Presentation at the session on
‘Principles and practice of bioethics’ in the IIIT European Summer School held
in Kirklareli, Turkey 9-15 August 2015 by Professor Omar Hasan Kasule Sr. MB
ChB (MUK). MPH (Harvard), DrPH (Harvard) Chairman of the Ethics Committee King
Fahad Medical City.
INSTRUCTIONS
·
Read the scenario carefully
·
Identify the ethical issue
·
Provide your solution to the
ethical issue relying on maqasid and qawaid
PROFESSIONALISM
Case scenario #1
The Director of
the hospital stopped 2 doctors from teaching medical students because he
thought that their work was not professional. They protested that they could
not practice proper medicine because of the time pressure too many patients to
see in a short time.
Case scenario #2
A hospital
director refused to employ a newly graduated resident with good recommendations
and high grades because he remembered him as a very unprofessional and
dishonest student.
Case scenario #3
The hospital
director was planning to terminate the contract of the best cardiovascular
surgeon in the hospital because of immoral behaviors outside work. In 10 years
of working at the hospital no ethical or professional infraction was reported
on him.
PHYSICIAN
PROFESSIONAL RELATIONSHIPS AND DUTIES
Case scenario #4
The Ministry of
Health issued a new policy that all doctors in its hospitals must be engaged in
research and that research would be included in professional performance
evaluation. The physicians protested saying they hardly had enough time for
their patients where would they find the time to do research? How would you
solve this problem?
Case scenario #5
The hospital
manager disciplined a physician who was 2 hours late for his heart follow up
clinic because he was in a community program on prevention of heart disease.
What do you think about this? What principles will you use?
Case scenario #6
A hospital
director wanted to discipline a doctor who refused to treat a patient with
chronic chest disease. The patient had refused to give up smoking with the
result that he had to come to the emergency room 2 or 3 times a week.
RELATIONS
WITH THE PHARMACEUTICAL INDUSTRY AND COI
Scenario #7
A physician
involved in a multi-center clinical trial and receiving substantial financial compensation
was told by the pharmaceutical company to terminate the study. He immediately
terminated the study without asking for the reason. What do you think could be
the underlying reason?
Scenario #8
A researcher was
offered a fully paid conference package with his family when he published a
paper favorable to the drug being introduced by the pharmaceutical company. The
next year he published an unfavorable report about another drug of the company.
No conference package was offered and his wife was asking him why they did not
go overseas that year. Explain the moral issues involved.