Topics: Ethics, Health care, Medicine Pages: 16 (3804 words) Published: May 31, 2014

Therapeutic Patient Relationship

Training Session

Michael R Rigda
Ohio University

Table of Contents
Therapeutic Patient Relationships


Since the 1970s, ethics has been incorporated into virtually every aspect of the health care system. Because of such a small time window, the study of ethics in a medical perspective continues to change and improve for the benefit of the patient.

Studies of doctor-patient relationships indicate the need of greater ethical study and intervention. Studies show that although many physicians are aware that a romantic or sexual relationship is unethical, as many as nine percent believe that the ethics depends on the situation (Reese, 2012). Often, an abuse in the doctor-patient relationship does not occur because of a lack in educational skills. Rather, abuse in the doctor/patient is attributed to flaws, or loopholes, in the rules of ethics and law (Subotsky et al, 2010). Continued research of the most recent ethical framework can begin lowering any chance of unprofessionalism. In order to have a successful patient relationship, a physician must understand and respect the barriers in place.

This session will take a look at ethics. Participants will assess their own ethical principles and apply the concepts they’ve learned to problems in ethical communication and/or conduct in the workplace.

Behavioral Objectives

This session serves to provide six main purposes:

Intended to inform the physician on the definition of ethics Clarify the nature of the ethical responsibilities held in common by current and prospective physicians. Identifies ethical considerations relevant to physicians

Recognize different situations containing unethical conduct. Gain the knowledge on how to respond to in situations that require ethical decision-making. Apply the concept of good ethical behavior in their current practice.

Outline of Training Session

I. Introduction:What is ethics?

Ethics refers to a framework of discipline from a branch of philosophy, in which ideas of right and wrong, virtue and vice, and good and evil, are all examined systematically (Salovey & Meyer, 1990).

II. Components of Ethics

Participants will know basic history, definition, and examples of ethics.

A. Ethical Framework – before we can manage ethical dilemmas in the health care setting, we must understand examples of ethical principle, as well as our own, to avoid any conflict of interest.

1. Self-Assessment
2. Continuous Regulation

B. Understand the Significance of Ethics

1. Factors That Improve Ethical Conduct
a. Public view
b. Well educated individuals
c. School curriculum
d. Government regulations

2. Factors That Require Ethical Behavior
a. Provide company guideline for ethical behavior
b. Teach the company’s guidelines importance
c. Describe punishments for unethical conduct

C. Review Examples of Unethical/Ethical Conduct

IV.Class Activity – Ethics Assessment

V.Effectively practice effective ethical communication

A. Understand the needs of the recipient

D. Ensuring the message considers the common good

E. Continue to interpret for conflicts of interest

F. Consider the consequences of each message

1. Is this message mutually valuable?

2. Is this message violating confidentiality of another person?

3. Is this message questionable to your professionalism?

VI.Class Discussion

VII Summary of Training Session


Literature Review: Where the Patient Relationship Ends

Dr A, a 49 year-old gynecologist, was treating a 36 year-old female patient, Ms B, for chronic vaginal yeast infections. He described her as being seductive during the appointments while also complaining the abusive relationship she had with her husband. Dr A...

References: AMA Code of Medical Ethics. Opinion 8.14 -- sexual misconduct in the practice of medicine. Accessed November 3, 2012.
Asghari, F., Samadi A. & Rashidian, A. (2013). Medical ethics course for undergraduate medical students: A needs assessment study. Journal Of Medical Ethics & History Of Medicine, 6(1)
Barton, E., & Eggly, S
Craven, R.F. & Hirnle C.J. (2008). Fundamentals of nursing: Human health and function, 6th. Lippincott Williams & Wilkins Inc. Philadelphia, PA. 76-77.
Crowe, M., Bewley, S., & Subotsky F
Glover, P.C. (2010) Physician-assisted suicide is unethical. Greenhaven Press.
O 'Rourke, J.S
Reed, D. Mueller, P., Hafferty, F. & Brennan, M. (2013). Contemporary issues in medical professionalism challenges and opportunities. Minnesota Medicine, 96(11), 44-47
Reese, S
Sah, S. & Fugh-Berman, A (2013 Physicians under the influence: Social psychology and industry marketing strategies. Journal Of Law, Medicine & Ethics. 41(3), 665-672.
Attachment: Principles of Medical Ethics
Revised and adopted by the AMA House of Delegates
(June 17, 2001)
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