|
Contemporary Ethical Issues in Clinical Medicine - Obstetrics & Gynecology
L3 Clerkships 2011-2012
Joanne Cain Marier JD
Director, Program Health Law & Medical Ethics |
Jaime Alleyn, MD
Clerkship Director, Obstetrics & Gynecology |
6 weeks
- Laws governing practice of OBGYN in LA
- Sterilization
- Systems constraints on Optimal Care – Insurance Fraud
- Obstetrics - Case for discussion
- Fertility Medicine - Case for discussion
Louisiana Laws
Revised Statutes
RS 40:1299.35.0 – Unborn child is a human being at conception
RS 40:1299.34 – Counseling abortion prohibited
RS 40:1299.34.5 Part A – Abortion, use of public funds
RS 40:1299.35.4 Part C – Abortion after viability
RS 40:1299.35.5 Part A – Minors abortion
RS 40:1065.1 – Minor consent for treatment venereal disease
RS 40:1299.53 Part A 6 – Minor consent to medical care for child
RS 40:1095 Part A 2 – Minor consent to medication during labor or childbirth
Civil Codes
CC Article 366 – Judicial Emancipation
CC Article 367 – Emancipation by marriage
CC Article 1922 – fully emancipated minor contractual capacity
Take Louisiana Laws Quiz
Sterilization
Read Sterilization of Women Including Those with Mental Disabilities from Ethics in Obstetrics and Gynecology Second Edition, The American College of Obstetrics and Gynecology
http://www.acog.org/from_home/publications/ethics/co371.pdf
Take Sterilization Quiz
Systems Constraints on Optimal Care- Insurance Fraud
Read Securing Diagnostic Services within System Constraints from Virtual Mentor, May 2008
http://virtualmentor.ama-assn.org/2008/05/ccas3-0805.html
Take System Contraints on Optimal Care Quiz
Obstetrics – Case for discussion
Young adult female patient suffers unsurvivable gunshot wound. As medical team is preparing to remove ventilatory support from patient, she is discovered to be 19-20 weeks pregnant. Her parents request that their daughter be continued on ventilatory support until fetus is viable. Statistically rate of survival is 25% at 23 weeks gestation and 75% at 25 weeks. Would you continue patient on ventilator, if so for how long? Would you allow non viable fetus to “die” with mother?
Outline one issue and suggest how to proceed in 50 words. Discuss case.
Fertility Medicine – Case for discussion
Patient delivers octuplets conceived with use of fertility drugs prescribed by licensed fertility physician. She has six other children some of whom were conceived with and some without use of fertility drugs. Would you provide fertility treatment to a patient who is not infertile? Would you provide fertility treatment to a patient who has six other children? Does it matter whether or not the mother has the means to support this many children? Does the fact that the mother is a single parent change the decision? What kind of screening process, if any, should a fertility practice adopt for patients who request fertility treatments? Should ACOG develop a policy? Should states enact laws to regulate?
Outline one issue and suggest how to proceed in 50 words. Discuss case.
Rev 9, Revised 5/13/09
|
