1. October 24, 2014 CAPA Annual Conference Halifax, Nova Scotia Brad Olmstead Sharona Kanofsky

2. The presenters have no conflict of interests to disclose. 2

3. By the end of this session, participants will be able to:  Describe an approach to teaching ethical decision making to PA students  Describe how this ethical decision-making approach is applied by PA students to real-world ethical dilemmas from clinical practice  Appreciate the use of educational technology in delivering a medical ethics course to PA students distributed across a large geographic area 3

4.  Consortium of PA Education  Based on DND course  second year course, delivered while students are in second half of clinical training  Structured based on textbook: Doing Right: A Practical Guide to Ethics for Medical Trainees and Physicians by Philip Hébert

5.  Identify the basic ethical principles  Autonomy  Beneficence/non-maleficence  Justice  Describe a step-by-step ethical decision making framework  Apply an ethical decision making framework to assigned cases and real-world ethical dilemmas encountered in clinical practice  Prepare future PAs with the skills and capacity to participate in informed ethical decision-making processes in clinical practice!!

6. 1. Describe the case: summary including pertinent facts 2. Identify the ethical dilemma 3. Identify all possible alternatives 4. Identify the key considerations based on each of the ethical principles (autonomy; beneficence; justice) and the specific context of the situation 5. Propose a resolution 6. Critically review this choice 7. Do the right thing!

7.  Delivery entirely online  Case Discussions 1. Leah’s case – autonomy and self-determination 2. Truth-telling – cultural context 3. Dax’s case – the right to die  Applying the framework to a case  Group debate on reproductive health case  Expert guest-facilitated online workshops  End-of-life care  Bringing it all together with Dr. Hébert  Individual presentations on students’ own cases encountered in clinical placement (reflective exercise)

8.  General introduction to ethical decision-making in medicine  Basic ethical principles  Autonomy  Beneficence/non-maleficence  Justice  Confidentiality  Truth telling  Informed consent  Capacity  Reproductive health  End-of-life care