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SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE 1O. week Ethical questions of animal experimentation. History of the thinking about the moral status of animals. The philosophical significance of the Darwinian conception of nature. The views of Peter Singer: antispeciesism. The views of Tom Regan: animal rights. Ethical questions of experimentation on animals on the basis of a moderate animal protectionist’s view. Critical anthropomorphism. Alternatives to animal experimentation. 11. week Euthanasia and the withholding of life-sustaining treatment Definitions. The sanctity of life versus the quality of life doctrine. Is there any difference between active and passive euthanasia? The practice of active euthanasia in the Netherlands. The Remmelink Report. Refusal of life sustaining treatment by competent and incompetent patients. Possibilities to extend the autonomy of patients: living will, durable power of attorney, substituted judgement, etc. The concept of medically futile treatment. Ethical problems of the treatment of handicapped newborns. (The debate about the treatment of spina bifida babies, the Baby Doe case, the legal situation, etc.) 12. week Ethical questions of human experimentation. Possible forms of experimentation on humans. Contradiction between the two roles of the physician. (Healer and scientist.) The ethics of Randomized Controlled Clinical Trials. (RCT) Randomization and prerandomization. 13. week Ethical questions of organ- and tissue transplantation. Some problems of justice concerning kidney transplantation and chronic haemodialyisis. Ethical questions of transplantation from living kidney donors. The concept of death. Ethical questions of organ harvesting from the dead. The debate about the market of organs. Ethical questions of using embryo- or foetal tissue in human therapy. Ethical problems of using anencephal newborns as organ donors. 14. week The rights of patients. The role of patient’s rights in the transformation of the paternalistic physician-patient relationship. Moral versus legal rights. A list of basic rights of patients. Mechanisms to ensure the realizations of patient’s rights. (Patient’s rights advocates, ombudsman, hospital ethics committees, institutional review boards, arbitration, etc. Course Faculty: Prof. József Kovács, MD, PhD, (Head of the Department of Bioethics), 210-2930/56350; e-mail: kovjozs@net.sote.hu Faculty of Medicine 161
162 SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE Ágnes Dósa, MD, JD, PhD e-mail: dosaagi@yahoo.com Imre Szebik, MD, PhD e-mail: szebimre@net.sote.hu Jeno Lorincz, MD, JD e-mail: lorjen@net.sote.hu Department: Institute of Behavioral Sciences Department of Bioethics NET Budilding, 19th, 20th floor 1089. Budapest, Nagyvárad tér 4. Tel: 210-2953 Secretary: NET Building, 20th floor, Room-2005 List of questions 1. Deontological theories of ethics. 2. Utilitarian theories of ethics. 3. Kant and the categorical imperative 4. Virtue ethics 5. The principles of medical ethics 6. Justice and medical ethics: the allocation of scarce medical resources. 7. Paternalism in medical practice 8. Informed consent 9. Information disclosure for terminally ill patients 10. Advance Directives 11. Surrogate and Substitute Decisions 12. Medical confidentiality 13. Experimentation on human subjects 14. Objection to Transplantation of Organs and Counterarguments 15. Ethical problems of live organ donation 16. Organ donation from brain-dead donors: the system of donor cards. 17. Organ donation form brain-dead donors: presumed consent 18. Stages of Dying 19. No-Code Decisions 20. Withholding Fluids and Nutrition in terminally ill patients 21. Active and Passive Euthanasia 22. Withdrawing and withholding life sustaining treatment. Textbook: Conrad Fischer—Caterina Oneto (2009): USMLE Medical Ethics: The 100 cases you are most likely to see on the exam (Second edition) New York: Kaplan Publishing ISBN: 9781419553141 Important: To participate on at least 75% of the total number of lessons is a prerequisite of getting the signature. Doctor’s certificate is required to justify absence from the lessons and the exam. Exam type: semi-final Sign up for the exam: through the Neptun system.
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SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE<br />
1O. week<br />
Ethical questions of animal experimentation.<br />
History of the thinking about the moral status of animals.<br />
The philosophical significance of the Darwinian conception of nature.<br />
The views of Peter Singer: antispeciesism.<br />
The views of Tom Regan: animal rights.<br />
Ethical questions of experimentation on animals on the basis of a moderate animal protectionist’s<br />
view.<br />
Critical anthropomorphism.<br />
Alternatives to animal experimentation.<br />
11. week<br />
Euthanasia and the withholding of life-sustaining treatment<br />
Definitions.<br />
The sanctity of life versus the quality of life doctrine.<br />
Is there any difference between active and passive euthanasia?<br />
The practice of active euthanasia in the Netherlands. The Remmelink Report.<br />
Refusal of life sustaining treatment by competent and incompetent patients.<br />
Possibilities to extend the autonomy of patients: living will, durable power of attorney, substituted<br />
judgement, etc.<br />
The concept of medically futile treatment.<br />
Ethical problems of the treatment of handicapped newborns. (The debate about the treatment of<br />
spina bifida babies, the Baby Doe case, the legal situation, etc.)<br />
12. week<br />
Ethical questions of human experimentation.<br />
Possible forms of experimentation on humans.<br />
Contradiction between the two roles of the physician. (Healer and scientist.)<br />
The ethics of Randomized Controlled Clinical Trials. (RCT)<br />
Randomization and prerandomization.<br />
13. week<br />
Ethical questions of organ- and tissue transplantation.<br />
Some problems of justice concerning kidney transplantation and chronic haemodialyisis.<br />
Ethical questions of transplantation from living kidney donors.<br />
The concept of death.<br />
Ethical questions of organ harvesting from the dead.<br />
The debate about the market of organs.<br />
Ethical questions of using embryo- or foetal tissue in human therapy.<br />
Ethical problems of using anencephal newborns as organ donors.<br />
14. week<br />
The rights of patients.<br />
The role of patient’s rights in the transformation of the paternalistic physician-patient relationship.<br />
Moral versus legal rights.<br />
A list of basic rights of patients.<br />
Mechanisms to ensure the realizations of patient’s rights. (Patient’s rights advocates, ombudsman,<br />
hospital ethics committees, institutional review boards, arbitration, etc.<br />
Course Faculty:<br />
Prof. József Kovács, MD, PhD, (Head of the Department of Bioethics), 210-2930/56350; e-mail:<br />
kovjozs@net.sote.hu<br />
Faculty of Medicine<br />
161