Professional Resource Catalog

Item 13001 Health Literacy PowerPoint File: Health Literacy power point Intro.ppt Description This group of slides introduces the basic concepts and definition of health literacy as it applies in the clinical setting. It then expands the concept for the learner to include numeracy and two-way (patient-provider) communication and ends emphasizing the relationship between communication and patient outcome. Multiple references are included in the slide text. This slide set can be embedded into almost any clinically oriented lecture or module to highlight or introduce social determinants of health care outcomes. References Coleman C, Kurtz-Rossi S, McKinney J, Pleasant A, Rootman E, and Shohet L. The Calgary Charter on Health Literacy: Rationale and Core Principles for the Development of Health Literacy Curricula. The Center for Literacy. http://www.centerforliteracy.qc.ca/sites/default/files/CFL_Calgary_Charter_2011.pdf. Accessed March 2013. Terms Communication, Health Literacy, Health Systems, Healthcare, Literate, Social Determinants of Health
Item 13002 Health Literacy: Practical Steps Across the Continuum of Care PowerPoint File: Health Literacy power point Practical Steps.ppt Description This is a follow on slide set to Item 13001 that gives practical guidance for establishing a culture that recognizes health literacy as a determinant of patient outcome. The content is based on recommendations from the Joint Commission and has practical application to many clinical settings and therefore adds value to many clinical presentations. This slide set can be used with Item 13001 or it can stand alone. References The Joint Commission. “What did the doctor say?”: Improving health literacy to protect patient safety. The Joint Commission, 2007. Available at www.jointcommission.org/What_Did_the_Doctor_Say/ Accessed March 12, 2013. Terms Development, Encounter, Health Systems, Healthcare, Interventions, Literate, Transitionseducation
Item 13003 Academic Integrity Statement Word File: Academic Integrity Statements.docx Description This statement requires learners to affirm that they have conducted themselves with integrity in carrying our assignments or in the taking of test. The short text can be structured as a question to be embedded into an existing examination or as an attestation statement to be signed as part of a paper, essay, or other student document. Terms Exam, Honesty, Integrity, Test
Item 13004 Professional Conduct of the Physical Exam PowerPoint File: Professional Conduct Physical Exam.pptx Description This is a single bulleted slide giving practical points about conducted the physical exam in a professional manner. It speaks to consent, having attendants present, and communicating with the patient. This slide can be embedded in virtually any clinically-based lecture, presentation, or module. Terms Communication, Consent, Physical Exam
Item 13005 Ethics Literacy Test Word File: Ethics Literacy Test.docx Description The ELT consists of a 100 question pool covering a wide range of topics relevant to clinical health care and bioscience research. The intent of the instrument is to gauge the basic “bioethics literacy” of a group, class, school, or other group within the biomedical community. Topics such as principlism, utilitarianism, consent, confidentiality, and responsible conduct of research are covered. All stems are multiple choice with the correct answer and distracters provided. The CBMH will provide hard copies of randomly-selection selected questions or previously-administered and validated question sequences. Automated scoring is also available. In order to maintain test integrity, instructors may contact the CBMH to examine the pool and discuss administration of this test. Terms Ethics, Ethics Literacy, Test
Item 13007 Professionalism Assessment Tool (SOM) Word File: Professionalism Assessment Tool - SOM.docx Description The Professionalism Assessment Tool (PAT) is an evaluation instrument designed to quantify the level of professionalism exhibited by individuals in a clinical healthcare environment. It is constructed to apply across disciplines and to be valid for students, clinical staff, resident physicians and faculty. The tool allows assessment on eleven domains of professional behavior using a unique scale that is particularly suited to formative evaluation. It can be deployed as a high-stakes evaluation instrument in that it is intended for grading student performance. The CBMH can make this tool available in either paper or electronic formats, or it can be embedded in the eValue platform. The PAT can also be used as a self-assessment tool to add value a mentoring experience. Additional learning modules that explain the application of the PAT are available for students who are being assessed with the tool and for faculty, or other evaluators, who are assessing students. Terms Assessment, PAT, Professionalism
Item 13008 Professionalism Assessment Tool (SGHS) Word File: Professionalism Assessment Tool - SGHS.docx Description The Graduate School Edition of the PAT is tailored for professionalism assessment in the research environment. Structured much like the SOM edition, it allows assessment of eleven domains of behavior that are associated with professionalism. Also like other editions of the PAT, it can be deployed as a high-stakes evaluation instrument, can be made available in either paper or electronic formats, and can be embedded in the eValue platform. The PAT can also be used as a self-assessment tool to add value a mentoring experience. Additional learning modules that explain the application of the PAT are available for students who are being assessed with the tool and for faculty, or other evaluators, who are assessing students. Terms Assessment, PAT, Professionalism
Item 13009 Expectations of Professionalism (School of Medicine) PowerPoint File: Expectations of Professionalism - SOM.pptx Description This module is an introduction to professional demeanor in the clinical setting. It covers all of the domains of professionalism scored on the Professionalism Assessment Tool. This module can be embedded in any existing course or program in any discipline. It can also be used as a stand-alone assignment. The CBMH staff will modify this module for specific applications as needed by instructors. Terms Professionalism, School of Medicine, Students
Item 13010 Expectations of Professionalism (School of Health Related Professions) PowerPoint File: Expectations of Professionalism - SHRP.pptx Description This module establishes some fundamental boundaries for professional behavior for students in health care educational programs. It was originally produced for on-line learners in the School for Health Related Professions. The content mirrors the domains of the Professionalism Assessment Tool. This module can be embedded into any existing face-to-face or online instruction. The CBMH staff will modify and re-record this module as needed. Terms Professionalism
Item 13011 Moral Judgment Test Word File: Moral Judgment Test.docx Description The Moral Judgment Test (MJT) is a 26 question test, which uses a Likert scale, wherein respondents are given two scenarios and asked how strongly they agree or disagree with behaviors related to the scenarios. The MJT allows for the assessment of two aspects of moral judgment behavior – moral orientation and moral competence. This test, given using Scantron, takes approximately 10 minutes to complete and can be given in both small and large group settings. The Center for Bioethics and Medical Humanities can grade and return these tests in a short timeframe. Terms Assessment, Behavior, Metrics, Morals, Test
Item 13012 Faculty Covenant PDF File: Faculty Covenant.pdf Description This brief statement articulates the professional boundaries of the health care educator. It is intended as a reminder, a vision statement, or a declaration to be used at faculty event or in academic documents. Versions of this statement on card stock are available in the CBMH. Terms Covenant, Educator, Professionalism
Item 14001 Academic Honesty: A Guide for Bioscience Writers PowerPoint File: MSRP RCR.pptx Description This self-study module is intended for bioscience writers at all levels and addresses issues of proper citation, plagiarism, copyright, and source material. The content is extensively referenced and multiple links are provided for supplementary information. This module can be embedded into any course or program and fits well when a serious writing assignment is a course expectation. A pre-test and post-test are available. Terms Citation, Copyright, Plagiarism, Professionalism
Item 14003 Professionalism and the CV or Resume PowerPoint File: Professionalism and the CV or Resume.pptx Description This suite of materials supports the generation of a resume or curriculum vitae that adheres to high standards of professionalism and reflects well on one’s accomplishments. The author of this module, Dr. Mitzi Norris, Executive Director of Academic Effectiveness, is available to present this material or to work with faculty to embed the content into existing instruction. The module is applicable to traditional face-to-face delivery or to self-directed learning. Terms CV, Professionalism
Item 14004 Business Etiquette PowerPoint File: Business Etiquette.pptx Description This module re-enforces the basic elements of etiquette as a component of professionalism. The content covers dress, interacting with people individually and in meetings, networking, and table manners. This module can be used as a stand-alone assignment, used as a lecture, or for optional self-directed learning. Dr. Mitzi Norris in the Office of Academic Affairs is also available to present this material. Terms Etiquette, Networking, Professionalism
Item 14006 Public Health Ethics 1 PowerPoint File: Public Health Ethics 1.ppt Description This slide set provides the learner with an overview of ethics, generally and within the context of medical practice. In addition to contrasting ethics and law, these slides delineate society’s expectations of medical professionals and discuss principles of medical ethics including autonomy and beneficence. Public health is defined and a case study provoking thought about social justice and individual rights, as related to immunization, is presented. These slides are the first half of a two set presentation. Terms Ethics, Public Health
Item 14007 Public Health Ethics 2 PowerPoint File: Public Health Ethics 2.ppt Description This slide set provides the learner with an overview of ethics, generally and within the context of medical practice. In addition to contrasting ethics and law, these slides delineate society’s expectations of medical professionals and discuss principles of medical ethics including autonomy and beneficence. Public health is defined and a case study provoking thought about social justice and individual rights, as related to immunization, is presented. These slides are the second half of a two set presentation. Terms Ethics, Large Group, Small Group
Item 14010 Medical Professionalism - Best Practices Word File: Medical Professionalism - Best Practices.docx Description This volume, produced by Alpha Omega Alpha Honor Medical Society, highlights both the use of systems to enhance professionalism and best practices for the remediation of lapses in professionalism. Eleven peer-reviewed articles provide perspective on issues ranging from foundational understanding of medical professionalism to a tool developed to explore the professionalism of medical students. The articles contained within can be used individually or collectively to promote discussion in small or large groups and during activities such as journal club. The Center for Bioethics and Medical Humanities has a print copy of this book available to loan to interested parties. This work is also available to read online or as a PDF download at: http://alphaomegaalpha.org/medprof2015.html Terms Physician, Professionalism
Item 14011 Honor Code (School of Nursing) Word File: SON Honor Code.docx Description Developed by student leaders, the School of Nursing Honor Code outlines guidelines for academic, personal and professional behavior. Excellence, respect, and integrity are the foundations upon which the code is framed. This code can be used as a template for others seeking to develop an honor code and as the basis for discussions centered on student professionalism and its role in the development of health care providers. Terms Honor Code, Professionalism, School of Nursing
Item 14012 Honor Code (School of Graduate Studies in Health Sciences) Word File: SGHS Honor Code.docx Description The SGHS Honor Code addresses academic honesty in both the classroom and the laboratory and reminds students that they are to require this honesty both of themselves and their classmates. This code can be used as a model for others and as a discussion topic in small group settings. Terms Graduate School, Honor Code, Professionalism
Item 14013 Honor Code (School of Medicine) Word File: SOM Honor Code.docx Description The School of Medicine Honor Code speaks to the professionalism and conduct that medical students should both display and expect from their colleagues. Respect for patients, patients’ families, hospital personnel, and the community are but a few of the expectations outlined in this code. This code can be used as a model for other seeking to construct an honor code as a discussion topic in both large and small group settings. Terms Honor Code, Professionalism, School of Medicine
Item 16001 Ethical Issues in Clinical Surgery Word File: Ethical Issues in Clinical Surgery.docx Description This book, which comes in two versions, was developed by the Committee on Ethics of the American College of Surgeons. Topics covered include: framework for considering ethical issues in clinical surgery, competition of interests, confidentiality, and end-of-life issues. Each chapter features realistic cases, learning objectives, and discussion questions. The text for course instructors and practicing surgeons offers CME credit. Pricing and ordering information for the book can be found at: http://www.facs.org/education/ethicalissuesinclinicalsurgery.html Terms Book, Ethics
Item 16003 Case of Verbally Abuse Physician PDF File: Case of Verbally Abuse Physician.pdf Description This case explores the disruptive behavior of a general surgeon who has excellent patient outcomes and productivity ranking. His behavior in the operating room, however, is less than ideal. Discussed herein are his behavior, its effect on his coworkers, and how upper management responds to complaints filed as a result of his behavior. Also discussed are the consequences of disruptive physician behavior, possibly underlying predisposing factors, and interventions. This case, used as a discussion tool, would be ideal for groups of any size, as professionalism, disruptive behavior, and organizational culture are explored. Terms Physician
Item 16004 Once When I Was On Call PDF File: Once When I Was On Call....pdf Description The purpose of this study was to identify the degree to which interns’ reported experiences with both professional and unprofessional behavior converge/diverge with those professional behavior ideals proposed by the physician community. Residents respond to essay questions about both professional and unprofessional displays of physician behavior for the purposes of this study. While the resulting essays reflected interns’ concern with patient interactions, little was reported regarding behavior related to systems or sociopolitical issues. Results from this study indicate a need for more educational emphasis on the systems and sociopolitical environment in which trainees practice. Terms Physician
Item 16007 Avoiding Pitfalls in Clinical Trials PowerPoint File: Avoiding Pitfalls in Clinical Trials.ppt Description This module providers learners with a thorough overview of ethical research practices. The principles which guide ethical research are covered as are the historical occurrences which necessitated the need for those principles. Also discussed are tips for study recruitment, proper documentation and reporting findings. Dr. Michelle Owens in the Department of Obstetrics and Gynecology at UMMC is the author of this presentation and is available to speak to groups seeking additional knowledge regarding the proper execution of clinical trials. Terms Research, Research Ethics
Item 16008 Honor Code (School of Dentistry) Word File: SOD Honor Code.docx Description The School of Dentistry Honor Code exists “as the guideline for expected personal, academic, and professional behavior of students.” Included are expectations of comport for students in the classroom, the clinic, and the community at large. Civility, academic freedom, and disciplinary procedures are all discussed in this detailed document which would prove useful to students of any discipline as well as entities looking to develop honor codes of their own. Terms Dentistry, Honor Code, Professionalism
Item 16009 Cat's Cradle (Book) Word File: Cat's Cradle.docx Description This 1963 satirical novel was written in the context of dramatic social change, the cold war and social reassessment of the role of technology in modern life. It provides an excellent basis for class or small group discussions of scientific responsibility. The CBMH staff can work with instructors to develop curriculum around this novel and to facilitate small group discussions. Terms Fiction, Literature, Novel, Social Change
Item 16010 Negative Impact of Nurse-Physician Behavior on Patient Safety (Journal Article) PDF File: Impact of Nurse-Physician Disruptive Behavior - Journal Article.pdf Description Effective nurse-physician communication is critical to proper patient care in many clinical settings. This work relates dysfunctional communication in the nurse-physician dyad to degradation of patient safety. This review article would be appropriate reading for interprofessional activities involving any level of learner. Terms Behavior, Nursing
Item 16011 Unprofessional Behavior in Medical School (Journal Article) PDF File: Unprofessional Behavior in Medical School - Journal Article.pdf Description This study studied 68 graduates from a single medical school (UCSF) who were disciplined by The Medical Board of California. These investigators found that in 95% of these cases the disciplinary actions were for deficiencies in professionalism. The authors included negligence in the definition of unprofessional behavior. Case-control comparison to a control group revealed that "Problematic behavior in medical school is associated with subsequent disciplinary action by a state medical board.” This study has some limitations but is important in establishing the importance of professional behavior exhibited by students and makes excellent assigned reading for medical students at any level and can also be part of a reading list for small group discussion, journal club, or interest group. Terms Behavior, Medical School
Item 16012 Professionalism in Medical Education PDF File: Professionalism in Medical Education.pdf Description Growing out of an effort to increase professionalism among medical students, faculty at the University of Washington School of Medicine (UWSOM) developed a teaching/modeling curriculum for students. Originally implemented for use with preclinical students, the program evolved into use for those students involved in clinical encounters. An increased awareness of professionalism as vital to institutional success motivated campus-wide implementation of the program which is now used for students, residents, staff, and faculty. The campus environment at UWSOM has become one that is receptive to the idea of professionalism as a skill to be learned and dispatched by all. Discussion of this article will provoke learners and instructors alike to explore what professionalism on the UMMC campus currently is, what it should be, and whether those two align. References Goldstein EA, Maestas RR, Freyer-Edwards K, Wenrich MD, Oelschlager AM, BaernsteinA, Kimball HR. Professionalism in Medical Education: an Institutional Challenge. Academic Medicine 2006 October; 81(10): 871-6 Terms Education, Medical Education, Professionalism
Item 16013 Validation of an Instrument to Measure Pharmacy and Medical Students' Attitudes Toward Physician-Pharmacist Collaboration PDF File: Validation of an Instrument to Measure Physician-Pharmacist - Journal Article.pdf Description This article describes an extension of the Jefferson Scales that are a part of UMMC’s Professionalism Across the Curriculum Program to the Physician-Pharmacist relationship. The collaboration scale, the article itself, or a small group assignment can be embedded into existing instruction for any provider discipline interfacing with pharmacists. The Center for Bioethics and Medical Humanities maintains a site licensure for the Jefferson Scales and will work with curriculum developers and instructors to apply these in any program. Terms Students
Item 16014 Consultation Ethics PowerPoint File: Consultation Ethics.pptx Description This group of slides provides a definition of consultation ethics, gives historical background and explains the limits of consultation. Potential conflicts that arise in consultation are also discussed herein. As it stands, this slide set discusses the role of the surgeon as consulting physician; the set can be tailored to address consultation by physicians of any area of practice/specialty. Contacting the CBMH with your particular needs ensures a presentation specific and appropriate for a variety of settings. Terms Ethics
Item 16015 Taking a Routine Sexual History PowerPoint File: Taking a Routine Sexual History.pptx Description This six slide set provides practitioners, particularly those for whom taking a sexual history is not routine, with an algorithm to use when taking a basic sexual history from a patient. In addition to questions related to relationship status and frequency of sexual activity, the practitioner is prompted to inquire about partner(s) gender and whether or not monogamy is at play. Practitioners are directed, for each question, toward additional questions or an action such as doing a risk assessment. This algorithm will help practitioners ensure that patients are receiving quality care in all aspects of their health as many health factors of importance can emerge from a sexual history. Terms Risk Assessment, Sexual History
Item 16016 Communications Style Guide PDF File: Communications Style Guide.pdf Description This document, developed by the University of Mississippi Medical Center’s Division of Public Affairs is a comprehensive guide for the development of any external publication which represents the Medical Center. Guidance for communications ranging from invitations to electronically presented materials for websites is provided. Requirements from A (Abbreviations) to Z (ZIP codes) are detailed within this easy-to-read and utilize document. Terms Communication
Item 16018 Zika Virus Case PowerPoint File: Zika Virus Case.pptx Description This case provides a platform for a wide-ranging discussion of medical ethics. It works well as an exercise in which individuals or small teams are assigned to the roles listed on the stakeholders slide and asked to respond to the developing scenario. The overarching learning objectives are to: * Recognize the concept of an ethical theory * Know the elements of principalism * Contract ethical theories * Align the applicable ethical theories with competing stakeholder interests Terms Case Study, Medical Ethics, Zika Virus
Item 16019 Childbirth Consent Case Word File: Case Report.docx Description This case, although quite simple on its surface, is an excellent platform from which to discuss the concept of consent and the autonomy of individuals to determine what happens to their persons in the course of medical care. Analysis of this case can include an in-depth review of the elements of consent including: • Capacity • Agency • Information • Voluntariness • Authorization The more difficult question of fetus as patient can also be addressed through this case but is not essential to an effective discussion of consent when employing this case in a small group. Terms Consent, Ethics, Maternal Fetal Conflict
Item 16020 Maternal-Fetal Conflict Case Word File: Maternal Fetal Conflict Case.docx Description Pregnancy is physiologically, socially, legally, and ethically a unique part of the human experience. Conflicting interests between mother and an unborn child can be difficult to resolve in the clinical setting. This case demonstrates such a conflict and role of the care team in balancing the therapeutic risks and benefits across the maternal-fetal dyad. Terms Case Study, Ethics
Item 16021 Can the Patient Decide? Evaluating Patient Capacity in Practice Word File: Validation of an Instrument to Measure Pharmacy and Medical Students.docx Description Informed consent is fundamental to a patient’s autonomous choices about health care. The consent process is based on five elements: capacity, information, understanding, voluntariness, and authorization. Capacity is the patient’s ability to comprehend relevant information, make a rational choice and communicate decisions. Every physician must develop the skills to evaluate a patient’s capacity as a component of consent. This article by Tunzi provides a structured framework for evaluating patient capacity in the clinical setting. It can be assigned as independent reading, form the basis of a discussion group, or the evaluation aid (Figure 2 of the manuscript) can be embedded in an existing lecture. References Tunzi, M. (2001). Can the patient decide? Evaluating patient capacity in practice. American Family Physician. 64(2), 299-306. Terms capacity, Ethics, principalism
Item 16022 Occupational Therapy / Physical Therapy Case Studies Word File: OT PT Case Studies.docx Description Ethical dilemmas arise in all health care professions. Facilitated case discussions are an effective way to demonstrate dilemma resolutions using ethical theory and generate discussion among learners regarding ethical issues in the clinical settings. Often, example case discussions are crafted for students in medical or nursing programs rather than other members of the health care team. This suite of six cases is tailored for practitioners and students in the occupation or physical therapy environment and could find application in health information management and laboratory technology curricula. The CBMH faculty and staff is available to instructors who may wish to incorporate one or more of these cases into existing instruction. Terms Ethics, Occupational Therapy, Physical therapy
Item 16023 BaFa' BaFa' Cultural Simulation Training Word File: BaFa BaFa Simulation.docx Description The BaFa’ BaFa’ Simulation Training is an interactive simulation, lasting approximately 2 hours, which promotes self-reflection and awareness regarding a range of cultural diversity issues. During the activity, participants are required to learn new cultural norms, cooperate within their group according to these new norms, and interact with “cultural others” from a different group. The experience, offered to students and other professionals, helps participants recognize the ways stereotypes develop and are incorporated into everyday practices, appreciate difference, and promotes self-assessment. Participants learn tools that translate well to work in multidisciplinary teams and in culturally rich environments. An optimum size group for each training session is 18 to 35 individuals. The CBMH staff is available to facilitate these sessions. Terms Cultural difference, Engagement, Experiential learning
Item 16024 Expectations of Professionalism (School of Graduate Studies) PowerPoint File: Expectations of Professionalism - SGSHS.pptx Description This slide set with notes can serve as a basis for a stand alone lecture or a self-directed online learning module. The content stresses that the professional scientist has specific obligations regarding professional ethics and boundaries within which professional interactions take place. The material covers not only professional demeanor but also honesty and integrity, communication, social media, teamwork, and accountability. Terms Professionalism
Item 16025 Role-Play Scenarios for Teaching RCR (Authorship) PDF File: Authorship - Responsible Conduct of Research.pdf Description Intellectual contribution to scientific publication, conferences, presentations, and other scholarly communications is generally designated through authorship. The determination of whose names should appear and in what sequence they should be listed is an important component of the publication process, however it is fraught with ethical issues and is often the source of conflict. Navigating the issues involved is made more difficult by laboratory power differentials wherein principal investigators, post-doctoral fellows, and graduate students may be working on projects with considerable overlap of activities and contributions that may be valued differently across research team members. The Authorship: New faculty role play module addresses one aspect of authorship through a facilitated learning activity. This is one of a suite of such role play activities developed by Gunsalus et al. (“Role-Play Scenarios for Teaching Responsible Conduct of Research” Online Ethics Center for Engineering 8/24/2009 OEC Accessed: Saturday, July 2, 2016. www.onlineethics.org/Resources/RCRrolelays.aspx) through a National Science Foundation grant. The CBMH staff and faculty can assist UMMC faculty and students who wish to incorporate this activity into existing instruction. Link: www.onlineethics.org/Resources/RCRroleplays.axpx References "Role-Play Scenarios for Teaching Responsible Conduct of Research" Online Ethics Center for Engineering 8/24/09 OEC Accessed: Saturday, July 2, 2016 www.onlineethics.org/Resources/RCRroleplays.axpx Terms Authorship, Ethics, Role Play
Item 16026 Professionalism Environment Assessment PowerPoint File: Professionalism Environment Assessment.pptx Description This assessment, originally developed at UC Davis, can be applied in a variety of ways. It can be used for program improvement by setting benchmarks for establishing a climate of professionalism within the clinical learning environment and asking student to evaluate their experiences. It can also be used as a small group discussion tool to facilitate conversations about observed behavior on clinical rotations. Although written for medical student use, this tool can easily be re-worded for other disciplines. The faculty and staff of the Center for Bioethics and Medical Humanities can assist faculty in customizing this tool to fit the needs of programs that wish to incorporate it. Terms Engagement, Metrics, Professionalism, Student Learning Environment
Item 16027 Survey of the Learning Environment for Professionalism PDF File: Learning Environment Measure.pdf Description This 2011 article by Thrush et al., describes and provides validation data for a learning environment for professionalism survey. This article was a direct response to 2008 LCME introduction of standards for professionalism in the student learning environment. The survey tool allows learners to assess elven areas of professionalism on a four point Likert scale. This tool can be used for program evaluation or as a platform for discussion in student, residents, or faculty groups. The CBMH staff is available to assist program staff and faculty in developing ways to utilize this resource. References Carol R. Thrush, John J. Spollen, Sara G. Tariq, D. Keith Williams & Jeannette M. Shorey II (2011) Evidence for validity of a survey to measure the learning environment for professionalism, Medical Teacher, 33:12, e683-e688, DOI: 10.3109/0142159X.2011.611194 Terms Engagement, Metrics, Professionalism, Student Learning Environment
Item 16028 Mapping the Moral Boundaries of Biological Engineering PDF File: Moral Boundaries of Biological Engineering.pdf Description Modern health care, when viewed across its three dimensions of clinical care, education, and research, is an increasingly multi-disciplinary environment. Establishing functional ethical norms among these disciplines, although challenging, is critical to maintain professional standards, acceptable research practices, a just health care system, and morally-informed future providers and investigators. The student essay by Russ outlines a number of ethical questions that are applicable to the growing number of disciplines that intersect with the traditional bioscience and clinical core communities. It can be usefully assigned as supplemental reading not only in bio-engineering courses but also in health care administration, research methods, and other technical curricula wherein ethical issues are not generally discussed. References Russ, Z. (2009). Mapping the moral boundaries of biological engineering. Journal of Biological Engineering, 3(7). Accessed from: http://www.jbioleng.org/content/3/1/7 Terms Ethics, Professionalism
Item 16029 Principalism PowerPoint File: PRCPrinciplism.pptx Description Principlism Principlism is ubiquitous in modern medicine as a supportive ethical framework for clinical decision making. This slide series contains a brief introduction to the concept and can be incorporated as a component of a lecture or presentation. Terms principalism
Item 16030 Physical Therapist Professionalism Evaluation Word File: PTProfessionalismPatientSurvey.doc Description This 10 item assessment, developed using the American Physical Therapist Association’s Professionalism Core Values, asks patients to rate physical therapy services across seven domains including accountability, compassion/caring, and social responsibility. This tool, while developed for patient use, could also be used as a self-evaluative tool for students of physical therapy and adapted for students of other health related professions. References Source: http://www.apta.org/Professionalism/ Terms Assessment, Evaluation, Physical therapy
Item 16031 A Physician Charter PDF File: A Physician Charter.pdf Description This charter on professionalism is the work product of several international medical organizations. Developed out of an internationally recognized need to affirm professionalism in the face of changes in health care delivery systems, the charter consists of an introduction, three principles, and ten commitments. The charter can be used to spark conversation in both small and large groups about professionalism among physicians, if health care delivery systems do indeed threaten the values of professionalism, and if the charter is applicable in all locales, or just those that practice medicine in a traditional Western tradition. References Project of the ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine*. Medical Professionalism in the New Millennium: A Physician Charter. Ann Intern Med. 2002;136:243-246. doi:10.7326/0003-4819-136-3-200202050-00012 Terms Confidentiality, HIPAA, Physician, Privacy, Professionalism
Item 16032 Responsible Conduct of Research (ORI) Word File: Office of Research Integrity RCR.docx Description The ORI Introduction to Responsible Conduct of Research, created by Nicholas Steneck of the DHHS Office of Research Integrity, is designed to introduce nine RCR core instructional areas in four sections that follows research from inception to planning, conducting, reporting, and reviewing research. The publication features case studies, text-box inserts, discussion questions, and electronic and printed resources. Web version http://ori.hhs.gov/ori-introduction-responsible-conduct-research PDF version http://ori.hhs.gov/sites/default/files/rcrintro.pdf The staff and faculty of the CBMH can assist instructors who wish to incorporate part or all of this material into existing lectures or other course activities. Terms Research, Research Ethics, Responsible Conduct
Item 16033 Operating Room Attire Word File: Operating Room Attire.docx Description Professionalism has many components including decorum and attire! Operating room attire, however, goes beyond mere decorum and is a patient safety issue. This American College of Surgery statement on operating room attire provides guidelines for professional conduct in this regard. The CBMH faculty can assist faculty who may wish to incorporate this material into existing instruction. The article may be accessed here: http://bulletin.facs.org/2016/10/statement-on-operating-room-attire/ Terms Patient Safety, Professionalism
Item 16034 Informed Consent Word File: Informed Consent II.docx Description The process of consent for treatment is a fundamental component of respecting the patient’s autonomy. The surgical community recognizes both the philosophical concept of consent and the process by which it is obtained and documented as a cornerstone of the doctor-patient relationship. This is reflected in the American College of Surgeon’s Statement on Principles, Section 11.A. This is a succinct description of consent in the clinical setting that can inform discussions about the informed consent process in any discipline. Statement on Principles can be found here: https://www.facs.org/about-acs/statements/stonprin#iia Terms Ethics, Informed Consent, Professionalism
Item 17001 Contagion & Panic in the Streets Word File: Contagion_Panic In The Streets.docx Description Contrasting the medical ethics of traditional physician-patient relationships with public health ethical norms is a useful to demonstrate the principles of autonomy, justice, beneficience and nonmaleficence. Using film as a teaching tool in support of this demonstration is an engaging way to involve learners in critical thinking and evaluation of complex ethical topics that are woven into film narratives. The films Panic in the Streets (1950) and Contagion (2011), each raise multiple ethical issues on which to base class assignments, discussions or learning activities. Both feature-length films are available through the CBMH and the staff is available to assist instructors in creating learning activities using these resource elements. Terms Autonomy, Beneficence, Film, Justice, Medical Ethics, Nonmaleficence, principalism, Public Health
Item 17002 Merchants of Doubt PDF File: Merchants-of-Doubt-College-Study-Guide.pdf Description The 2014 documentary film Merchants of Doubt examines the role of the media, the scientific community, political interests, and others in shaping public policy and perception. While the film focuses largely on climate and environmental issues, the questions it brings forward apply to many health and health care topics. This film and the excellent curriculum made available by the Pynter Institute can be the bases of rich class or small group discussions and the learner development of critical thinking skills for evaluating tensions among scientific data, industry communications, and government interests. The CBMH staff and faculty can assist instructors who wish to incorporate this material into classroom or other activities. Terms Critical Thinking, Documentary, Film, Scientific Data
Item 17003 Advance health Care Directive PDF File: ADVANCE_HEALTHCARE_DIRECTIVE.pdf Description An advance healthcare directive is a legal document which allows one to state what kind of healthcare one wants to receive should one ever become very sick and unable to speak for oneself. This document also allows the naming of a proxy to make health care decisions on behalf of an incapacitated patient. This is the Mississippi Advance Health Care Directive, other states, provinces, and countries have developed their own versions of this form. A portal with links to other state approved directives can be found here: http://uslwr.com/formslist.shtm Terms Advance health Care Directive, Health Care Proxy, Living Will, Power of Attorney

Item 13001

Health Literacy

PowerPoint

File: Health Literacy power point Intro.ppt

Description

This group of slides introduces the basic concepts and definition of health literacy as it applies in the clinical setting. It then expands the concept for the learner to include numeracy and two-way (patient-provider) communication and ends emphasizing the relationship between communication and patient outcome. Multiple references are included in the slide text. This slide set can be embedded into almost any clinically oriented lecture or module to highlight or introduce social determinants of health care outcomes.

References

Coleman C, Kurtz-Rossi S, McKinney J, Pleasant A, Rootman E, and Shohet L. The Calgary Charter on Health Literacy: Rationale and Core Principles for the Development of Health Literacy Curricula. The Center for Literacy. http://www.centerforliteracy.qc.ca/sites/default/files/CFL_Calgary_Charter_2011.pdf. Accessed March 2013.

Terms

Communication, Health Literacy, Health Systems, Healthcare, Literate, Social Determinants of Health

Item 13002

Health Literacy: Practical Steps Across the Continuum of Care

PowerPoint

File: Health Literacy power point Practical Steps.ppt

Description

This is a follow on slide set to Item 13001 that gives practical guidance for establishing a culture that recognizes health literacy as a determinant of patient outcome. The content is based on recommendations from the Joint Commission and has practical application to many clinical settings and therefore adds value to many clinical presentations. This slide set can be used with Item 13001 or it can stand alone.

References

The Joint Commission. “What did the doctor say?”: Improving health literacy to protect patient safety. The Joint Commission, 2007. Available at www.jointcommission.org/What_Did_the_Doctor_Say/ Accessed March 12, 2013.

Terms

Development, Encounter, Health Systems, Healthcare, Interventions, Literate, Transitionseducation

Item 13003

Academic Integrity Statement

Word

File: Academic Integrity Statements.docx

Description

This statement requires learners to affirm that they have conducted themselves with integrity in carrying our assignments or in the taking of test. The short text can be structured as a question to be embedded into an existing examination or as an attestation statement to be signed as part of a paper, essay, or other student document.

Terms

Exam, Honesty, Integrity, Test

Item 13004

Professional Conduct of the Physical Exam

PowerPoint

File: Professional Conduct Physical Exam.pptx

Description

This is a single bulleted slide giving practical points about conducted the physical exam in a professional manner. It speaks to consent, having attendants present, and communicating with the patient. This slide can be embedded in virtually any clinically-based lecture, presentation, or module.

Terms

Communication, Consent, Physical Exam

Item 13005

Ethics Literacy Test

Word

File: Ethics Literacy Test.docx

Description

The ELT consists of a 100 question pool covering a wide range of topics relevant to clinical health care and bioscience research. The intent of the instrument is to gauge the basic “bioethics literacy” of a group, class, school, or other group within the biomedical community. Topics such as principlism, utilitarianism, consent, confidentiality, and responsible conduct of research are covered. All stems are multiple choice with the correct answer and distracters provided. The CBMH will provide hard copies of randomly-selection selected questions or previously-administered and validated question sequences. Automated scoring is also available. In order to maintain test integrity, instructors may contact the CBMH to examine the pool and discuss administration of this test.

Terms

Ethics, Ethics Literacy, Test

Item 13007

Professionalism Assessment Tool (SOM)

Word

File: Professionalism Assessment Tool - SOM.docx

Description

The Professionalism Assessment Tool (PAT) is an evaluation instrument designed to quantify the level of professionalism exhibited by individuals in a clinical healthcare environment. It is constructed to apply across disciplines and to be valid for students, clinical staff, resident physicians and faculty. The tool allows assessment on eleven domains of professional behavior using a unique scale that is particularly suited to formative evaluation. It can be deployed as a high-stakes evaluation instrument in that it is intended for grading student performance. The CBMH can make this tool available in either paper or electronic formats, or it can be embedded in the eValue platform. The PAT can also be used as a self-assessment tool to add value a mentoring experience. Additional learning modules that explain the application of the PAT are available for students who are being assessed with the tool and for faculty, or other evaluators, who are assessing students.

Terms

Assessment, PAT, Professionalism

Item 13008

Professionalism Assessment Tool (SGHS)

Word

File: Professionalism Assessment Tool - SGHS.docx

Description

The Graduate School Edition of the PAT is tailored for professionalism assessment in the research environment. Structured much like the SOM edition, it allows assessment of eleven domains of behavior that are associated with professionalism. Also like other editions of the PAT, it can be deployed as a high-stakes evaluation instrument, can be made available in either paper or electronic formats, and can be embedded in the eValue platform. The PAT can also be used as a self-assessment tool to add value a mentoring experience. Additional learning modules that explain the application of the PAT are available for students who are being assessed with the tool and for faculty, or other evaluators, who are assessing students.

Terms

Assessment, PAT, Professionalism

Item 13009

Expectations of Professionalism (School of Medicine)

PowerPoint

File: Expectations of Professionalism - SOM.pptx

Description

This module is an introduction to professional demeanor in the clinical setting. It covers all of the domains of professionalism scored on the Professionalism Assessment Tool. This module can be embedded in any existing course or program in any discipline. It can also be used as a stand-alone assignment. The CBMH staff will modify this module for specific applications as needed by instructors.

Terms

Professionalism, School of Medicine, Students

Item 13010

Expectations of Professionalism (School of Health Related Professions)

PowerPoint

File: Expectations of Professionalism - SHRP.pptx

Description

This module establishes some fundamental boundaries for professional behavior for students in health care educational programs. It was originally produced for on-line learners in the School for Health Related Professions. The content mirrors the domains of the Professionalism Assessment Tool. This module can be embedded into any existing face-to-face or online instruction. The CBMH staff will modify and re-record this module as needed.

Terms

Professionalism

Item 13011

Moral Judgment Test

Word

File: Moral Judgment Test.docx

Description

The Moral Judgment Test (MJT) is a 26 question test, which uses a Likert scale, wherein respondents are given two scenarios and asked how strongly they agree or disagree with behaviors related to the scenarios. The MJT allows for the assessment of two aspects of moral judgment behavior – moral orientation and moral competence. This test, given using Scantron, takes approximately 10 minutes to complete and can be given in both small and large group settings. The Center for Bioethics and Medical Humanities can grade and return these tests in a short timeframe.

Terms

Assessment, Behavior, Metrics, Morals, Test

Item 13012

Faculty Covenant

PDF

File: Faculty Covenant.pdf

Description

This brief statement articulates the professional boundaries of the health care educator. It is intended as a reminder, a vision statement, or a declaration to be used at faculty event or in academic documents. Versions of this statement on card stock are available in the CBMH.

Terms

Covenant, Educator, Professionalism

Item 14001

Academic Honesty: A Guide for Bioscience Writers

PowerPoint

File: MSRP RCR.pptx

Description

This self-study module is intended for bioscience writers at all levels and addresses issues of proper citation, plagiarism, copyright, and source material. The content is extensively referenced and multiple links are provided for supplementary information. This module can be embedded into any course or program and fits well when a serious writing assignment is a course expectation. A pre-test and post-test are available.

Terms

Citation, Copyright, Plagiarism, Professionalism

Item 14003

Professionalism and the CV or Resume

PowerPoint

File: Professionalism and the CV or Resume.pptx

Description

This suite of materials supports the generation of a resume or curriculum vitae that adheres to high standards of professionalism and reflects well on one’s accomplishments. The author of this module, Dr. Mitzi Norris, Executive Director of Academic Effectiveness, is available to present this material or to work with faculty to embed the content into existing instruction. The module is applicable to traditional face-to-face delivery or to self-directed learning.

Terms

CV, Professionalism

Item 14004

Business Etiquette

PowerPoint

File: Business Etiquette.pptx

Description

This module re-enforces the basic elements of etiquette as a component of professionalism. The content covers dress, interacting with people individually and in meetings, networking, and table manners. This module can be used as a stand-alone assignment, used as a lecture, or for optional self-directed learning. Dr. Mitzi Norris in the Office of Academic Affairs is also available to present this material.

Terms

Etiquette, Networking, Professionalism

Item 14006

Public Health Ethics 1

PowerPoint

File: Public Health Ethics 1.ppt

Description

This slide set provides the learner with an overview of ethics, generally and within the context of medical practice. In addition to contrasting ethics and law, these slides delineate society’s expectations of medical professionals and discuss principles of medical ethics including autonomy and beneficence. Public health is defined and a case study provoking thought about social justice and individual rights, as related to immunization, is presented. These slides are the first half of a two set presentation.

Terms

Ethics, Public Health

Item 14007

Public Health Ethics 2

PowerPoint

File: Public Health Ethics 2.ppt

Description

Terms

Ethics, Large Group, Small Group

Item 14010

Medical Professionalism - Best Practices

Word

File: Medical Professionalism - Best Practices.docx

Description

This volume, produced by Alpha Omega Alpha Honor Medical Society, highlights both the use of systems to enhance professionalism and best practices for the remediation of lapses in professionalism. Eleven peer-reviewed articles provide perspective on issues ranging from foundational understanding of medical professionalism to a tool developed to explore the professionalism of medical students. The articles contained within can be used individually or collectively to promote discussion in small or large groups and during activities such as journal club. The Center for Bioethics and Medical Humanities has a print copy of this book available to loan to interested parties. This work is also available to read online or as a PDF download at: http://alphaomegaalpha.org/medprof2015.html

Terms

Physician, Professionalism

Item 14011

Honor Code (School of Nursing)

Word

File: SON Honor Code.docx

Description

Developed by student leaders, the School of Nursing Honor Code outlines guidelines for academic, personal and professional behavior. Excellence, respect, and integrity are the foundations upon which the code is framed. This code can be used as a template for others seeking to develop an honor code and as the basis for discussions centered on student professionalism and its role in the development of health care providers.

Terms

Honor Code, Professionalism, School of Nursing

Item 14012

Honor Code (School of Graduate Studies in Health Sciences)

Word

File: SGHS Honor Code.docx

Description

The SGHS Honor Code addresses academic honesty in both the classroom and the laboratory and reminds students that they are to require this honesty both of themselves and their classmates. This code can be used as a model for others and as a discussion topic in small group settings.

Terms

Graduate School, Honor Code, Professionalism

Item 14013

Honor Code (School of Medicine)

Word

File: SOM Honor Code.docx

Description

The School of Medicine Honor Code speaks to the professionalism and conduct that medical students should both display and expect from their colleagues. Respect for patients, patients’ families, hospital personnel, and the community are but a few of the expectations outlined in this code. This code can be used as a model for other seeking to construct an honor code as a discussion topic in both large and small group settings.

Terms

Honor Code, Professionalism, School of Medicine

Item 16001

Ethical Issues in Clinical Surgery

Word

File: Ethical Issues in Clinical Surgery.docx

Description

This book, which comes in two versions, was developed by the Committee on Ethics of the American College of Surgeons. Topics covered include: framework for considering ethical issues in clinical surgery, competition of interests, confidentiality, and end-of-life issues. Each chapter features realistic cases, learning objectives, and discussion questions. The text for course instructors and practicing surgeons offers CME credit. Pricing and ordering information for the book can be found at: http://www.facs.org/education/ethicalissuesinclinicalsurgery.html

Terms

Book, Ethics

Item 16003

Case of Verbally Abuse Physician

PDF

File: Case of Verbally Abuse Physician.pdf

Description

This case explores the disruptive behavior of a general surgeon who has excellent patient outcomes and productivity ranking. His behavior in the operating room, however, is less than ideal. Discussed herein are his behavior, its effect on his coworkers, and how upper management responds to complaints filed as a result of his behavior. Also discussed are the consequences of disruptive physician behavior, possibly underlying predisposing factors, and interventions. This case, used as a discussion tool, would be ideal for groups of any size, as professionalism, disruptive behavior, and organizational culture are explored.

Terms

Physician

Item 16004

Once When I Was On Call

PDF

File: Once When I Was On Call....pdf

Description

The purpose of this study was to identify the degree to which interns’ reported experiences with both professional and unprofessional behavior converge/diverge with those professional behavior ideals proposed by the physician community. Residents respond to essay questions about both professional and unprofessional displays of physician behavior for the purposes of this study. While the resulting essays reflected interns’ concern with patient interactions, little was reported regarding behavior related to systems or sociopolitical issues. Results from this study indicate a need for more educational emphasis on the systems and sociopolitical environment in which trainees practice.

Terms

Physician

Item 16007

Avoiding Pitfalls in Clinical Trials

PowerPoint

File: Avoiding Pitfalls in Clinical Trials.ppt

Description

This module providers learners with a thorough overview of ethical research practices. The principles which guide ethical research are covered as are the historical occurrences which necessitated the need for those principles. Also discussed are tips for study recruitment, proper documentation and reporting findings. Dr. Michelle Owens in the Department of Obstetrics and Gynecology at UMMC is the author of this presentation and is available to speak to groups seeking additional knowledge regarding the proper execution of clinical trials.

Terms

Research, Research Ethics

Item 16008

Honor Code (School of Dentistry)

Word

File: SOD Honor Code.docx

Description

The School of Dentistry Honor Code exists “as the guideline for expected personal, academic, and professional behavior of students.” Included are expectations of comport for students in the classroom, the clinic, and the community at large. Civility, academic freedom, and disciplinary procedures are all discussed in this detailed document which would prove useful to students of any discipline as well as entities looking to develop honor codes of their own.

Terms

Dentistry, Honor Code, Professionalism

Item 16009

Cat's Cradle (Book)

Word

File: Cat's Cradle.docx

Description

This 1963 satirical novel was written in the context of dramatic social change, the cold war and social reassessment of the role of technology in modern life. It provides an excellent basis for class or small group discussions of scientific responsibility. The CBMH staff can work with instructors to develop curriculum around this novel and to facilitate small group discussions.

Terms

Fiction, Literature, Novel, Social Change

Item 16010

Negative Impact of Nurse-Physician Behavior on Patient Safety (Journal Article)

PDF

File: Impact of Nurse-Physician Disruptive Behavior - Journal Article.pdf

Description

Effective nurse-physician communication is critical to proper patient care in many clinical settings. This work relates dysfunctional communication in the nurse-physician dyad to degradation of patient safety. This review article would be appropriate reading for interprofessional activities involving any level of learner.

Terms

Behavior, Nursing

Item 16011

Unprofessional Behavior in Medical School (Journal Article)

PDF

File: Unprofessional Behavior in Medical School - Journal Article.pdf

Description

This study studied 68 graduates from a single medical school (UCSF) who were disciplined by The Medical Board of California. These investigators found that in 95% of these cases the disciplinary actions were for deficiencies in professionalism. The authors included negligence in the definition of unprofessional behavior. Case-control comparison to a control group revealed that "Problematic behavior in medical school is associated with subsequent disciplinary action by a state medical board.” This study has some limitations but is important in establishing the importance of professional behavior exhibited by students and makes excellent assigned reading for medical students at any level and can also be part of a reading list for small group discussion, journal club, or interest group.

Terms

Behavior, Medical School

Item 16012

Professionalism in Medical Education

PDF

File: Professionalism in Medical Education.pdf

Description

Growing out of an effort to increase professionalism among medical students, faculty at the University of Washington School of Medicine (UWSOM) developed a teaching/modeling curriculum for students. Originally implemented for use with preclinical students, the program evolved into use for those students involved in clinical encounters. An increased awareness of professionalism as vital to institutional success motivated campus-wide implementation of the program which is now used for students, residents, staff, and faculty. The campus environment at UWSOM has become one that is receptive to the idea of professionalism as a skill to be learned and dispatched by all. Discussion of this article will provoke learners and instructors alike to explore what professionalism on the UMMC campus currently is, what it should be, and whether those two align.

References

Goldstein EA, Maestas RR, Freyer-Edwards K, Wenrich MD, Oelschlager AM, BaernsteinA, Kimball HR. Professionalism in Medical Education: an Institutional Challenge. Academic Medicine 2006 October; 81(10): 871-6

Terms

Education, Medical Education, Professionalism

Item 16013

Validation of an Instrument to Measure Pharmacy and Medical Students' Attitudes Toward Physician-Pharmacist Collaboration

PDF

File: Validation of an Instrument to Measure Physician-Pharmacist - Journal Article.pdf

Description

This article describes an extension of the Jefferson Scales that are a part of UMMC’s Professionalism Across the Curriculum Program to the Physician-Pharmacist relationship. The collaboration scale, the article itself, or a small group assignment can be embedded into existing instruction for any provider discipline interfacing with pharmacists. The Center for Bioethics and Medical Humanities maintains a site licensure for the Jefferson Scales and will work with curriculum developers and instructors to apply these in any program.

Terms

Students

Item 16014

Consultation Ethics

PowerPoint

File: Consultation Ethics.pptx

Description

This group of slides provides a definition of consultation ethics, gives historical background and explains the limits of consultation. Potential conflicts that arise in consultation are also discussed herein. As it stands, this slide set discusses the role of the surgeon as consulting physician; the set can be tailored to address consultation by physicians of any area of practice/specialty. Contacting the CBMH with your particular needs ensures a presentation specific and appropriate for a variety of settings.

Terms

Ethics

Item 16015

Taking a Routine Sexual History

PowerPoint

File: Taking a Routine Sexual History.pptx

Description

This six slide set provides practitioners, particularly those for whom taking a sexual history is not routine, with an algorithm to use when taking a basic sexual history from a patient. In addition to questions related to relationship status and frequency of sexual activity, the practitioner is prompted to inquire about partner(s) gender and whether or not monogamy is at play. Practitioners are directed, for each question, toward additional questions or an action such as doing a risk assessment. This algorithm will help practitioners ensure that patients are receiving quality care in all aspects of their health as many health factors of importance can emerge from a sexual history.

Terms

Risk Assessment, Sexual History

Item 16016

Communications Style Guide

PDF

File: Communications Style Guide.pdf

Description

This document, developed by the University of Mississippi Medical Center’s Division of Public Affairs is a comprehensive guide for the development of any external publication which represents the Medical Center. Guidance for communications ranging from invitations to electronically presented materials for websites is provided. Requirements from A (Abbreviations) to Z (ZIP codes) are detailed within this easy-to-read and utilize document.

Terms

Communication

Item 16018

Zika Virus Case

PowerPoint

File: Zika Virus Case.pptx

Description

This case provides a platform for a wide-ranging discussion of medical ethics. It works well as an exercise in which individuals or small teams are assigned to the roles listed on the stakeholders slide and asked to respond to the developing scenario. The overarching learning objectives are to: * Recognize the concept of an ethical theory * Know the elements of principalism * Contract ethical theories * Align the applicable ethical theories with competing stakeholder interests

Terms

Case Study, Medical Ethics, Zika Virus

Item 16019

Childbirth Consent Case

Word

File: Case Report.docx

Description

This case, although quite simple on its surface, is an excellent platform from which to discuss the concept of consent and the autonomy of individuals to determine what happens to their persons in the course of medical care. Analysis of this case can include an in-depth review of the elements of consent including: • Capacity • Agency • Information • Voluntariness • Authorization The more difficult question of fetus as patient can also be addressed through this case but is not essential to an effective discussion of consent when employing this case in a small group.

Terms

Consent, Ethics, Maternal Fetal Conflict

Item 16020

Maternal-Fetal Conflict Case

Word

File: Maternal Fetal Conflict Case.docx

Description

Pregnancy is physiologically, socially, legally, and ethically a unique part of the human experience. Conflicting interests between mother and an unborn child can be difficult to resolve in the clinical setting. This case demonstrates such a conflict and role of the care team in balancing the therapeutic risks and benefits across the maternal-fetal dyad.

Terms

Case Study, Ethics

Item 16021

Can the Patient Decide? Evaluating Patient Capacity in Practice

Word

File: Validation of an Instrument to Measure Pharmacy and Medical Students.docx

Description

Informed consent is fundamental to a patient’s autonomous choices about health care. The consent process is based on five elements: capacity, information, understanding, voluntariness, and authorization. Capacity is the patient’s ability to comprehend relevant information, make a rational choice and communicate decisions. Every physician must develop the skills to evaluate a patient’s capacity as a component of consent. This article by Tunzi provides a structured framework for evaluating patient capacity in the clinical setting. It can be assigned as independent reading, form the basis of a discussion group, or the evaluation aid (Figure 2 of the manuscript) can be embedded in an existing lecture.

References

Tunzi, M. (2001). Can the patient decide? Evaluating patient capacity in practice. American Family Physician. 64(2), 299-306.

Terms

capacity, Ethics, principalism

Item 16022

Occupational Therapy / Physical Therapy Case Studies

Word

File: OT PT Case Studies.docx

Description

Ethical dilemmas arise in all health care professions. Facilitated case discussions are an effective way to demonstrate dilemma resolutions using ethical theory and generate discussion among learners regarding ethical issues in the clinical settings. Often, example case discussions are crafted for students in medical or nursing programs rather than other members of the health care team. This suite of six cases is tailored for practitioners and students in the occupation or physical therapy environment and could find application in health information management and laboratory technology curricula. The CBMH faculty and staff is available to instructors who may wish to incorporate one or more of these cases into existing instruction.

Terms

Ethics, Occupational Therapy, Physical therapy

Item 16023

BaFa' BaFa' Cultural Simulation Training

Word

File: BaFa BaFa Simulation.docx

Description

The BaFa’ BaFa’ Simulation Training is an interactive simulation, lasting approximately 2 hours, which promotes self-reflection and awareness regarding a range of cultural diversity issues. During the activity, participants are required to learn new cultural norms, cooperate within their group according to these new norms, and interact with “cultural others” from a different group. The experience, offered to students and other professionals, helps participants recognize the ways stereotypes develop and are incorporated into everyday practices, appreciate difference, and promotes self-assessment. Participants learn tools that translate well to work in multidisciplinary teams and in culturally rich environments. An optimum size group for each training session is 18 to 35 individuals. The CBMH staff is available to facilitate these sessions.

Terms

Cultural difference, Engagement, Experiential learning

Item 16024

Expectations of Professionalism (School of Graduate Studies)

PowerPoint

File: Expectations of Professionalism - SGSHS.pptx

Description

This slide set with notes can serve as a basis for a stand alone lecture or a self-directed online learning module. The content stresses that the professional scientist has specific obligations regarding professional ethics and boundaries within which professional interactions take place. The material covers not only professional demeanor but also honesty and integrity, communication, social media, teamwork, and accountability.

Terms

Professionalism

Item 16025

Role-Play Scenarios for Teaching RCR (Authorship)

PDF

File: Authorship - Responsible Conduct of Research.pdf

Description

Intellectual contribution to scientific publication, conferences, presentations, and other scholarly communications is generally designated through authorship. The determination of whose names should appear and in what sequence they should be listed is an important component of the publication process, however it is fraught with ethical issues and is often the source of conflict. Navigating the issues involved is made more difficult by laboratory power differentials wherein principal investigators, post-doctoral fellows, and graduate students may be working on projects with considerable overlap of activities and contributions that may be valued differently across research team members. The Authorship: New faculty role play module addresses one aspect of authorship through a facilitated learning activity. This is one of a suite of such role play activities developed by Gunsalus et al. (“Role-Play Scenarios for Teaching Responsible Conduct of Research” Online Ethics Center for Engineering 8/24/2009 OEC Accessed: Saturday, July 2, 2016. www.onlineethics.org/Resources/RCRrolelays.aspx) through a National Science Foundation grant. The CBMH staff and faculty can assist UMMC faculty and students who wish to incorporate this activity into existing instruction. Link: www.onlineethics.org/Resources/RCRroleplays.axpx

References

"Role-Play Scenarios for Teaching Responsible Conduct of Research" Online Ethics Center for Engineering 8/24/09 OEC Accessed: Saturday, July 2, 2016 www.onlineethics.org/Resources/RCRroleplays.axpx

Terms

Authorship, Ethics, Role Play

Item 16026

Professionalism Environment Assessment

PowerPoint

File: Professionalism Environment Assessment.pptx

Description

This assessment, originally developed at UC Davis, can be applied in a variety of ways. It can be used for program improvement by setting benchmarks for establishing a climate of professionalism within the clinical learning environment and asking student to evaluate their experiences. It can also be used as a small group discussion tool to facilitate conversations about observed behavior on clinical rotations. Although written for medical student use, this tool can easily be re-worded for other disciplines. The faculty and staff of the Center for Bioethics and Medical Humanities can assist faculty in customizing this tool to fit the needs of programs that wish to incorporate it.

Terms

Engagement, Metrics, Professionalism, Student Learning Environment

Item 16027

Survey of the Learning Environment for Professionalism

PDF

File: Learning Environment Measure.pdf

Description

This 2011 article by Thrush et al., describes and provides validation data for a learning environment for professionalism survey. This article was a direct response to 2008 LCME introduction of standards for professionalism in the student learning environment. The survey tool allows learners to assess elven areas of professionalism on a four point Likert scale. This tool can be used for program evaluation or as a platform for discussion in student, residents, or faculty groups. The CBMH staff is available to assist program staff and faculty in developing ways to utilize this resource.

References

Carol R. Thrush, John J. Spollen, Sara G. Tariq, D. Keith Williams & Jeannette M. Shorey II (2011) Evidence for validity of a survey to measure the learning environment for professionalism, Medical Teacher, 33:12, e683-e688, DOI: 10.3109/0142159X.2011.611194

Terms

Engagement, Metrics, Professionalism, Student Learning Environment

Item 16028

Mapping the Moral Boundaries of Biological Engineering

PDF

File: Moral Boundaries of Biological Engineering.pdf

Description

Modern health care, when viewed across its three dimensions of clinical care, education, and research, is an increasingly multi-disciplinary environment. Establishing functional ethical norms among these disciplines, although challenging, is critical to maintain professional standards, acceptable research practices, a just health care system, and morally-informed future providers and investigators. The student essay by Russ outlines a number of ethical questions that are applicable to the growing number of disciplines that intersect with the traditional bioscience and clinical core communities. It can be usefully assigned as supplemental reading not only in bio-engineering courses but also in health care administration, research methods, and other technical curricula wherein ethical issues are not generally discussed.

References

Russ, Z. (2009). Mapping the moral boundaries of biological engineering. Journal of Biological Engineering, 3(7). Accessed from: http://www.jbioleng.org/content/3/1/7

Terms

Ethics, Professionalism

Item 16029

Principalism

PowerPoint

File: PRCPrinciplism.pptx

Description

Principlism Principlism is ubiquitous in modern medicine as a supportive ethical framework for clinical decision making. This slide series contains a brief introduction to the concept and can be incorporated as a component of a lecture or presentation.

Terms

principalism

Item 16030

Physical Therapist Professionalism Evaluation

Word

File: PTProfessionalismPatientSurvey.doc

Description

This 10 item assessment, developed using the American Physical Therapist Association’s Professionalism Core Values, asks patients to rate physical therapy services across seven domains including accountability, compassion/caring, and social responsibility. This tool, while developed for patient use, could also be used as a self-evaluative tool for students of physical therapy and adapted for students of other health related professions.

References

Source: http://www.apta.org/Professionalism/

Terms

Assessment, Evaluation, Physical therapy

Item 16031

A Physician Charter

PDF

File: A Physician Charter.pdf

Description

This charter on professionalism is the work product of several international medical organizations. Developed out of an internationally recognized need to affirm professionalism in the face of changes in health care delivery systems, the charter consists of an introduction, three principles, and ten commitments. The charter can be used to spark conversation in both small and large groups about professionalism among physicians, if health care delivery systems do indeed threaten the values of professionalism, and if the charter is applicable in all locales, or just those that practice medicine in a traditional Western tradition.

References

Project of the ABIM Foundation, ACP–ASIM Foundation, and European Federation of Internal Medicine*. Medical Professionalism in the New Millennium: A Physician Charter. Ann Intern Med. 2002;136:243-246. doi:10.7326/0003-4819-136-3-200202050-00012

Terms

Confidentiality, HIPAA, Physician, Privacy, Professionalism

Item 16032

Responsible Conduct of Research (ORI)

Word

File: Office of Research Integrity RCR.docx

Description

The ORI Introduction to Responsible Conduct of Research, created by Nicholas Steneck of the DHHS Office of Research Integrity, is designed to introduce nine RCR core instructional areas in four sections that follows research from inception to planning, conducting, reporting, and reviewing research. The publication features case studies, text-box inserts, discussion questions, and electronic and printed resources. Web version http://ori.hhs.gov/ori-introduction-responsible-conduct-research PDF version http://ori.hhs.gov/sites/default/files/rcrintro.pdf The staff and faculty of the CBMH can assist instructors who wish to incorporate part or all of this material into existing lectures or other course activities.

Terms

Research, Research Ethics, Responsible Conduct

Item 16033

Operating Room Attire

Word

File: Operating Room Attire.docx

Description

Professionalism has many components including decorum and attire! Operating room attire, however, goes beyond mere decorum and is a patient safety issue. This American College of Surgery statement on operating room attire provides guidelines for professional conduct in this regard. The CBMH faculty can assist faculty who may wish to incorporate this material into existing instruction. The article may be accessed here: http://bulletin.facs.org/2016/10/statement-on-operating-room-attire/

Terms

Patient Safety, Professionalism

Item 16034

Informed Consent

Word

File: Informed Consent II.docx

Description

The process of consent for treatment is a fundamental component of respecting the patient’s autonomy. The surgical community recognizes both the philosophical concept of consent and the process by which it is obtained and documented as a cornerstone of the doctor-patient relationship. This is reflected in the American College of Surgeon’s Statement on Principles, Section 11.A. This is a succinct description of consent in the clinical setting that can inform discussions about the informed consent process in any discipline. Statement on Principles can be found here: https://www.facs.org/about-acs/statements/stonprin#iia

Terms

Ethics, Informed Consent, Professionalism

Item 17001

Contagion & Panic in the Streets

Word

File: Contagion_Panic In The Streets.docx

Description

Contrasting the medical ethics of traditional physician-patient relationships with public health ethical norms is a useful to demonstrate the principles of autonomy, justice, beneficience and nonmaleficence. Using film as a teaching tool in support of this demonstration is an engaging way to involve learners in critical thinking and evaluation of complex ethical topics that are woven into film narratives. The films Panic in the Streets (1950) and Contagion (2011), each raise multiple ethical issues on which to base class assignments, discussions or learning activities. Both feature-length films are available through the CBMH and the staff is available to assist instructors in creating learning activities using these resource elements.

Terms

Autonomy, Beneficence, Film, Justice, Medical Ethics, Nonmaleficence, principalism, Public Health

Item 17002

Merchants of Doubt

PDF

File: Merchants-of-Doubt-College-Study-Guide.pdf

Description

The 2014 documentary film Merchants of Doubt examines the role of the media, the scientific community, political interests, and others in shaping public policy and perception. While the film focuses largely on climate and environmental issues, the questions it brings forward apply to many health and health care topics. This film and the excellent curriculum made available by the Pynter Institute can be the bases of rich class or small group discussions and the learner development of critical thinking skills for evaluating tensions among scientific data, industry communications, and government interests. The CBMH staff and faculty can assist instructors who wish to incorporate this material into classroom or other activities.

Terms

Critical Thinking, Documentary, Film, Scientific Data

Item 17003

Advance health Care Directive

PDF

File: ADVANCE_HEALTHCARE_DIRECTIVE.pdf

Description

An advance healthcare directive is a legal document which allows one to state what kind of healthcare one wants to receive should one ever become very sick and unable to speak for oneself. This document also allows the naming of a proxy to make health care decisions on behalf of an incapacitated patient. This is the Mississippi Advance Health Care Directive, other states, provinces, and countries have developed their own versions of this form. A portal with links to other state approved directives can be found here: http://uslwr.com/formslist.shtm

Terms

Advance health Care Directive, Health Care Proxy, Living Will, Power of Attorney