USMLE Ethics: Autonomy, Consent and more!
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7 سال پیش
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Patreon: LYMED Welcome to LY Med, where I go over everything you need to know for the USMLE STEP 1, with new videos every day.
Follow along with First Aid, or with my notes which can be found here:
https://www.dropbox.com/sh/an1j9swvjx...
This video is on the ethics for the USMLE. There are four basic ethical principles. The first principle is autonomy, which is the patient's ability to make their own decision. The next principle is Nonmaleficence, which is the idea that a doctor should do no harm. Similar to that is Beneficence, which is to be the patient's advocate and do what is best for the patient. The last principle is justice, which is the idea that all patients should be treated equally and resources should be allocated fairly.
Let's discuss autonomy first: this is freedom of a patient to make their own decision and is rooted in informed consent. This is achieved after the doctor has discussed the risk and benefits and alternative treatments without coercion. The patient should then have the capacity to synthesize this information, weigh it and convey their choice. We always assume adults have capacity. If a patient loses capacity and competence. Capacity being a clinical term and competence is a legal term. What do we do in these cases? Well we can look for advanced directives like oral directives, written living wills, and surrogates and powers of attorneys. Lastly if a patient has none of the above, we talk to the family starting with the spouse.
Know some special circumstances of autonomy, including waiving their ability to make decisions or to know their diagnosis. Another instance is therapeutic privilege, where information is withheld to protect the safety of the patient. Lastly, in emergency situations, informed consent is assumed. Now this is all in terms of adults, but what about kids? Kids do not have the ability to give informed consent and is left to their parents. There are some exceptions, including birth control, pregnancy tests, STD screening, rehab or drug treatment and emergency treatments. Now there are special circumstances where minors are considered legal adults. These include emancipation, those in the military, have children or are married, and if they are financially independent.
Now we as doctors also have the ability to make our own decision and even refuse treatment. These cases include unnecessary and futile treatment. You can also refuse treatments that go against your belief, but must refer to another provider. Lastly, you cannot give euthanasia in most states.
Our last few topics: let's discuss malpractice! There are some criteria of malpractice. These include having a duty to the patient, acting negligently, and and that negligence caused harm. There are some things that limit our liability like in Good Samaritan law.
Confidentiality: don't discuss patient issues or disclose who your patients are. We'll quickly talk about exceptions here. Done!
Patreon: LYMED Welcome to LY Med, where I go over everything you need to know for the USMLE STEP 1, with new videos every day.
Follow along with First Aid, or with my notes which can be found here:
https://www.dropbox.com/sh/an1j9swvjx...
This video is on the ethics for the USMLE. There are four basic ethical principles. The first principle is autonomy, which is the patient's ability to make their own decision. The next principle is Nonmaleficence, which is the idea that a doctor should do no harm. Similar to that is Beneficence, which is to be the patient's advocate and do what is best for the patient. The last principle is justice, which is the idea that all patients should be treated equally and resources should be allocated fairly.
Let's discuss autonomy first: this is freedom of a patient to make their own decision and is rooted in informed consent. This is achieved after the doctor has discussed the risk and benefits and alternative treatments without coercion. The patient should then have the capacity to synthesize this information, weigh it and convey their choice. We always assume adults have capacity. If a patient loses capacity and competence. Capacity being a clinical term and competence is a legal term. What do we do in these cases? Well we can look for advanced directives like oral directives, written living wills, and surrogates and powers of attorneys. Lastly if a patient has none of the above, we talk to the family starting with the spouse.
Know some special circumstances of autonomy, including waiving their ability to make decisions or to know their diagnosis. Another instance is therapeutic privilege, where information is withheld to protect the safety of the patient. Lastly, in emergency situations, informed consent is assumed. Now this is all in terms of adults, but what about kids? Kids do not have the ability to give informed consent and is left to their parents. There are some exceptions, including birth control, pregnancy tests, STD screening, rehab or drug treatment and emergency treatments. Now there are special circumstances where minors are considered legal adults. These include emancipation, those in the military, have children or are married, and if they are financially independent.
Now we as doctors also have the ability to make our own decision and even refuse treatment. These cases include unnecessary and futile treatment. You can also refuse treatments that go against your belief, but must refer to another provider. Lastly, you cannot give euthanasia in most states.
Our last few topics: let's discuss malpractice! There are some criteria of malpractice. These include having a duty to the patient, acting negligently, and and that negligence caused harm. There are some things that limit our liability like in Good Samaritan law.
Confidentiality: don't discuss patient issues or disclose who your patients are. We'll quickly talk about exceptions here. Done!
7 سال پیش
در تاریخ 1396/06/21 منتشر شده
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