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Általános Orvostudományi Kar MAGATARTÁSTUDOMÁNYI INTÉZET Faculty of Medicine DEPARTMENT OF BEHAVIOURAL SCIENCES 1 ETHICS IN MEDICINE LECTURE - AOK-KUA181 LEARNING-OUTCOME-BASED SUBJECT DESCRIPTION Program: Medicine Course: Ethics in Medicine lecture – AOK-KUA181 Type of subject: compulsory Academic year/ Semester: Year Fall Spring III. Educator: Dr. Sándor Krémer, PhD – associate professor, Department of Philosophy Dr. Adél Tóth, PhD – guest lecturer, Department of Behavioural Sciences Prof. emeritus János Herczegh, MD, PhD – guest lecturer Gergely Tari, MA – assistant lecturer, Department of Behavioural Sciences Contact: University of Szeged, Department of Philosophy 6722 Szeged, Petőfi S. sgt. 30-34. E-mail: [email protected] Type of class: lecture Parallel Completion: Ethics in Medicine practice – AOK-KUA182 Weekly hours: 1 Credit vale: 3 Type of examination: examination Preliminary requirements: Introduction to Psychology, Basics of Nursing – AOK-KA1901 Purpose of course: One of the main objectives of the course is to highlight the inherently ethical nature of medical activity. Besides the clarification of the basic values of medical professionalism the course gives an insight into the most important ethical quandaries raised by modern technological medicine and biology. During the educational process, the students acquire the methods of moral reasoning. One of the aims of the class is to provide cognitive knowledge on the main ideas of moral philosophy, on the most important problems in biomedical ethics, and on the moral solutions being acceptable to these problems. The other aim of the classes is to develop the students' ability to use adequate moral reasoning and to pursue careful moral deliberation. Case studies, patients' stories can sensitize students to ethical problems occurring in medical settings and can give them experiences in the clarification and solution of ethical conflicts. Practical classes have a third objective too, it intends to influence and form the students' moral behaviour mainly by the help of confrontation with their own moral commitments. Outcome requirements Knowledge Competences Attitude Autonomy-responsibility Knows in depth the bioethical principles (Non-maleficence; Recognizes the bioethical dilemmas concerning the biomedical profession. Assertive while discussing the ethical dilemmas. Able to solve medical ethical dilemmas under supervision.

ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

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Page 1: ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

Általános Orvostudományi Kar

MAGATARTÁSTUDOMÁNYI INTÉZET

Faculty of Medicine

DEPARTMENT OF BEHAVIOURAL SCIENCES

1

ETHICS IN MEDICINE LECTURE - AOK-KUA181

LEARNING-OUTCOME-BASED SUBJECT DESCRIPTION

Program: Medicine Course: Ethics in Medicine lecture – AOK-KUA181 Type of subject: compulsory Academic year/ Semester:

Year Fall Spring

III. ☐ ☒ Educator: Dr. Sándor Krémer, PhD – associate professor, Department of Philosophy

Dr. Adél Tóth, PhD – guest lecturer, Department of Behavioural Sciences Prof. emeritus János Herczegh, MD, PhD – guest lecturer Gergely Tari, MA – assistant lecturer, Department of Behavioural Sciences

Contact: University of Szeged, Department of Philosophy 6722 Szeged, Petőfi S. sgt. 30-34. E-mail: [email protected]

Type of class: lecture Parallel Completion: Ethics in Medicine practice – AOK-KUA182 Weekly hours: 1 Credit vale: 3 Type of examination:

examination

Preliminary requirements:

Introduction to Psychology, Basics of Nursing – AOK-KA1901

Purpose of course: One of the main objectives of the course is to highlight the inherently ethical nature of medical activity. Besides the clarification of the basic values of medical professionalism the course gives an insight into the most important ethical quandaries raised by modern technological medicine and biology. During the educational process, the students acquire the methods of moral reasoning. One of the aims of the class is to provide cognitive knowledge on the main ideas of moral philosophy, on the most important problems in biomedical ethics, and on the moral solutions being acceptable to these problems. The other aim of the classes is to develop the students' ability to use adequate moral reasoning and to pursue careful moral deliberation. Case studies, patients' stories can sensitize students to ethical problems occurring in medical settings and can give them experiences in the clarification and solution of ethical conflicts. Practical classes have a third objective too, it intends to influence and form the students' moral behaviour mainly by the help of confrontation with their own moral commitments. Outcome requirements

Knowledge Competences Attitude Autonomy-responsibility

Knows in depth the bioethical principles (Non-maleficence;

Recognizes the bioethical dilemmas concerning the biomedical profession.

Assertive while discussing the ethical dilemmas.

Able to solve medical ethical dilemmas under supervision.

Page 2: ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

2

Beneficence; Justice; Autonomy)

According to the principles of moral reasoning student can formulate criticism in individually in connection with biomedicine.

Respects the sociocultural differences in relation to medical activity.

Student must refer all the professional ethical problems that are beyond his competence towards to his supervisor. Endeavor to describe

precisely and factually ethical dilemmas refraining from making mistakes concerning moral reasoning. (e.g.: ad hominem reasoning)

Comprehensively aware of the patient rights included in the Act No. CLIV of 1997 on Health.

Students can recognize legal problems and if necessary refer them to their supervisors.

Respect of human life and harm reduction is their foremost guiding principle.

While working alone or in team always complies with the rights and laws concerning the medical profession.

Committed to the respect of patient’s autonomy.

Topics:

1. Neuroethics - A Case Based Approach to Medical Ethics (Tari G.) 2. Basic Concepts of Ethics and Applied Ethics (Krémer S.) 3. Bioethics - Basic Principles and Informed Consent (Krémer S.) 4. Reproductive Ethics I. - Abortion (Hercegh prof.) 5. Reproductive Ethics II. (Herczegh prof.) 6. Medicalization I. - Reproduction in the Age of Technology (Tari G.) 7. Medicalization II. - End of Life Decisions in the Age of Technology (Tari G.) 8. Theory and Practice of Active Voluntary Euthanasia (Tóth A.) 9. Ethical Issues of Organ Transplantation (Tóth A.) 10. Some Ethical Aspects of Medical Genetics (Tóth A.) 11. Actual Moral Problems of Geneteic Engineering (Krémer S.) 12. Ethical Aspects of Animal Experimentation (Krémer. S.) 13. Patients' Rights and the Ethics of Doctor-Patient Relationship (Krémer S.) 14. Ethical Issues of Resource Allocation (Krémer S.) Methods:

lectures

evaluation sheets

Criteria of the completition of the course:

Participation at the lecture as per the general regulations

Maximum 2 abscences are allowed

Evaluation:

End-semester written examination

We reward participation at the lectures. Those students who attend 90% (12 lectures out of 14) of the lectures and answer the control questions at the end of each class, will be exempted from an essay question in case of examination.

Mandatory reading list:

Lisa Schwartz, Paul E. Preece, Robert A. Hendry: Medical Ethics – A Case-Based Approach. WB Saunders, 2002.

Recommended reading list:

Page 3: ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

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Vezető / Head: Dr. habil. Kelemen Oguz egyetemi docens 6722 Szeged, Szentháromság u. 5. [email protected] telefon/fax: +36-(62)-420-530 web.med.u-szeged.hu/magtud telefon: +36-(62)-545-968

Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing Company, 2004)

World Medical Association (WMA, http://www.wma.net/en/60about/index.html)

WMA Ethics Manual (http://www.wma.net/e/ethicsunit/resources.htm)

WMA Policy (http://www.wma.net/e/policy/b3.htm)

The Declaration of Geneva (http://www.cirp.org/library/ethics/geneva/)

The Declaration of Helsinki (http://www.fda.gov/oc/health/helsinki89.html)

Kovács J.: A modern orvosi etika alapjai. Bevezetés a bioetikába (2. átdolgozott kiadás, Budapest: Medicina, 1999)

Act CLIV of 1997 on Health (https://www2.ohchr.org/english/bodies/cescr/docs/E.C.12.HUN.3-Annex10.pdf)

Page 4: ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

Általános Orvostudományi Kar

MAGATARTÁSTUDOMÁNYI INTÉZET

Faculty of Medicine

DEPARTMENT OF BEHAVIOURAL SCIENCES

1

ETHICS IN MEDICINE PRACTICE – AOK-KUA182

LEARNING-OUTCOME-BASED SUBJECT DESCRIPTION

Program: Medicine Course: Ethics in Medicine lecture – AOK-KUA181 Type of subject: compulsory Academic year/ Semester:

Year Fall Spring

III. ☐ ☒ Educator: Dr. Sándor Krémer, PhD – associate professor, Department of Philosophy

Dr. Adél Tóth, PhD – guest lecturer, Department of Behavioural Sciences Gergely Tari, MA – assistant lecturer, Department of Behavioural Sciences

Contact: University of Szeged, Department of Philosophy 6722 Szeged, Petőfi S. sgt. 30-34. E-mail: [email protected]

Type of class: practice Parallel Completion: Ethics in Medicine lecture – AOK-KUA181 Weekly hours: 2 Credit vale: 0 Type of examination:

signature

Preliminary requirements:

Introduction to Psychology, Basics of Nursing – AOK-KA1901

Purpose of course: One of the main objectives of the course is to highlight the inherently ethical nature of medical activity. Besides the clarification of the basic values of medical professionalism the course gives an insight into the most important ethical quandaries raised by modern technological medicine and biology. During the educational process, the students acquire the methods of moral reasoning. One of the aims of the class is to provide cognitive knowledge on the main ideas of moral philosophy, on the most important problems in biomedical ethics, and on the moral solutions being acceptable to these problems. The other aim of the classes is to develop the students' ability to use adequate moral reasoning and to pursue careful moral deliberation. Case studies, patients' stories can sensitize students to ethical problems occurring in medical settings and can give them experiences in the clarification and solution of ethical conflicts. Practical classes have a third objective too, it intends to influence and form the students' moral behaviour mainly by the help of confrontation with their own moral commitments. Outcome requirements

Knowledge Competences Attitude Autonomy-responsibility

Knows in depth the bioethical principles (Non-maleficence;

Recognizes the bioethical dilemmas concerning the biomedical profession.

Assertive while discussing the ethical dilemmas.

Able to solve medical ethical dilemmas under supervision.

Page 5: ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

2

Beneficence; Justice; Autonomy)

According to the principles of moral reasoning student can formulate criticism in individually in connection with biomedicine.

Respects the sociocultural differences in relation to medical activity.

Student must refer all the professional ethical

problems that are beyond his competence towards

to his supervisor. Endeavor to describe precisely and factually ethical dilemmas refraining from making mistakes concerning moral reasoning. (e.g.: ad hominem reasoning)

Comprehensively aware of the patient rights included in the Act No. CLIV of 1997 on Health.

Students can recognize legal problems and if necessary refer them to their supervisors.

Respect of human life and harm reduction is their foremost guiding principle.

While working alone or in team always complies with the rights and laws concerning the medical profession.

Committed to the respect of patient’s autonomy.

Topics:

1. Introduction to Medical Ethics 2. Basic Principles of Bioethics (Non-maleficence, Beneficence, Justice, Autonomy) 3. Informed Consent and Ethics of Share-Decision-Making 4. Hungarian and International Patient Rights 5. Reproductive Ethics – Contraception and Abortion 6. Reproductive Ethics – Assisted Human Reproduction 7. Ethical Aspects of Biomedical Research 8. Ethical Aspects of Medical Genetics 9. Ethical Issues of Tissue and Organ Transplantation 10. Ethics of End-of-Life Decisions – Main Types of Euthanasia 11. Ethics of End-of-Life Decisions – Palliative Medicine and Hospice 12. Ethical Aspects of Resource Allocation 13. Case Analyzation I. 14. Case Analyzation II. Methods:

case discussions

video analysis

training exercises

situational exercises

Criteria of the completition of the course:

Participation at the lecture as per the general regulations.

Students are expected to attend the classes of the course. Only two absence are allowed.

Students are required to perform a presentation (15 minutes) based on a scientific article and a case study connected to their chosen topic. PowerPoint/Prezi means the required form of the presentations.

Evaluation:

We reward excellent presentations by adding five extra points to their end-semester written examination of Ethics in Medicine lecture.

Mandatory reading list: Lisa Schwartz, Paul E. Preece, Robert A. Hendry: Medical Ethics – A Case-Based Approach. WB Saunders, 2002.

Page 6: ETHICS IN MEDICINE LECTURE - AOK-KUA181web.szote.u-szeged.hu/magtud/angol_ok/Ethics.pdf · Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing

3

Vezető / Head: Dr. habil. Kelemen Oguz egyetemi docens 6722 Szeged, Szentháromság u. 5. [email protected] telefon/fax: +36-(62)-420-530 web.med.u-szeged.hu/magtud telefon: +36-(62)-545-968

Recommended reading list:

Ronald Munson: Intervention and Reflection. Basic Issues in Medical Ethics (Wadsworth Publishing Company, 2004)

World Medical Association (WMA, http://www.wma.net/en/60about/index.html)

WMA Ethics Manual (http://www.wma.net/e/ethicsunit/resources.htm)

WMA Policy (http://www.wma.net/e/policy/b3.htm)

The Declaration of Geneva (http://www.cirp.org/library/ethics/geneva/)

The Declaration of Helsinki (http://www.fda.gov/oc/health/helsinki89.html)

Kovács J.: A modern orvosi etika alapjai. Bevezetés a bioetikába (2. átdolgozott kiadás, Budapest: Medicina, 1999)

Act CLIV of 1997 on Health (https://www2.ohchr.org/english/bodies/cescr/docs/E.C.12.HUN.3-Annex10.pdf)