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150808P - CASE STUDIES ON PROFESSIONALISM

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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.