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Syllabus > Year: 1 Fall 2009 - 2010
  Truth Telling & Confidentiality: The Pillars of Trust (Large then Small groups) -
  October 07, 2009    1:00 PM - 3:00 PM
  Susan Tolle M.D.
Assignment Due Today:


   
Student Readings:
Syllabus    Bioethics for Clinicians: 7. Truth Telling 
Syllabus    OHSU Policy: Confidentiality of Health Information 
Syllabus    OHSU Policy: Authorization for Use and Disclosure of Protected Health Information 
Syllabus    AMA FAQs on HIPAA Privacy Rules 
Syllabus    Confidentiality and Its Exceptions 
Syllabus    Four Cases for Discussions 
Syllabus    Lecture Power Point 
Faculty Only:
Syllabus    Faculty notes on Four Cases for Discussions 
   
Internet Sites:
www.ama-assn.org/ama/pub/category/4610.html "Patient Confidentiality"
www.oregon.gov/DHS/ph/acd/reporting/reportable.shtml "Reportable Diseases"
www.ama-assn.org/ama/pub/category/11567.html "AMA 'FAQ' on HIPAA"
   
Session Goal: To understand why the principles of truth telling and confidentiality are cornerstones to the physician-patient relationship.

To understand the ethical and legal exceptions to protecting patient privacy.

To understand the basics of HIPAA and how it affects the manner in which health information is shared.

 
 
Student Objectives:
Describe the legal concepts governing the physician-patient relationship, truth telling and the confidentiality of medical information.

Describe the ethical principles that guide truth telling and the confidentiality of medical information.

Describe harms to the patient and society for not telling the truth and for breaches in confidentiality.

Identify situations of appropriate and inappropriate information sharing per the OHSU and HIPAA policies.

 
Small Group Activities:
  1. Review the issues raised in the large group session on both truth telling and confidentiality. Students can then analyze cases 1-4. Try to allow 10-15 minutes for each case discussion.


 
Assignment Due Oct 14:
Review case scenarios and be prepared to role play the cases provided for informed consent discussions.