A Methodology for Teaching Ethics in the Clinical Setting: A Clinical Handbook for Medical Ethics
McCullough, Laurence B.
Ashton, Carol M.
Theoretical Medicine. 1994 Mar; 15(1): 39-52.
The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: Do your obligations converge or conflict?; Step 5: What is the strongest objection that could be made to the identification of convergence in step 4 or the arguments in step 4? How can this objection be effectively countered?; and Step 6: How could the ethical conflict, or perceived ethical conflict, have been prevented?
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A Preventive Ethics Approach to Counseling Patients About Clinical Futility in the Primary Care Setting Doukas, David J.; McCullough, Laurence B. (1996-11)Given the current themes of futility and managed care in medicine and bioethics, the primary care setting needs to account for how to address futility. We argue for applying the concept of clinical futility to primary care ...