Knowledge of ethical and issues related to Female Genital Mutilation (FGM) Understanding the ethical and issues of organ donation to perform the procedure, in accordance with the appropriate GMC standards Access Female Genital Mutilation training video (Password access detailed in e portfolio) Access UK Transplant website at CONFIDENTIALITY Be aware of relevant strategies to ensure confidentiality Outline and follow the guidance given by the GMC on confidentiality Be aware when confidentiality might be broken Understand the principles of data protection including electronic and administrative systems Understand that interpreters and patient advocates must be aware of confidentiality issues Recall the obligations for confidentiality following a patient’s death 1,2 Use and share information properly 3,4 Respect the right to confidentiality Be of the requirements of children, adolescents and patients with special needs 4 Confidentiality and Disclosure of Health Information: RCOG Ethics Committee comments on BMA document. RCOG website. Caldicott Committee Report on the review of patient identifiable information (DH; 1997). Department of Health website. StratOG.net: The Obstetrician and Gynaecologist as a professional. Ethical and legal issues Data Protection Act 1998. GMC. Confidentiality guidance handbook. GMC website. Mini CEX Reflective Practice CbD Reflective learning FRAMEWORK FOR PRACTICE
Know that all decisions and actions must be in the best interests of the patient Understand the legislative framework within which healthcare is provided in the UK and/or devolved administrations, in particular: death certification and the role of the Coroner/Procurator Fiscal; child protection legislation; mental health legislation (including powers to detain a patient and giving emergency treatment against a patient’s will under common law); withdrawing and withholding treatment; decisions regarding resuscitation of patients; surrogate decision making; organ donation and retention; communicable disease notification; medical risk and driving; Data Protection Act and Freedom of Information Act; provision of continuing care and community nursing care by a local authorities Understand that there are differences between health related legislation in the four countries of the UK and know the legislation as it relates to the country in which you practice Understand sources of medical information Understand disciplinary processes in relation to medical malpractice Understand the procedure to be followed when personal health and substance abuse is suspected 1 Cooperate with other agencies with regard to legal requirements, including reporting to the Coroner’s/Procurator Officer, the Police or the proper officer of the local authority in relevant circumstances Prepare appropriate medical legal statements for submission to the Coroner’s Court, Procurator Fiscal, Fatal Accident Inquiry and other legal proceedings and be prepared to present such material in court Incorporate legal principles in to day-to-day practice Practice and promote accurate documentation within clinical practice for legal purposes 1,3,4 Show willingness to seek advice from the employer, appropriate legal bodies (including defence societies), and the GMC on medico-legal matters Promote informed reflection on issues by members of the team Demonstrates that all decisions and actions must be in the best interest of the patient Understand the role of the medical practitioner in relation to personal health, the health of colleagues, and concerns of substance misuse and substance abuse 1,3,4 GMC Ethical Guidance. End of life care: Certification, post-mortems and referral to a coroner or procurator fiscal. GMC website. GMC 0-18 years guidance. Child protection. GMC website. GMC guidance. Mental Health Act. GMC website. eLfH Child Protection theory modules. eLfH website. Data Protection Act 1998. Available online Freedom of Information Act 2000. Available online. GMC. Medical Defence Organisations. Available on the GMC website. CbD Reflective learning eLfH Child Protection theory modules
Demonstrate knowledge of the professional, legal and ethical codes of the GMC, e.g. Fitness to Practice and any other codes pertaining to obstetrics and gynaecology Be of prejudice and preferences within self, others, society and cultures Beware of the define the standards of practice defined by the GMC when deciding to withhold or withdraw treatment Outline the main methods of ethical reasoning: case based reasoning, the justification of decision and moral judgment Know the overall approach of value- based practice and how this relates to ethics, law and decision-making Recognise, analyse and know how to deal with unprofessional behaviours in clinical practice, taking into account local and national regulations Create open and non-discriminatory professional working relationships with colleagues’ awareness of the need to prevent bullying and harassment Recognise the factors influencing ethical decision making, including religion, personal and moral beliefs, cultural practices Use and promote strategies to ensure confidentiality is maintained e.g. anonymisation Counsel patients on the need for information distribution within members of the immediate healthcare team Counsel patients, relatives, carers and advocates (where relevant) tactfully and effectively when making decisions about resuscitation status, and withholding or withdrawing treatment Promote professional attitudes and values Demonstrate probity and the willingness to be truthful and to admit to errors Encourage informed ethical reflection in others Show willingness to seek advice of peers, local clinical ethics committees, legal bodies, and the GMC in the event of ethical dilemmas over disclosure and confidentiality Respect patient’s requests for information not to be shared, unless this puts the patient, or others, at risk of harm Show willingness to share information about the patients care with the patient, unless they have expressed a wish not to receive such information Show willingness to seek the opinion of others when making decisions about resuscitation status, and withholding or withdrawing treatment StratOG.net: The Obstetrician and Gynaecologist as a Professional. Ethical and legal issues GMC fitness to practice panels online information. GMC website. GMC guidance on withholding and withdrawing treatment. GMC website. GMC guidance on patient confidentiality. GMC website. CbD Reflective learning Core Module 4 Logbook Competence level Basic level Intermediate level Advanced level Not required 1 Level 2 Level 3 Date Signature Date Signature Date Signature Consent and legal/ethical issues