Courses Catalogue

Ethics And Integrity

ACADEMIC PROGRAMME: Clinical Medicine and Community Health, Diploma
COLLEGE/SCHOOL/FACULTY: School of Allied Health Sciences
PROGRAMME TYPE: Undergraduate

Course Content and Outline

i) Ethical principles and values (6 Hours)
a)      Definitions: ethics, morality, professionalism; characteristics of the medical profession
b)      Informed consent and refusal of treatment: Why respect for autonomy is so important; adequate information and comprehension, non-coercion; treatment without consent and proxy consent competence;
c)      The clinical relationship: truthfulness, trust, and good communication-
d)     Ethical limits of paternalism; building trust; honesty, courage, and other virtues in clinical practice
e)      Confidentiality: Clinical importance of privacy: compulsory and discretionary disclosure; public versus private interests; importance of cultural, gender, intergenerational, religious, and racial sensitivity
f)       The Hippocratic Oath. ii) Ethics in vulnerable groups (4 Hours)
a)      Children‟s rights and interests; age in the determination of competence to consent to or refuse treatment
b)      Legal boundaries of consultation with younger and older children as regards consent to treatment
c)      Doctor/ parent relationship: proxy decision making and protecting children‟s interests; child abuse, battery and negligence
d)     Mental disorders and disabilities: Ethical and legal justifications for detention and treatment without consent; conflicts of interests between patient, family, and community
e)      Prisoners and people in detention

iii)   Human reproduction and emerging issues (4 Hours)
a)      Ethics and the legal status of the embryo/foetus
b)      Maternal foetal relationship; assisted conception
c)      Abortion, including prenatal screening
d)     Surrogate motherhood Sterilisation
e)      Pre and postnatal screening and testing
f)       Informed consent by patient or guardian, and vulnerable groups

iv)    The New Genetics (3 Hours)
a)      Legal, moral and ethical issues
b)      Gene therapy; genetic counselling genetic testing and screening after birth the risks of unwelcome information and of genetic stigmatization cloning
c)      Genetic versus personal identity implications
d)     Transplantation, gender identity disorders

v)      Life, death, dying and killing (3 Hours)
a)      Palliative care, length and quality of life and good clinical practice. The duty of care and ethical and legal justifications for the non-provision of life prolonging treatment and the provision of potentially life shortening palliatives:
b)      Euthanasia and assisted suicide concepts and principles
c)      Organ donation and harvesting – legal and social issues

vi)    Medical research (5 Hours)
a)      Individual rights, moral dilemma, and the interests of others
b)      Therapeutic and non-therapeutic research
c)      Professional and legal regulation of medical research
d)     Ethical distinctions between research, audit and innovative and standard therapy, patients and healthy volunteers;
e)      Ethical and legal tensions in doing medical research on patients, human
f)       Volunteers, vulnerable groups, and animals
g)      The need for effective regulation;
h)      Hippocratic  oath

II) Tutorials (10 hours)
a)      Rights and responsibilities of patients (2 Hours)
b)      Ethical dilemmas (2 Hours)
c)      Clinical Officers  professional code of conduct (2 Hours)
d)     The clinical officer-patient/client relationship (2 Hours)
e)      Ethical issues in research(2 hours)

Teaching/learning methods
a)      Lectures – class teaching facilitated by lecturers
b)      Tutorials – facilitated by lecturers, will be held with the class as a whole or groups of the class
c)      Discussions – general class discussions and group discussion among students will be guided by the lecturers.
d)     Self-directed reading

Teaching/learning materials
a)      Text books
b)      Case reports
c)      LCD projector