Internal Medicine — Ethics, Deontology and Clinical Communication Skills

Internal Medicine · Clinical Specialties

How it begins

La competencia técnica del internista es condición necesaria pero no suficiente para una práctica médica excelente. La toma de decisiones en escenarios de incertidumbre, conflicto de valores y vulnerabilidad humana exige un dominio riguroso de la ética clínica, el cumplimiento de deberes deontológicos y un conjunto sofisticado de habilidades de comunicación. Este documento integra la fundamentación filosófica de la…

What it covers

1. Ethics, Morals, Deontology and Bioethics: Conceptual Delimitation
2. · Hierarchical relationships and overlaps
3. · Ethics of minimums and maximums
4. Historical Genesis of Modern Bioethics
5. The Four Principles of Bioethics (Principlism)
6. · Hierarchization of Diego Gracia: the proposal of the two levels
7. · Alternative and complementary currents to principlism
8. Medical Ethics: Codes, Oaths and Professional Duties
9. · Deontological reference documents
10. · Essential deontological duties of the internist
11. Informed Consent
12. · Constitutive elements (validity of the IC)
13. · Form: verbal vs. written
14. · Representation and consent by substitution
15. · Anatomy of information: the disclosure standard
16. · Special situations of consent
17. Confidentiality, Medical Secrecy and Data Protection
18. · Limits and legitimate exceptions to secrecy
19. · The duty to warn: the Tarasoff doctrine
20. Capacity, Competence and Evaluation of Decision Making
21. · Appelbaum and Grisso criteria (the four standards)
22. Ethics of the End of Life
23. · Advance directives and prior instructions
24. · Fine differentiation: killing vs. let die, action vs. omission
25. · Organ donation and diagnosis of death
26. Justice, Resource Allocation and Equity
27. · Assignment criteria (triage and scarce resources)
28. Ethics and Deliberation Methodology Committees
29. · Deliberative method of Diego Gracia (case analysis procedure)
30. Clinical Communication: Interview Models
31. · From the biomedical model to the biopsychosocial and patient-centered model
32. · Essential communication skills
33. Bad News Communication: SPIKES Protocol
34. · Emotion management: the NURSE acronym in detail
35. · Communication of forecast and uncertainty
36. Difficult Communicative Situations and Care of the Professional
37. · The difficult patient (or the difficult encounter)
38. · The aggressive patient
39. · Communication of medical error (disclosure)
40. · Intercultural communication and barriers
41. Integrative Synthesis
42. · Glossary of acronyms and key terms