1. Medical Ethics and the GP curriculum
Dr Ranjeeta Bakashi

2. Medical Ethics

3. Learning Objectives-RCGP Curriculum
Recognise the ethical dimension of every healthcare encounter
Understand the nature of values and how they impact on healthcare
Identify the values that patients, families and members of the healthcare team bring to a specific healthcare decision
Demonstrate moral reasoning skills in the process of choosing an appropriate course of action or resolving conflicting values

4. Learning Objectives-RCGP Curriculum
Demonstrate the knowledge skills and attitudes for effective communication in eliciting and understanding the values of patients, negotiating an acceptable course of action and justifying that course of action
Demonstrate knowledge of the professional ethical guidelines and legal framework within which healthcare decisions should be made
Recognise their personal values and how these influence their decision-making

5. Application
Primary Care Management- patient’s values/carers values/public issues
Person-centred approach- consent/ confidentiality/capacity/continuity of care
Specific problem solving- framework of moral reasoning
Comprehensive approach- changes in patient’s views/comorbidity and disease progression/ terminal illness- have proactive strategies

6. application
Community Orientation-distributive justice/balance patient needs with wider community needs
Holistic Approach- Patient autonomy- overall picture
Contextual Aspects- local beliefs within the community
Attitudinal aspects- awareness of own values/feelings/attitudes/capabilities/work-life interaction
Scientific aspects- ethical principles in research/process for approval for research

7. Triangular approach to case discussion
Ethical Principle
Competency level achieved
Curriculum Heading

8. Today’s Program Ethical Approach- The Competency
Ethical Practice- The Framework
Group Sessions
Case Based Discussions
Useful Resources
Summary and Feedback

9. Our Learning Needs
Any Suggestions?