Table 1 Scenario content for Classie Medical Ethics modules
From: CLASSIE teaching – using virtual reality to incorporate medical ethics into clinical decision making
Course and Theme | Module scenario content |
|---|---|
Medicine – Advance care planning | A woman with dementia and pneumonia is admitted to hospital without any clear management plan or advance care directive and with different opinions from members of her family. |
Medicine – Ethical issues in organ transplantation | A young man has been on a waiting list for a renal transplant for some time and decides to travel back to Iran, where his grandmother lives, as he may be able to purchase a kidney. |
Surgery – Consent and religious objection | A 15 year old boy presents with severe gastro-intestinal bleeding. His parents will not let him have a blood transfusion as they are Jehovah’s witnesses. |
Paediatrics – Complementary medicine, consent and minors | A couple with a toddler with leukemia want to stop conventional therapy and opt for treatment with naturopathy only |
Emergency medicine – Do not resuscitate orders | A man is brought into the Emergency department after a cardiac arrest. He has suffered hypoxic brain injury and there is little hope of functional recovery. They need to make a decision about what to do if he has a cardiac arrest |
Psychiatry – Consent and vulnerable patients | A diabetic patient with schizophrenia needs a surgical amputation of her foot. The surgeon needs to determine if she has capacity to consent. |
Psychiatry – The impaired practitioner | Two junior doctors have noticed that one of their medical colleagues is acting irrationally, making mistakes and intermittently has come to work smelling of alchohol |
Primary care – Management of mature minors | A 15 year old girl presents to her primary care physician asking for a prescription for a contraceptive pill. Her doctor needs to determine how to manage this |
Obstetrics – Termination of pregnancy | A young woman who has just found out that she is pregnant presents to her obstetrician asking for a termination of pregnancy |
Obstetrics – In Vitro Fertilisation (IVF) | A wealthy 51 year old woman asks her obstetrician for IVF. Her obstetrician needs to work through a number of ethical issues including her age |