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Syllabus > Year: 1 Fall 2009 - 2010
  The Patient-Physician Relationship: The Cornerstone of Medical Ethics (Large then Small groups) -
  September 02, 2009    3:00 PM - 5:00 PM
  Lynn Loriaux M.D.; Physician panel
Assignment Due Today:


   
Student Readings:
Mengel, et al.  403-426  Chapter 19: Patient-Physician Relationship - Mengel 
Syllabus    The Hippocratic Oath, Declaration of Geneva,and Oath of Maimonides 
Syllabus    AMA Code of Ethics 
Syllabus    Glossary of Legal Terms: Contract 
Syllabus    Cases from Mengel text 
Faculty Only:
Syllabus    Faculty copy of Mengel reading 
   
Internet Sites:
depts.washington.edu/bioethx/topics/physpt.html "Physician-Patient Relationship"
   
Session Goal: To introduce the patient-physician relationship as the cornerstone of medical ethics.

 
 
Student Objectives:
Describe the basic ethical features of the patient-physician relationship, including the principles of beneficence, autonomy, social justice, and nonmalficience.

Distinguish paternalistic, consumerist, patient-centered, family systems and ethnographic approaches physicians may use with patients.

Describe responsibilities of the physician and responsibilities of the patient in the physician-patient relationship.

Describe the laws and the codes of conduct which require and encourage physicians individually to promote the welfare of their patients.

Discuss barriers towards developing an effective patient-physician relationship and how they can be overcome.

List commonly agreed-upon responsibilities of physicians toward patients.
 
Small Group Activities:
  1. Take a few minutes for the small group to get acquainted.


  2. Discuss your reactions to the stories told by panelists in the large group session.

    • For each story told what questions about the patient/physician interaction do you have?
    • What questions about relations between physicians and their patients do these stories raise for you?
    • Which of these aspects do you think will be the hardest for medical students to sustain when they are learning about medicine in clinical settings (such as the preceptorships)?


  3. Review cases 1-7 in your syllabus reading. Suggest ways in which the physician/patient interaction could have been improved.
 
Assignment Due Sep 9:
Students should preview the "Intro and Vitals" portion of the physical exam DVD on PCM Online prior to today's session.