西班牙学校授课ppt模板：蓝白色地理课件The Ethical Pathologist.pptx

The Ethical Pathologist;Odontological ethics Duty in good faith is ethical (independent of outcome) Consequence-based ethics Acting to increase health benefit is ethical Classical clinical ethics (4-principles) Autonomy beneficence justice; Clinical ethics applied to pathology 4-principles apply but are clumsy Designed for face-to-face patient care Ethics in pathology Autopsy and tissue retention Surgical pathology: not much written!;Now this quack wants me to see a specialist- what the hell is a PATHOLOGIST!?; Leave clinical ethics aside Concentrate on ethics for pathologists See how this can help us be ethical pathologists; Pathologists are Guardians of the Wax;Legal issues and the pathologist Civil liability Licensure disciplinary actions Torts and discipline Misdiagnosis of biopsies and cytology Breast, prostate, lung, pap smears Misdiagnosis of forensic autopsies Murder, child abuse; How can we be ethical pathologists?;Patients Other physicians Pathologists, surgeons, oncologists Technologists Histology and cytology Medical community Public Courts and Coroner;Surgical pathology and cytopathology Medical autopsy Forensic autopsy Second opinion reviews*** Oncology: Cancer treatment Forensic: Expert witness Today we will concentrate on surgical pathology;Ethical issues most frequent with misdiagnosis Misinterpretation (under over-call) Disclosure of errors Shared decision-making for patients Pathologist = tissue diagnosis Clinicians = clinical diagnosis Who is responsible for an inappropriate treatment decision?;Over-call misinterpretation Un-necessary operation (organ removal) Chemo and radiation therapy Premature death by therapeutic complications Under-call misinterpretation Delayed diagnosis (increased stage) Delayed therapy Premature