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FAMILY MEDICINE BIOETHICS CURRICULUM
Introduction ............................................................................................................ 2
Guidelines for ethics education................................................................................... 2
Demonstration case analysis...................................................................................... 4
Clinical cases and references: Topics of specific interest to family medicine
1. Resource allocation and the family physician’s role as gatekeeper ..................... 7
2. Relationships with specialist colleagues.......................................................... 8
3. Continuity of care, on-call responsibilities ...................................................... 9
4. Relationships with the primary health services team, alternative models of primary
care ........................................................................................................... 11
5. Confidentiality and privacy, duty to warn, electronic health record................... 12
6. Boundary issues, sexual impropriety, gifts from patients, patients as friends..... 13
7. Advance care planning, substitute decision-making ....................................... 14
Clinical cases and references:Topics of general interest to family medicine
8. Relationships with the pharmaceutical industry, conflicts of interest................. 15
9. Medical research, “use” of patients, scientific integrity ................................... 16
10. Reproductive issues, fertility, contraception, abortion................................... 17
11. Genetics issues, diagnostic testing, presymptomatic screening ...................... 18
12. Incompetent colleagues, reporting responsibilities ....................................... 20
13. Economic constraints, models of remuneration, professional freedom............. 22
14. Assessment of decision-making capacity, incompetence, placement issues...... 23
15. The “difficult” patient, noncompliance, belligerence, somatization .................. 24
16. End of life issues, euthanasia, physician-assisted suicide .............................. 26
17. Informed consent, risk, harm, benefit, consent in pediatrics ......................... 27
18. Medical error, truth-telling ....................................................................... 28
19. Cross cultural issues ............................................................................... 29
Clinical ethics curriculum in family medicine. Sample teaching module by Eugene Bereza.
Available at: http://www.cfpc.ca (pdf) .................................................................... 30
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