the exceptions to confidentiality | Elevator talk \\
HIV | Case \\
discussion |
| [Conflict of Interest] | * To understand fiduciary duties
* To know the distinction between primary and secondary interests
* To be able to discuss methods of resolving or managing conflicts of interest | Finder's fee for \\
research | Case \\
discussion |
| [Surgical Competence] | * To know the definition of surgical competence
* To know the standard of competence
* To be able to describe the appropriate management of deficiencies of competence | Dr. I has a problem \\
in the operating room | Case \\
discussion |
| [End of Life] | * To become familiar with the definitions, distinctions, and legal status of euthanasia, assisted suicide, palliative care, and decisions to forego life-sustaining treatment
* To develop a framework for managing end of life issues in surgical patients | Morrison | Case \\
discussion |
| [Resource Allocation] | * To be able to discuss resource allocation and justice
* To recognize morally relevant criteria for resource allocation
* To recognize legally proscribed criteria for resource allocation | Transplantation \\
No beds in ICU | Case \\
discussion |
| [Research Ethics] | * To develop a framework for understanding the ethical issues raised by performing research in human subjects
* To understand the concept of clinical equipoise
* To understand the procedural requirements for conducting a clinical research study | Trial of a new \\
laparoscopic fixation \\
technique | Case \\
discussion |