COMPETENCIES FOR ETHICS CONSULTATION: Preparing a Portfolio

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1 COMPETENCIES FOR ETHICS CONSULTATION: Preparig a Portfolio Harvard Cliical Bioethics Course 8 Jue, 2016 Christie Mitchell RN, MS, MTS, FAAN Executive Director, HMS Ceter for Bioethics

2 Objectives p Review core competecies for cliical ethics cosultatio p Discuss the Quality Attestatio process beig piloted by ASBH

3 Startig with a defiitio Healthcare Ethics Cosultatio (HCEC) is a set of services provided by a idividual or group i respose to questios from patiets, families, surrogates, health care professioals, or other ivolved parties who seek to resolve ucertaity or coflict regardig value lade issues that emerge i health care. ASBH 2011

4 Goals of HCEC q To idetify ad aalyze the ature of the value ucertaity or coflict that led to the cosult q To facilitate resolutio of ethical coflicts i a respectful atmosphere with attetio to the iterests, rights, ad resposibilities of those ivolved q To improve the quality of health care by addressig ethical questios ad cocers

iterpersoal) attributes required to coduct effective ethics cosultatio (2 d Editio, 2011)

5 Competecies (ASBH) p The ASBH published their report o Core Competecies for Healthcare Ethics Cosultatio i 1998 to specify the particular kowledge skills (assessmet, process, iterpersoal) attributes required to coduct effective ethics cosultatio (2 d Editio, 2011) p ASBH also publishes: Improvig Competecies i Cliical Ethics Cosultatio: A Educatio Guide (2009)

6 Kowledge p Ethical theory p Modes of moral reasoig p Bioethical issues ad cocepts p Policies ad health systems iformatio p Cliical ad other cosesus guidelies regardig commo ethical problems p Codes of ethics p Relevat health law

7 Skills p Assessmet ad aalysis (22) Idetify ad articulate value ucertaity or coflict Gather relevat iformatio; Note beliefs, values ad assumptios Apply relevat ethical kowledge ad cocepts p Process skills (23) Triage cosult requests; Establish expectatios; Itroductios; Covee ad facilitate meetigs Recogize uderlyig systems issues p Iterpersoal skills (24) Liste ad elicit Commuicate respect, uderstadig, empathy Elicit moral views Eable effective commuicatio

8 Attributes p Tolerace, patiece, compassio p Hoesty, forthrightess ad self-kowledge p Courage p Prudece ad humility p Leadership p Itegrity

9 How? How does a ethics cosultat approach or address a ethical questio? p Authoritaria? p Cosesus? p Facilitatio Help idetify ethical cocers ad values Aid effective commuicatio Brig i views of relevat stakeholders Build pricipled ethical resolutio

10 How? the core method Qualified facilitatio model we believe that a qualified facilitatio model is most appropriate for health care ethics cosultatio cosistet with the fact of pluralism ad the political rights of idividuals to live by their ow moral values Report of the Task Force o Stadards for Bioethics Cosultatio, 1998

11 How? 6 phases Request Assessmet Plaig Meetig Deliberative Documetatio Review ad evaluatio

12 Proficiecy Assessmet Tool p The EC PAT is a self assessmet istrumet developed by the VA, based o ASBH Core Competecies* with added skills ad kowledge Create a idividualized professioal developmet pla for each ethics cosultat Idetify ad improve o critical kowledge ad skills gaps i the ethics cosultatio service as a whole

13 Portfolio for QA p CV or resume p Educatio (Master s degree or sigificat experiece ad evidece of qualificatios) Copies of diplomas Writte summary of educatio related to HCEC p Writte summary of CEC experiece p Writte summary of cadidate s philosophy of CEC (500 words)

14 Portfolio for QA p 6 case cosults (de-idetified) Variety of ethical issues Variety of settigs Case arrative; syopsis; ethical issues; assessmet; recommedatio; outcome; Evidece of competecy p Redacted chart otes; data base summaries; memos to colleagues; miutes of meetigs; policies p Oe page descriptios of 6 add l cases Date; type of requester; cliical settig; ethical issues ad resolutio p 3 letters of evaluatio Idividuals resposible for cliical oversight; Kowledgeable about ethics cosultatio activities

15 Questios? Commets?

16 We ivite you to come lear ad work with us. Joi us at Bioethics.hms.harvard.edu Facebook.com/HMSbioethics Twi$er.com/HMSbioethics

Summary: The state of medical education and practice in the UK: 2012

Summary: The state of medical educatio ad practice i the UK: 2012 The state of medical educatio ad practice i the UK: 2012 uses data from the Geeral Medical Coucil (GMC) ad from others to provide a picture