Exploring the perceived medical ethics and law training needs of UK foundation doctors

Machin, Laura; Latcham, Natalie; Lavelle, Claire; Williams, Richard A.; Corfield, Lorraine

doi:10.1080/0142159x.2019.1665636

Cited by 9 publications

(14 citation statements)

References 35 publications

(56 reference statements)

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“…These problems could be symptomatic of the lack of ethical and legal training available once doctors qualify. Medical schools cannot be expected to prepare tomorrow’s doctors for all the ethical and legal challenges they will face after graduation (Machin et al 2020 ). After all, there is a world of difference between discussing ethical problems in the relative safety of a seminar and acting ethically where the implications suddenly become real (Sokol 2010 ).…”

Section: A Need For Clinical Ethics Support In the Ukmentioning

confidence: 99%

“…After all, there is a world of difference between discussing ethical problems in the relative safety of a seminar and acting ethically where the implications suddenly become real (Sokol 2010 ). At present, the training Foundation Doctors receive has a significant emphasis on technical and clinical competencies (Linklater 2010 ) and limited content on ethics and law topics (Benson 2014 ; Levy and Coward, 2010 ) in order to be better prepared to respond to the ethical uncertainty they face in the first two years after medical school (Machin et al 2020 ). However, as others have identified, no members of a healthcare team, irrespective of their seniority, are immune from being faced with ethical dilemmas (Larcher et al 1997 ) suggesting a need for ethics and law training and education to be available at all stages of career development (Guillemin et al 2009 ).…”

Section: A Need For Clinical Ethics Support In the Ukmentioning

confidence: 99%

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Making the (Business) Case for Clinical Ethics Support in the UK

Machin

Wilkinson

2020

HEC Forum

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This paper provides a series of reflections on making the case to senior leaders for the introduction of clinical ethics support services within a UK hospital Trust at a time when clinical ethics committees are dwindling in the UK. The paper provides key considerations for those building a (business) case for clinical ethics support within hospitals by drawing upon published academic literature, and key reports from governmental and professional bodies. We also include extracts from documents relating to, and annual reports of, existing clinical ethics support within UK hospitals, as well as extracts from our own proposal submitted to the Trust Board. We aim for this paper to support other ethicists and/or health care staff contemplating introducing clinical ethics support into hospitals, to facilitate the process of making the case for clinical ethics support, and to contribute to the key debates in the literature around clinical ethics support. We conclude that there is a real need for investment in clinical ethics in the UK in order to build the evidence base required to support the wider introduction of clinical ethics support into UK hospitals. Furthermore, our perceptions of the purpose of, and perceived needs met through, clinical ethics support needs to shift to one of hospitals investing in their staff. Finally, we raise concerns over the optional nature of clinical ethics support available to practitioners within UK hospitals.

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Section: A Need For Clinical Ethics Support In the Ukmentioning

confidence: 99%

Section: A Need For Clinical Ethics Support In the Ukmentioning

confidence: 99%

Making the (Business) Case for Clinical Ethics Support in the UK

Machin

Wilkinson

2020

HEC Forum

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“… 1 That ethics ought to be integrated throughout that curriculum was also recognised by Saad et al 12 A ‘Consensus Statement by teachers of medical ethics and law in UK medical schools’, 13 set out suggested components of an integrated curriculum, and was updated in 2010 14 , 15 : a recent survey of junior doctors in the UK suggested that teaching of medical ethics and law at medical school was reasonably comprehensive, although such could place more emphasis on a practical application to issues which arise in daily medical practice. 16 …”

Section: How Was the Online Course Received By Students?mentioning

confidence: 99%

Online teaching of forensic medicine and pathology during the COVID-19 pandemic: A course evaluation

Jones

2021

Journal of Forensic and Legal Medicine

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As the COVID-19 pandemic progressed in early 2020, social distancing rules and ‘lockdowns’ brought face-to-face teaching in universities in the UK, and globally, to a halt, leading to an abrupt move to online teaching and learning. This article details student feedback to a course on applied forensic medicine and pathology – framed as ‘safeguarding vulnerable patients’ – which was adapted for delivery online in response to restrictions imposed by the pandemic. That feedback indicated that the adapted online course was well-received and, overall, it compared favourably with pervious iterations of the blended learning course, which had included a substantial face-to-face teaching component. Students remained engaged with the teaching, and they continued to see the relevance of forensic medicine to their future clinical practice.

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“… 51 Medical training should emphasise migration health dilemmas and provide ethical guidance on navigating the competing demands of legal regulations, politics and health workers’ conscience and duty to treat. 52 In addition to overdue discussions on the ethical dimensions of such questions, 4 5 clinical guidance and appropriate ethics training is needed to support health workers handling these ethical challenges. 53 …”

Section: Applying An Ethics Approach In Clinical Practicementioning

confidence: 99%

Adopting an ethical approach to migration health policy, practice and research

et al. 2021

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Migration health is affected by decision making at levels ranging from global to local, both within and beyond the health sector. These decisions impact seeking, entitlements, service delivery, policy making and knowledge production on migration health. It is key that ethical challenges faced by decision makers are recognised and addressed in research and data, clinical practice and policy making on migration health. An ethical approach can provide methods to identify ethical issues, frameworks for systematising information and suggesting ethically acceptable solutions, and guidance on procedural concerns and legitimate decision making processes. By unpacking dilemmas, conflicts of interests and values at stake, an ethical approach is relevant for all who make decisions about migration health policy and practice. Adopting an ethical approach to migration health benefits governments, organisations, policy makers, health workers, data managers, researchers and migrants themselves. First, it highlights the inherent normative questions and trade-offs at stake in migration health. Second, it assists decision makers in deciding what is the ethically justifiable thing to do through an ‘all things considered’ approach. Third, ethical frameworks and technical guidance set normative and practical standards for decision makers facing ethical questions – from ‘bedside rationing’ to collection of big data or in policy making – that can ensure that migrants’ interests are considered. Fourth, there is a need for greater transparency and accountability in decision making, as well as meaningful participation of migrant groups. An ethical approach connects to public health, economic and human rights arguments and highlights the urgent need to mainstream concerns for migrants in global and national health responses.

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Exploring the perceived medical ethics and law training needs of UK foundation doctors

Cited by 9 publications

References 35 publications

Making the (Business) Case for Clinical Ethics Support in the UK

Making the (Business) Case for Clinical Ethics Support in the UK

Online teaching of forensic medicine and pathology during the COVID-19 pandemic: A course evaluation

Adopting an ethical approach to migration health policy, practice and research

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