Solving Ethical Dilemmas in International Healthcare Professional Education: A Case Study Using a Revised Ethical Model
Ethical issues frequently arise during the practice of clinical medicine and when providing medical education. These issues become particularly challenging when practicing and teaching medicine cross-culturally. In this case study, a structured approach to managing ethical challenges effectively was found to assist in overcoming a conflict about potentially removing a seemingly incompetent medical trainee from a residency program. The step-wise approach includes identifying relevant stakeholders; agreeing on actual background facts; understanding the various goals and values involved in the situation; reviewing locally applicable ethical, professional and legal standards; acknowledging limitations in various options to resolve the issues; and analyzing risks and benefits of the various courses of action.
Jonsen AR, Siegler M, Winsdale WJ. Clinical ethics: a practical approach to ethical decisions in clinical medicine. New York: McGraw-Hill Medical; 2010.
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