COURSE DIRECTORS Charles Finch, D.O., FACOEP, FACEP Associate Professor, Clinical Education

1. COURSE DIRECTORS Charles Finch, D.O., FACOEP, FACEP Associate Professor, Clinical Education Chair, Department Integrated Medicine Attending, Scottsdale Emergency Associates Tracy O. Middleton, D.O., Board Certified Family Physician Associate Professor, Clinical Education Chair, Department Family Medicine CLINCAL ETHICS & MEDICAL JURISPRUDENCE

2. GOALS: • Prepare for • Boards • Rotations • Life as a physician

3. LECTURE TOPICS • Risk management • Medical jurisprudence/malpractice • Communication/Professionalism • Unprofessional Conduct statutes • Public Health & your duties to the public • State Board Top 10 mistakes • Adolescent Consent & Confidentiality • Ethics of Pharma • Palliative care • Death & Dying

4. COMLEX BOARD CATEGORIES • Health Care Delivery comprises 3% of level I exam and 10% of the level II exam • Includes: • Cost management • Laws & regulations • Medical ethics • Medical jurisprudence • Patient’s rights • Practice management • Quality assurance/Utilization review • Administrative & regulatory agencies • Community medicine & resources

5. COMLEX Ethics Topics • Medical Ethics: • Allocation of scarce resources • Approach to alternative medicine • Communicable diseases • Death and dying • Institutional role • Pain management • Physician/patient relationship (truth-telling involuntary hospitalization, experimentation, duty to warn, etc.) • Reproduction

6. COMLEX Jurisprudence Topics • Medical Jurisprudence: • Health Care fraud and compliance issues • Law/legal procedures • Laws and regulations affecting medicine • Legal considerations of operating a medical practice • Legal issues relating to medicine and morality • Medical negligence/physician liability • Patients’ rights (autonomy, living will, informed consent, right to die, withdrawal/withholding treatment, do not resuscitate orders, etc.) • Physician/patient relationship (creation and termination, privileged communication, “Good Samaritan” statutes, insurance and employment physicals, contractual duties to treat, health maintenance organizations, ownership of medical records, etc.)

7. USMLE Ethics/Jurisprudence • Medical Ethics, Jurisprudence, and Professional Behavior • Consent and informed consent to treatment (eg, full disclosure, alternate therapies, risks and benefits, life support, advance directives, health care proxy) and research issues (eg,consent, placebos, conflict of interest, vulnerable populations) • Physician-patient relationship (eg, truth telling, confidentiality, privacy, autonomy, public reporting) and birth-related issues (eg, prenatal diagnosis, abortion, maternal-fetal conflict) • Death and dying (eg, diagnosing death, organ donation, euthanasia, physician-assisted suicide) and palliative care (eg, hospice, pain management, family counseling, psychosocial and spiritual issues, fear and loneliness) • interactions with other health professionals (eg, referral) • sexuality and the profession; other “boundary” issues • ethics of managed care • organization and cost of health care delivery

8. USMLE • USMLE™ : Level 1 Test Content-General Principles

9. NBPME LEVEL 1 & 2 CONTENT

10. BLACKBOARD • CHECK AT LEAST WEEKLY • Syllabus/schedule • Lecture notes • Assignments • Announcements

11. Textbook • Medical Law and Ethics, 3rd Ed., 2009 • Complementary reading • Make-up assignments

12. Test/Grades • Participation = 40% of grade • Final (Comprehensive)= 60% of grade • Passing = 70% or greater; this is a pass/fail course

13. Excused Absences • Conference Absence Request Form • Email to Diana Green before class • Those with excused absences will receive an assignment from the text to do for full credit

14. Turning Point Clicker Issues • Notify Instructor or Course Coordinator at the time of the lecture

15. What will be on the test? • Material presented in lecture • Common Ethics/Jurisprudence Topics & Definitions (see handout) • Similar questions to the review session questions

16. Call/Email us if you have questions