Bioethics
Semester 5th ()
Hours Teaching 1 hours, Laboratory 0 hours, Tutorial 2 hours , Clinical Training 0 hours (per week)
Teachers
Description
The course of Bioethics includes a general and a specific section. In the general section the concepts and principles of bioethics are described and the context of bioethical considerations is analyzed as plot of legal, ethical, philosophical and biomedical components. Also the historical development of ethical consideration in comparison with contemporary bioethics problematic is considered. In the specific section the application of the principles of bioethics is analyzed and topics as follows:
- Assisted reproduction
- Ιn vitro fertilization and other reproductive technologies.
- Banks for storage and use of gametes and embryos.
- Pre-implantation genetic diagnosis. Sex selection. Surrogate motherhood.
- Check on fertility and reproduction
- Contraception, sterilization, abortion. The rights of fetus.
- The management of the dead body and organ donation
- Autopsy, consent and postmortem examination.
- Posthumous DNA Testing.
- Consent for donation of organs and tissues for education and research.
- Brain death, organ donation and transplantation.
- Provision of medical devices and pharmaceutical therapy
- Medicalization, lifestyle drugs.
- Conflict of interest and medical treatment.
- Overlapping (shared) prescribing.
- Distant prescribing.
- New costly drugs, treatment costs, pharmacogenetics.
- Bioethical problems in Intensive Care Units
- Euthanasia and physician-assisted suicide.
- The problem of medical prosthesis as for near-death medical decisions.
- Withdrawal versus retention of the treatment, treatment refusal.
- Care of the terminally ill patients
- Quality of life. Philosophy and principles of palliative care.
- The role of the will of the patient.
- Patients competent for decisions.
- Adults incompetent for decisions / children.
- Medical records
- Registration, transfer, storage and access to medical data. Patient consent.
- Confidentiality and responsibility.
- Doctor –patient relationship
- Patient –physician contact.
- The therapeutic importance of the relationship between the patient and the physician and the medical team.
- Balancing patient autonomy with that of the physician.
- Doctor selection.
- Informing the patients and relatives for unfavorable diagnosis.
- Bioethics of medical research
- Special research fields. Research in fetal tissues or materials (embryos, embryonic stem cells).
- Research in autopsy material.
- Clinical trials, confidentiality and archive-based research, publishing results.
- Emergency care
- The question of saving a patient that attempts to suicide.
- Stated refusal for treatment by the patient in emergency medicine.
- Genetic engineering
- Specificity of bioethical questions arising from the application of genetic (familial character, ability of irreversible modification of genetic makeup). Predisposition testing.
- Problems of implementation of Genetic Engineering in diagnosis and treatment. Predictive testing.
- Pre-symptomatic testing.
- Controversial uses of genetic information:
- Genetics and Insurance
- Genetics and Professional Experience
- Paternity testing
- Gene therapy in somatic and germline cells – Cloning.