CLINICAL ETHICS

While this course is designed to introduce students to the fundamentals of clinical ethics and the basic terminology and framework of ethical analysis in biomedical ethics, it offers a more sociological perspective, putting the contemporary clinical issues into a broader context. We will look briefly at the development of clinical ethics and its impact on hospital care and doctor-patient relationships, on the prevailing autonomy norm and its critique. The course then focuses on issues encountered in clinical practice such as informed consent, patient capacity, decision-making, end of life, advance directives, medical futility, pediatrics ethics, maternal-fetal conflicts, organ transplantation, cultural competence and diversity of beliefs and others. The course will examine the role of the clinical ethics consultant (CEC) and assignments will mimic the work that CECs may perform in the hospital setting.

Over the span of the semester, students become familiar with the ethical questions surrounding major topics in the clinic with a practical case-based approach toward ethics dilemmas and ethics consultation. During the semester, students in New York attend a meeting of the adult or pediatric ethics committees of New York Presbyterian and Morgan Stanley Children's Hospital or another area hospital, as well as ethics lectures given at the medical center.

Students are expected to complete five case write-ups using a template that will be given by the instructor. Students will be using these cases to refine and hone their ethical analysis skills and to show their knowledge of law, policy and ethical principles and how they might apply to each situation.