Graduate
The Center for Ethics in Heath Care at OHSU coordinates several graduate level education programs. An example of these is a course on error disclosure and medical ethics. Here is an example of a case with accompanying questions from this program:
A 46 year old man with chest pain is transported to the hospital by an EMT to rule out an MI. An EKG was done en route. On arrival in the ED the patient had no discomfort and was hemodynamically stable. However the ED was very busy and it took some time for the nursing evaluation, EKG, and assessment by the resident. The patient was admitted to the CCU and seen by the cardiologist on call who found an EKG attached to the back of the EMT notes, showing marked anterolateral and septal injury. At catheterization the patient had triple vessel disease and an ejection fraction of 25% that improved somewhat by the time of discharge. The cardiologist concluded that a significant loss of muscle occurred because of the delays in care.
What would you say to this patient, and why?
When would you say it?
Do you report it internally? How?
This case example is from the Cardiology unit, here are other disciplines which use similar case-based teaching:
- Anesthesiology
- Dermatology
- Emergency Medicine
- Endocrinology
- Diabetes
- Family Medicine
- General Surgery
- ICU
- Oral and Maxillofacial Surgery
- Neurology
- Nurse Practitioners
- OB/GYN
- Ophthamology
- Orthopedics
- Pain Management
- Pathology
- Pediactrics
- Psychiatry
- Public Health
- Preventative Medicine
- Pulmonary Critical Care
- Physician's Assistants
- Radiation Oncology
