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1 SYLLABUS

Ethics and Law PDS 433

2011

DEPARTMENT: Preventive Dental Science

Chair: Najla Alamoudi, BDS, PhD

DIVISION: Community Dentistry

Head: Dania Al Agili, BDS, MPH, MS, DrPH

INSTRUCTORS: Course Director: Dania Al Agili, BDS, MPH, MS, DrPH Course Co-director: Mohammed K. Yousef, BDS, MSD, PhD

COURSE DESCRIPTION:

This course will be taught in three modules. In the first module, ethics and professionalism in dentistry, ethical theories, principles of ethics, and code of

professional conduct will be introduced. In the second module, selected ethical issues will be examined and the process of ethical decision making will be discussed. In the third module, a brief history of the development of research ethics and research that involves human participation will be introduced. The principles of research, their relationship to clinical care, and the requirements of ethics review committees will be examined. The principles taught in this course will be applied to moral problems in dentistry and dental research, often through the medium of case studies.

COURSE GOALS:

1. To achieve a basic understanding of the major ethical theories.

2. To understand the chief principals underlying discussion of issues in ethics.

3. To become acquainted with some of the classic cases in medical and dental ethics.

4. To produce within the young dental student an enhanced awareness of the nature and extent of the responsibility dentists assume in respect of their patients, profession, colleagues, and society in general.

5. To develop positive attitudes toward life-long learning in matters involving professional conduct and conduct of research.

COURSE OBJECTIVES:

Upon completion of this course, students should be able to:

Module (1):

1. Define ethics and explain the purpose of it.

2. Describe major ethical theories and the strengths and weaknesses of each.

3. List and explain principles of ethics and professional code of ethics.

4. Define profession, professionals, and professionalism.

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2 Module (2):

5. Understand and describe ethical issues of abuse of prescriptions by patients;

access to dental care; advertising, child abuse; confidentiality; dating patients;

delegation of duties; disclosure and misrepresentation; emergency care; financial arrangements; harassment; informed consent; and refraining from treatment.

6. Evaluate ethical issues in dentistry using a process of ethical decision making.

7. Apply the principles of ethics and professionalism to moral issues in dentistry.

Module (3):

8. Describe classic cases in medical and dental ethics.

9. Define and apply basic terms relating to the ethical conduct of research including research misconduct, fabrication, falsification, and plagiarism,

10. Make ethical and legal choices in the face of conflicts involving research.

REQUIRED READINGS:

Current articles and documents handed in class.

Macrina F. Scientific Integrity: Text and Cases in Responsible Conduct of Research.

Washington, D.C, ASM Press, Third Edition, 2005.

Ozar DT, Sokol DJ. Dental Ethics at Chairside: Professional Principles and Practical Applications. Washington, D.C, Georgetown University Press, Second Edition, 2002 Veatch, R.M. Medical Ethics. Jones and Bartlett Publishers, Inc. 1989.

Rule, J.T.; Veatch, R.M. Ethical Questions In Dentistry. 2nd ed. Quintessence Pub., Chicago, 2004

COURSE SCHEDULE:

Module (1): Weeks 1-3 – Ethics and Professionalism in Dentistry

Week one: Dr. M. Khalil

 Introduction to course objectives and outline

 Principles of ethics and codes of conduct Week two: Dr. M. Khalil

 Discussion of ethics in light of Islam and culture

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3 Week three: Dr. D. Al Agili

 Overview of Ethics and Professionalism, definition of ethics, profession, professional, and professionalism

 Classic Theories in Ethics

o Discussion of the major ethical theories: Utilitarianism, Kantian ethics, and Virtue theory.

Module (2): Weeks 4-6 – Ethical Issues in Dentistry

Week four: Dr. D. Al Agili

 Informed consent and competency

 Respect and equal treatment

 Incompetent patients Week five: Dr. D. Al Agili

 Uncooperative patients, patients with AIDS & Hepatitis viruses

 Dentist and the society: resources allocation, public and global health

 Dentist and colleagues: conflict of interest, cooperation, reporting unsafe practices.

Week six:

 Case Studies Week seven:

 Midterm examination

Module (3): Weeks 8-11 – Research Ethics

Week eight: Dr. M. Khalil

 Classic cases in the field of ethics

o Examples include: Vipeholm study, Tuskegee Study and others

 History of development of research ethics

o A description of the events cited in the development of standards for the ethical use of humans in research: Nuremberg Code, Declaration of Helsinki, National Research Act, Belmont Report, Public Health Services Act, and the Common Rule.

Week nine: Dr. D. Al Agili

 Human participation in Research

o Informed Consent/Privacy/Confidentiality o Vulnerable Populations

o Institutional Review Board

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4 Week ten: Dr. M. Khalil

 Principles of research ethics

o Fabrication, falsification, or plagiarism in proposing, performing, or reviewing research, or in reporting research results.

o Copyrights, fair use of media o Guides for mentoring

 Professional Responsibility in Research

o Issues in conducting, reporting, and funding research.

Week eleven:

 Case Studies

Week twelve:

 Conclusion and Review

Grading:

Students are expected to attend and to participate actively in all sessions. There will be case-studies discussions, Mid, and Final examinations. The grading will be out of 100 marks and will be as follows:

Attendance 10%

Case studies 20%

Midterm written examination 25%

Final written examination 45%

Successful completion of the course is dependent on achieving a passing grade of 60 % or above of the total mark.

The grading scale of the University is:

A+ 95 – 100 % A 90 – 94%

B + 85 – 89 % B 80 – 84%

C+ 75 – 79 % C 70 – 74%

D+ 65 – 69 % D 60 – 64%

F Less than 60%

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