1. Rural Health Care Ethics Training materials from Rural Health Care Ethics: A Manual for Trainers. WA Nelson and KE Schifferdecker, Dartmouth Medical School, Hanover, NH

2. Objectives-you will be able to: Describe how the rural context influences health care ethics Identify different types of ethical challenges which emerge and their potential impact List steps of a basic approach for addressing ethical challenges Locate ethics resources for rural health care professionals

3. Objectives-you will be able to: Summarize how rural context influences health care ethics Identify frequently encountered ethical challenges Implement an 8-step process for ethical decision-making List strategies to anticipate and decrease ethical challenges Locate ethics resources for rural health care professionals

4. Objectives-you will be able to: Summarize how rural context influences health care ethics Identify frequently encountered ethical challenges Implement an 8-step process for ethical decision- making List strategies to anticipate and decrease ethical challenges Describe role and functions of an ethics committee in rural hospitals Identify steps to enhance or form an ethics program in a rural hospital Locate ethics resources for rural health care professionals and hospitals

5. Large Group Discussion What is the ethical issue in this particular case? How does the rural context influence the ethics issues and response?