315s99

PHL 315 - MEDICAL ETHICS
Summer 2002

Lawrence P. Ulrich, Ph.D.
Lawrence.Ulrich@notes.udayton.edu

CLASS SCHEDULE
AND
READING ASSIGNMENTS

General Homepage	Course Homepage	Course Description for Registration	Syllabus	Class Schedule and Reading Assignments	Case Analysis Outline	Clinical Case 1: Mabel S.	Clinical Case 2: Martha W.	Legal Case: Nancy Cruzan
Chat Rooms	Threaded Discussions	A Model Advance Directive	Readings	Bioethics Website	Ohio Advance Directive	Ohio DNR Comfort Care	Links	Q & A

This course is designed to deliver the material for Medical Ethics in a new way, which will allow the student to examine the material in a concentrated way for 2/3 of the course and in an independent way for 1/3 of the course. This should maximize student time in the summer and provide a measure of flexibility in working with the material.

Approaching the Readings: It may be difficult to do all the readings for each class but students are encouraged to make that effort. If the reading cannot be done, for each class, every effort should be done to do as much reading as possible for the classes. The structure of this course is reliant in a major way on discussions. The success of the discussions is heavily dependent on the preparation for the class by the students.

Background Reading: It will be helpful to read this material prior to beginning the course. This material will be discussed in the first class.

Ethical Theories and Principles

Supplemental Reading: Ulrich, LP. "Ethical Systems in Healthcare Ethics" and "Ethical Principles in Healthcare Ethics." Readings Webpage for this course.

Patient Dignity

The Assertion of Personal Dignity

The Role of the Virtues in Conducting the Moral Life

Physician-Patient Relationship

The Physician-Patient Relationship

Informed Consent and Decisional Capacity

Informed Consent

Decisional Capacity

Class Schedule:

Class 1 (May 13)

Class 2 (May 14): EUTHANASIA.
Pence, GE. pp. 21-41."
Supplemental Reading: Beauchamp, TL. "Introduction: Intending Death: the Ethics of Assisted Suicide and Euthanasia." ERESERVE.
Pence, GE. pp. 203-228.
Schneiderman, LJ et al. "Medical Futility, Its Meaning and Ethical Implications." ERESERVE.
"Futility Policy: A Sample of the Possible." Readings Webpage.
Supplemental Reading: Schneiderman, LJ et al. "Medical Futility: Response to Critics." ERESERVE

Class 3 (May 15): EUTHANASIA AND ASSISTED SUICIDE.
Pence, GE. pp. 45-80.
Annas, GJ. "The Bell Tolls for a Consitutional Right to Physician-Assisted Suicide." ERESERVE.
Annas, GJ. "The Promised End --- Constitutional Aspects of Physician-Assisted Suicide." ERESERVE
Supplemental Reading: U.S. Supreme Court. Vacco v. Quill. U.S. SUPREME COURT WEBSITE.
Supplemental Reading: U.S. Supreme Court. Washington v. Glucksberg. U.S. SUPREME COURT WEBSITE.
Supplemental Reading: American Medical Association, Council on Ethical and Judicial Affairs. "Guidelines for the Appropriate Use of Do-Not-Resuscitate Orders." ERESERVE.
Oregon Death with Dignity Act.

Class 4 (May 16): ABORTION.
Pence, GE. pp. 153-200.
Supplemental Reading: Engelhardt, HT. "Medicine and the Concept of Person." ERESERVE.
Suppplemental Reading: U.S. Supreme Court. Roe v. Wade. U.S. SUPREME COURT WEBSITE.

Class 5 (May 20): ASSISTED REPRODUCTION.
Pence, GE. pp. 83-150.
National Bioethics Advisory Commission. Cloning Human Beings. Chapter 4 "Ethical Considerations." ERESERVE.

Class 6 (May 21): ALLOCATION OF MEDICAL RESOURCES.
Pence, GE. pp. 247-284.
Pence, GE. pp. 357-381.
AMA, Council on Ethical and Judicial Affairs. "Ethical Issues in Managed Care." ERESERVE.
Supplemental Reading: Auerbach, ML. "Will Managed Care Alter the Art and Soul of Medicine?"ERESERVE.
Supplemental Reading: Emanuel, EJ. "Managed Competition and the Physician-Patient Relationship." ERESERVE.
Supplimental Reading: Bloche, MG. "Clinical Loyalties and the Social Purposes of Medicine." ERESERVE.

Class 7 (May 22): GENETIC RESEARCH AND THERAPY.
Pence, GE. pp. 315-353.
Supplemental Reading: THE NATIONAL HUMAN GENOME RESEARCH INSTITUTE.
[www.nhgri.nih.gov/] This link will take you to the website for information on the human genome project.

Class 8 (May 23): SPECIAL SOCIAL PROBLEMS: ADVANCE DIRECTIVES. SUPPLEMENTAL OPTIONS: AIDS; INVOLUNTARY CIVIL COMMITMENT.
Ulrich, LP. "Advance Directives." Readings Webpage for this course.
Ulrich, LP. "A Model Advance Directive." Index webpage for this course or Bioethics Handbook.
Edson, M. W;t.
Pence, GE. pp. 385-399. [AIDS]
Pence, GE. pp. 287-311. [Involuntary Psychiatric Commitment].

Course Requirements: There will be no examinations in this course. Instead there will be written assignments that can be done from May 24-June 19. Submitting material prior to the due dates listed below is encouraged.

Active participation in class discussion and participation in threaded discussions. [20%] May 14 to May 24 for class discussions and May 14 to June 19 for threaded discussions.
Case Analysis of Clinical Case 1: Mabel S. [20%] Due: May 31.
Case Analysis of Clinical Case 2: Martha W. [20%] Due: June 7.
Case Analysis of Legal Case: Cruzan. [20%] Due: June 14.
Advance Directive Exercise. [20%] Due: June 19.

Papers should be submitted by e-mail attachment. Hard copy is possible in rare cases.