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Class Descriptions

Ethical Dilemmas in Health

SW705

Credits: 3
Prerequisites: None

Pathway Associations

Community Change
Global
Interpersonal PracticeElective (Host)
Mgmt & Leadership
Policy & Political
Program Evaluation
Older AdultsElective
Children & Families

Course Description

From a beginning in efforts to protect human rights in biomedical research, the field of health-related ethics, sometimes called “bioethics” has grown rapidly. It now encompasses such major areas as equity of access to, and delivery of, health care services, and the impact of the rapid proliferation of technologies (e.g. genetic and advanced diagnostic testing, prenatal, mind-altering and life-prolonging treatments) on how human life is defined, and on health care decisions and quality of life. While many of these issues, and the dilemmas they create, focus on the rights and burdens of individuals and families, ethical dilemmas in health have increasingly far-reaching implications for communities and societies. These dilemmas pose challenges to social workers and other social service and health care practitioners, administrators, policy makers and social and health scientists. Issues that have traditionally been private concerns are increasingly played out in the public arena, with passionate constituencies and extensive, and often inflammatory, media attention. The key roles and importance of well-trained and practiced social workers and other health care providers, administrators, planners and policy makers, in assuring equitable treatment and protecting individuals, communities and societies, provide the central rationale for this course. Course participants will review and use ethics frameworks and codes from a variety of health-related disciplines for decision-making, both generally and as applied to specific dilemmas, using a case-study approach. Participants will discuss conflicts between professional ethics codes and federal, state and local laws, regulations and codes(e.g. penal, mental health).

Objectives

1. Describe the key principles of social work and other health professional ethics codes that guide ethical decision-making and apply them in the context of social justice, human rights, autonomy, resource allocation and responsibility.

2. Identify how similarities and differences in principles and decision-making methods, across professional codes, may contradict and/or complement one another in health-related practice, and in relation to local, state, national and/or international law, codes and regulations.

3. Assess how your personal values may differ from, or are similar to the values of your profession in several health-related ethical dilemmas.

4. Demonstrate how individual, family and community resources, educational level, gender, ethnicity, religion or spirituality, age, sexual orientation, marital status and other characteristics (of decision-makers and those affected by their decisions) may affect ethical decision-making.

5. Analyze and discuss the role of media in framing discussions and decisions related to ethics and health, as it affects the general public and specific population groups.

6. Demonstrate their ability to apply ethics frameworks and critical thinking to selected ethical dilemmas that arise in health care settings, and in health policy development and implementation, through written analyses and through their assigned roles during case study/case conference meetings and public hearings.

7. Use an interdisciplinary case study/case conference approach to practice decision-making applied to several contemporary health policy and health care issues including genetics, maternal/fetal conflict, fertility and reproduction, beginning and end-of-life

Design

This course is conducted as a seminar. This design assumes that all participants are adult learners who are responsible for, and actively engaged in, the learning process. You are the primary actor in developing your knowledge, understanding and skills through class activities, presentations (instructor, guests and your own), reading, listening, discussion, and from your developing experiences and insights. My role, as class instructor, is facilitator and guide. My teaching is less about lecturing than about planning class activities and identifying and providing many, but not all, learning resources that you will use throughout the semester and beyond. You are responsible for your own learning and much of the quality of your class experience. By University/School policy, I evaluate your immediate classroom-related learning, and provide grades. This is a “hands-on” course. Beginning with an introduction of ethical principles and frameworks used to guide health-related practice and research, we will examine common dilemmas faced in practice from the perspective of policy-makers, health and social service agency directors and practitioners, communities, families and individuals. Course participants will learn about and practice methods for analyzing ethical dilemmas from a variety of perspectives, including the professional and personal; develop, present and participate in analyses of ethical issues; and participate in decision-making meetings. Participants will find, review and discuss news stories related to ethical dilemmas in health, including discussion of how media portrayals affect public perception of the issues. The course methods and resources include journal, book and media readings, presentations by the instructor, guests and class participants, small and whole class discussions, analyses of ethical issue case studies, short and more in-depth analysis papers and in “mock” case presentations and meetings. In keeping with its interprofessional approach, students from areas of study and practice will draw upon and share their learning and work experience in the context of the course content.

Intensive Focus on Privilege, Oppression, Diversity and Social Justice (PODS)

Biomedicine has been guilty of some of the greatest violations of human rights in history including forced sterilizations of developmentally disabled and ethnic minority group members, selective abortion of female fetuses, Nazi and Tuskegee human experimentation, and withholding medical treatment of prisoners and other oppressed groups. Historically, presently and, likely in the future, many of the greatest health-related dilemmas arise from inequitable access to, or discriminatory application or withholding of health-related research and treatment based on race, ethnicity, gender, age, sexual orientation, ability, access to resources, and other individual and population-based characteristics. This course addresses these in readings, case examples and student papers and presentations. The key roles and importance of well-trained and practiced social workers and other health providers, administrators, planners and policy makers in assuring equitable treatment and protecting individuals, communities and societies, provide the central rationale for this course.

This course integrates PODS content and skills with a special emphasis on the identification of theories, practice and/or policies that promote social justice, illuminate injustices and are consistent with scientific and professional knowledge. Through the use of a variety of instructional methods, this course will support students developing a vision of social justice, learn to recognize and reduce mechanisms that support oppression and injustice, work toward social justice processes, apply intersectionality and intercultural frameworks and strengthen critical consciousness, self-knowledge and self-awareness to facilitate PODS learning.

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