From: The outcomes of a mobile just-in-time-learning intervention for teaching bioethics in Pakistan
Ethical concern | Example |
---|---|
Conflict of interest | Should consultants charge medical students, trainees, nurses or fellow consultants for clinic visits or procedures? |
Confidentiality | Is it ethical to disclose patient information to someone in the hospital who is not a member of the healthcare team? |
Consent taking | Is it sufficient to inform a patient about the physical examination by a resident/student or do we also need to give them the option to refuse by phrasing it as a question? |
Resource allocation | Provincial government develops a plan without the involvement of the health teams at the district level |
Harassment | Junior doctors being bullied by consultants, name calling in front of the patients |
Do no harm | An attending physician suggesting surgery when it is not necessary |
Policies not being followed | Psychiatry patients not allowed to change their doctor or take LAMA (leave against medical advice) despite the hospital’s policy on patient’s rights and responsibilities |
Professionalism | Poor role modelling – attending physicians wear gowns, scrubs, shoe covers, etc. in and out of the OR, but students and trainees are questioned about the same |