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Course Requirements

Women’s Care Orientation
Ethics Assignment Goals and Objectives

    • Developed by Drs. Kathy Witzeman, Dept. of OB/GYN, Denver Health;  Jean Abbott, Center for Bioethics and Humanities; Jackie Glover, Center for Bioethics and Humanities; and Kristina Tocce, Dept. of OB/GYN, University of Colorado.

      Goals and Objectives:

      1. Identify an ethical issue in the practice of Obstetrics and Gynecology;
      2. Apply an 8 step process of ethical decision making to an identified ethical issue;
      3. Describe the ethical and legal rights of the fetus in relation to the mother in Obstetric Care decisions as described in the sample oral case presentation and as can arise in some students’ presentations;
      4. Work in a team to review and discuss ethical issues in Obstetrics and Gynecology; and
      5. Create and maintain a safe environment for discussion of difficult values differences among students and practitioners.


      Each student must:

      1. Identify an ethical issue that arose during his/her Women’s Care clerkship experience.  This must be a “right” vs. “right” issue where there are ethical reasons to choose among possible courses of action and not a “right” vs. “wrong” issue.  “Right” vs. “Wrong” presentations must be rewritten.
      2. Prepare a case presentation outline that will be turned in and graded.  This is not a paper requiring full sentences – but an outline with bullet points of the key information and points of analysis.  Maximum of 4 pages.  A case presentation outline rubric, a sample, and the assessment rubric are provided.
      3. Work with your assigned small group to plan the discussion of these cases.  You can identify one or two cases for more in-depth discussion of key issues or you can present and discuss all of the cases with less discussion of each.


      The preceptor of each small group will assign a grade (possible 10 points) based on the student’s individual outline and student participation in discussion.  Late presentations will have 1 point deducted for each day the presentation outline is late.  Each preceptor will use the assessment rubric provided.  This ethics grade will constitute 5% of the final clerkship grade.

       Case Presentation Outline Rubric

      • Describe a case scenario that raises ethical questions.
      • Identify the ethical questions (the “shoulds”) pertinent to the situation.
      • Identify your first or “gut” reaction to the situation.
      • Identify the medical, psychosocial, legal or other facts of the situation.  Use References to medical literature, ethical guidelines, and laws as appropriate.
      • Identify the stakeholders and the values of each.  May include patient, family, institution, healthcare professionals, you as the student, the community (sometimes via the law.) Identify the areas of overlap among values and also the areas of tension among values.
      • Identify options for the resolution of the ethical issue.  Describe the pros and cons of each.
      • Choose what you would or should do for the resolution of this issue.
      • Justify your choice.  Refer back to the values at stake and the pros and cons of the choices.  Anticipate objections to your choice and respond to the objections.  Refer to ethical guidelines as appropriate.
      • Suggest how this ethical issue could have been avoided, if possible.

History and Physicals
Mid Rotation Reviews