More than ever before, clinicians are confronted with complex ethical issues in their medical practice. These include disagreements between patients, relatives, and healthcare staff over treatment decisions, difficulties in obtaining informed consent, and issues of medical error, truth-telling and patient confidentiality. Recognising the growing importance of ethical awareness in medicine, the recent Ethics in Practice report of the Royal College of Physicians (2005) concluded that key medical personnel should be suitably trained in clinical ethics. Increasingly, formal examinations in medicine assess applicants on aspects of clinical ethics.The new Applied Clinical Ethics (ACE) course is aimed at practising clinicians and members of CECs, focusing entirely on clinical ethics and practical decision-making. Several of the speakers are both clinicians and ethicists. The convenient arrangement of modules, each falling on a Saturday at monthly intervals, will enable practising clinicians to apply their knowledge in between sessions and attend the course without taking time off work. See the Course Website for further details.
As part of a session on primary care data in the Health Informatics module on the Imperial Master of Public Health Programme, I asked students to work in two groups to present arguments for and against the NHS Care.Data programme. Care.Data is an NHS programme that will extract data from the medical records held by general practitioners (GPs) in England. The Care.Data programme takes advantage of the very high level of use of electronic medical records by GPs in England. After extraction, data will be uploaded to the NHS Health and Social Care Information Centre (HSCIC). The data will then be used for functions such as health care planning, monitoring disease patterns and research. The programme has been controversial with proponents arguing that the programme will bring many benefits for the NHS and the population of England; and opponents arguing it is a major breach of privacy. You can view the two presentations to help inform you further about these arguments: Arguments for th
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