Theoretical Medicine

, Volume 15, Issue 1, pp 39–52 | Cite as

A methodology for teaching ethics in the clinical setting: A clinical handbook for medical ethics

  • Laurence B. McCullough
  • Carol M. Ashton
Article

Abstract

The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: Do your obligations converge or conflict?; Step 5: What is the strongest objection that could be made to the identification of convergence in step 4 or the arguments in step 4? How can this objection be effectively countered?; and Step 6: How could the ethical conflict, or perceived ethical conflict, have been prevented?

Key words

bioethics clinical ethics teaching handbook preventive ethics 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Aristotle.Nichomachean Ethics, in Jonathan Barnes (ed.),The Complete Works of Aristotle. Princeton: Princeton University Press, 1984.Google Scholar
  2. 2.
    Rest JR. A psychologist looks at the teaching of ethics.Hastings Center Report 1983; 13: 29–30.Google Scholar
  3. 3.
    Beauchamp TL and McCullough LB.Medical Ethics: The Moral Responsibilities of Physicians. Englewood Cliffs, NJ: Prentice-Hall, Inc, 1984.Google Scholar
  4. 4.
    Morreim EH.Balancing Act: The New Medical Ethics of Medicine's New Economics. Dordrecht, The Netherlands: Kluwer Academic Publishers, 1992.Google Scholar
  5. 5.
    Thomasma DC. Training in medical ethics: An ethical workup.Forum on Medicine 1978; 1: 33–36.Google Scholar
  6. 6.
    McCullough, LB. Addressing ethics dilemmas: An ethics work-up.The New Physician 1984; 33: 34–35.Google Scholar

Copyright information

© Kluwer Academic Publishers 1994

Authors and Affiliations

  • Laurence B. McCullough
    • 1
    • 3
  • Carol M. Ashton
    • 2
    • 3
  1. 1.Center for Ethics, Medicine, and Public IssuesBaylor College of MedicineHoustonUSA
  2. 2.Quality of Care and Utilization Studies, A V.A. Health Services Research and Development Field ProgramHouston Veterans Affairs Medical CenterHoustonUSA
  3. 3.Department of MedicineBaylor College of MedicineUSA

Personalised recommendations