1. Basic Standards Ethical Issues Bernard Heilicser D.O., M.S., F.A.C.E.P.

2. Basic Standards for Approval of Residency Training in Emergency Medicine Where is ETHICS?

3. Introduction …Shall provide meaningful objectives that prepare the resident to: 4. Make sound, ethical, and legal judgments as to the expected risks arising from therapy as well as the condition being treated.

4. Standards for Residents D. The resident is legally, morally, and ethically, responsible to pursue exclusively the agreed upon program of training.

5. Standards for Curriculum, Instruction, and Evaluation A. 6. The curriculum shall include instruction in medical ethics and interpersonal skills.

6. 3 Times Informed Consent Process Job Restriction What Instruction? What Interpersonal Skills?

7. Core Curriculum Outline Form Administrative Aspects of Emergency Medicine –Departmental Administration –Hospital Administration

8. Broad Topics Ethical Principles Professional Relations Life-Sustaining Treatment Academic Ethics

9. Documents and Ethics AOA Code of Ethics 1998 Position Papers Bylaws of the COEP (March 2001)

10. Where Do We Begin? How do you teach a physician to be ethical? How do you standardize this? How do you exceed the minimum? What are the ethical standards we should hold ourselves to? –Professional –Societal

11. Standard 1 - Mission Purpose and Need Professional Responsibility Societal Responsibility

12. Standard 2 – Educational Program Goals and Objectives Achieve What? Enumerate Objectives –Institutional –Residents

13. Standard 3 – Institutional Requirement for Program Approval How to incorporate? Who is responsible? Oversight

14. Standard 4 – Faculty and Administration Who will teach? –Formal –Subjectively

15. Standard 5 - Residents Importance and legitimacy Consequences of failure –Professionally –Legally

16. Standard 6 – Curriculum and Instruction Core Curriculum is Framework –Amplify –Case Presentations Ethics Rounds All Case Presentations Journal Club

17. Casuistry Learn the rules and appreciate uniqueness Role modeling

18. Standard 7 – Facilities and Other Resources References Conflict resolution

19. Standard 8 - Evaluation Didactic testing Faculty review of case management

20. Conclusion Essential Better physicians and better patient care Virtuous people making right and good decisions