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Humanties, Ethics and Professionalism


Key Content Areas Essentials/Competencies
Communication Demonstrate the ability to establish respectful patient/physician relationships.
End of Life & Palliative Care Demonstrate knowledge of the ethical and legal aspects of end-of-life communication and decision-making.
Ethics Demonstrate knowledge of the ethical dimensions of medicine.
Humanities:
Art
History
Narrative Medicine
Self-Reflective Writing
Demonstrate the ability to understand how the illness experience influences the treatment of disease, disability, and injury.
Law Demonstrate knowledge and understanding of the fundamental legal aspects of patient care. Demonstrate knowledge of the essential elements of the informed consent process both in therapeutic and the research settings.
Professionalism Demonstrate high standards of professional behavior in relationships with patients, colleagues, peers, faculty, and the public. Demonstrate conduct that leads to professional growth and development, knowledge of professional boundaries, and avoidance of professional misconduct.
Spirituality 1) Explore the connection between spirituality and health. 2) Explore how people create or find meaning in health and illness. 3) Discuss religious diversity/pluralism. 4) Take a spiritual history and do a self-assessment. 5) Explore healthcare as a moral enterprise/professionalism.
Demonstrate the ability to establish respectful patient/physician relationships

  1. Demonstrate patient-centered communication and collaborative decision making
  2. Be able to convey empathy and a sense of concern for all patients
  3. Demonstrate effective patient advocacy
  4. Be able to effectively communicate medical information with patients
  5. Demonstrate the ability to elicit from patients the values, ideas and feelings which influences the patient/physician relationship and which impact treatment decisions
  6. Demonstrate good communication/listening skills with patients and their families

Demonstrate high standards of professional behavior in relationships with patients, colleagues, peers, faculty and the public

  1. Display integrity in interactions with patients, colleagues, peers, faculty and the public
  2. Demonstrate an understanding of the importance of having current knowledge and display a willingness to be a life-long learner
  3. Treat patients, colleagues, and other health care professionals with respect
  4. Demonstrate an appreciation of an tolerance for diversity
  5. Display courtesy in interactions with patients, their families, and other health care professions
  6. Demonstrate ability to work with peers/colleagues
  7. Demonstrate ability to work in interdisciplinary teams
  8. Demonstrate self/reflection/self knowledge (knows limitations and asks for help)
  9. Demonstrate accountability / responsibility (punctuality, dependability, accepts responsibility for own actions, accepts criticism)

Demonstrate knowledge of the ethical dimension of health care

  1. Be able to identify ethical issues in health care
  2. Be able to apply a process of ethical decision making to cases
  3. Demonstrate an understanding of how personal values and biases can influence patient care
  4. Demonstrate an understanding of professional codes of ethics
  5. Demonstrate an understanding of the role of hospital ethics committees, hospital organizational ethics committees and Institutional Review Boards for research

Demonstrate conduct that leads to professional growth and development, knowledge of professional boundaries, and avoidance of professional misconduct.

  1. Demonstrate an understanding of how to recognize and responsibly address abusive and exploitive behavior in the clinical setting
  2. Demonstrate capacity to resolve conflicts between personal values and professional responsibilities
  3. Demonstrate knowledge of standards which define obligations regarding difficult patient encounters, nonabandonment of patients, and transfer of care
  4. Articulate professional ideas and aspects of professional calling in patient care
  5. Demonstrate an understanding of the dangers posed by impaired health care professionals, the reporting responsibilities they generate, and the resources available to assist impaired colleagues.
  6. Recognize and manage conflicts of interest
  7. Demonstrate an understanding of the need for self-care and balance in personal and professional life

Demonstrate the ability to understand how the illness experience influences the treatment of disease, disability, and injury.

  1. Demonstrate knowledge of the difference between illness and disease in each patient and family encounter
  2. Demonstrate the ability to elicit the meaning which patients and families attach to illness
  3. Demonstrate appreciation of the dimensions of pain and suffering
  4. Demonstrate an awareness of how gender, race, ethnicity and culture influence the illness experience

Demonstrate knowledge and understanding of the fundamental legal aspects of patient care.

  1. Demonstration and understanding of the formation, limitation, and termination of the physician-patient relationship
  2. Demonstrate an understanding of the law that controls the physician’s duty to treat patients (e.g. EMTALA, ADA)
  3. Demonstrate an understanding of the physician’s legal duty to maintain patient privacy and confidentiality (e.g. HIPAA)Demonstrate an understanding of the physician’s duty to breach confidentiality (e.g. mandatory reporting and disclosure laws)Demonstrate an understanding of the legal issues pertaining to mental health patients and issues (e.g. involuntary commitment)Demonstrate familiarity with medical malpractice lawDemonstrate knowledge of sexual harassment law – peers, subordinate, patientsDemonstrate an understanding of the law controlling hospital/institution-physician relationships (e.g. Data Banks)
  4. Demonstrate an understanding of the law controlling physician’s legal relationships and duties under managed care

Demonstrate knowledge of the essential elements of the informed consent process both in therapeutic and research settings.

  1. Demonstrate an understanding of the role of the informed consent process in promoting shared decision making in the patient/physician relationshipDemonstrate an understanding of the scope of duties of disclosure; the legal disclosure standards, and ways to limit liability to failure to discloseDemonstrate an understanding of the barriers to patient/research subject understanding that can exist in the clinical settingDemonstrate the ability to assess decisional capacityDemonstrate an understanding of the proper procedures for identifying surrogate decision makers for those adults who lack decisional capacityDemonstrate an understanding of informed consent for minors – including mature minors and emancipated minors
  2. Demonstrate an understanding of the rights and responsibilities of surrogate decision makers

Demonstrate knowledge of the ethical and legal aspects of end-of-life communication and decision making.

  1. Understand and demonstrate skill at communicating prognosis in patients with advanced or terminal illness Demonstrate proficiency in communicating bad news to patients with life-limiting illness
  2. Demonstrate skill in identifying goals of care in patients with advanced or terminal illness
  3. Demonstrate skill in discussing the withholding/withdrawing of life-sustaining medical interventions
  4. Demonstrate knowledge and skill in negotiating care decisions around continuation vs. termination of life-supporting medical interventions
  5. Demonstrate skill in communicating care options regarding nutrition and hydration at the end-of-life
  6. Demonstrate knowledge and skill in communicating palliative and hospice care options with terminally ill patients and their families
  7. Understand the ethical and legal dimensions of physician assisted suicide and euthanasia
  8. Understand the process for identifying and discussing organ donation with patient and families
  9. Understand caregiver stress, grief and bereavement and demonstrate the ability to write a condolence letter to a grieving family