Pharmaceutical Ethics and Sociology
(Theory and practice)
GYMAGGESE1A
(10-10 hours)
(Faculty of Pharmacy, 5th year)
2023/2024 year I. semester
Course objectives:
- To enable students to recognize ethical issues when encountered in everyday practice and research
- To provide students with a conceptual-logical system, which helps them to address ethical questions and toresolve ethical dilemmas in an efficent way
- To introduce students to a body of knowledge, which helps them to understand, respect and protect the rights of patients, research subjects and fellow health care professionals
- To help the would be health care professional to undertand the responsibility of the individual, of the health care system and of the society as a whole in maintaining health
- To gain a solid foundation for future studies in any social subject related to pharmacy
- To enhance competence in designing, undertaking and evaluating research involving human subjects
- To enhance communication skills useful in dispensaries or in hospitals
Lectures ethics: Tuesday, 11.30-12.15 NET Sz-06. (5.-9- weeks)
Practicals ethics: Tuesday, 12..15—13.00 NET Sz-06 (5.-9- weeks)
Lectures Sociology : Friday, 12.15—13.00 NET Sz-07 (10.-14. weeks)
Practicals Sociology : Friday, 13.00—13.45 NET Sz-07 (10.-14. weeks)
1. week (Lecture + practical) (3 October, 2023) Principles of Medical Ethics (Jozsef Kovacs)
2. week. (Lecture+ practical) (10 October, 2023) Competence and Capacity to Make Health Care Decisions. Informed Consent I. (Jozsef Kovacs)
3. week (Lecture + practical) (17 October, 2023) Informed Consent II. Confidentiality and Medical Records (Jozsef Kovacs)
4. week (Lecture+ practical) (24 October, 2023) End of Life Issues (Jozsef Kovacs)
5. week. (31 October, 2023) Pharmacist-patient, pharmacist-pharmacist relationship. Pharmacist and society. Malpractice. (Jozsef Kovacs)
6. week (Lecture+ practical) (10 November, 2023) Introduction to sociology. Basic Concepts The pharmaceutical Aspects of Illness Behaviour (Dr. Edmond Girasek)
7. week (Lecture+ practical) (17 November, 2023) Inequalities in Health (Dr. Edmond Girasek)
8. week (Lecture+ practical) (24 November, 2023) The pharmaceutical Aspects of Intercultural Healthcare (Bence Döbrössy)
9. week (Lecture+ practical) (1, December, 2023) Healthcare Systems (Dr. Edmond Girasek)
10. week (Lecture+ practical) (8 December, 2023) Technology and Society (Dr. Zsuzsa Győrffy )
Course Faculty (Ethics):
Jozsef Kovacs, MD, PhD, (Head of the Department of Bioethics), 210-2953; e-mail: kovacs.jozsef@med.semmelweis-univ.hu (Room 2003)
Department:
Institute of Behavioral Sciences
Department of Bioethics
NET Building, 19th, 20th floor
H-1089 Budapest, Nagyvárad tér 4.
Tel: 210-2953
Coordinator of the Sociology component of the course: Bence Döbrössy
e-mail: dobrossybence@gmail.com
Secretary: Csilla Motyovszki, e-mail: motyovszki.csilla@med.semmelweis-univ.hu
Tel: 210-2930/56114,
NET Building, 20th floor, Room-2015
Course attandance statitstics can be found on NEPTUN in the following way:
Taken courses — options — Course details — Attendance statistics.
Ethics exam:
The ethics exam is written consisting of 20 simple choice questions based on the lectures and the textbook.
Sociology exam:
The sociology exam is written consisting of 25 multiple choice questions based on the lecture material made available on Moodle and on selected chapters of the textbook (Graham Scrambler (ed) Sociology as Applied to Health and Medicine, Palgrave Macmillan 2018)
In order to undertake the exam successfully, students must know the material made available to them on Moodle.
The material covered in the exam is the following:
- Basic sociological concepts
- The pharmaceutical Aspects of Illness Behaviour
- Inequalities in Health
- The pharmaceutical Aspects of Intercultural Healthcare
- Healthcare systems
- The sociological aspects of technology and society
List of questions for ethics:
- The principles of medical ethics
- Competence and the capacity to make decisions
- Paternalism in medical practice
- Informed consent
- Withholding and withdrawal of medical treatment
- Advance Directives
- Do not resuscitate (DNR) orders
- Withholding Fluids and Nutrition in terminally ill patients
- Physician assisted suicide
- Active and Passive Euthanasia
- Terminal sedation and the law of double effect
- Futile medical care
- Determination of death and brain death
- Ethical probems of organ donation
- Reproductive issues (abortion, contraception, sterilization, donation of sperm and eggs)
- HIV related issues (confidentiality, partner notification, HIV-positive health-care workers, refusal to treat HIV-positive patients) and sexually transmitted diseases (STDs)
- Malpractice
- Doctor-patient relationship (beginning and ending the relationship, gifts from patients, doctor/patient sexual contact)
- Doctor and society (child abuse, elder abuse, impaired drivers, physician participation in executions, torture, spousal abuse, gunshot wounds, gifts and industry funding)
- Doctor-doctor relationship (reporting impaired phyisicians, physician disagreements)
- Confidentiality and medical records
- Ethical Questions of Human Research
Textbook:
Conrad Fischer—Caterina Oneto (2016): Medical Ethics fot the Boards. (Third edition) New York: McGraw-Hill Education.
ISBN: 978-1-259-64121-3
MHID 1-25-964121-X
The textbook is available in the following bookshop: Medicina könyvesbolt, Budapest, IX. Üllői út 91/a (tel: 06-1-215-3786)
Textbook for sociology: Graham Scrambler (ed) Sociology as Applied to Health and Medicine, Palgrave Macmillan 2018
Lectures: The power point slides of the lectures can be found at:
http://semmelweis.hu/magtud/en/education/faculty-of-pharmacy
and on the Moodle site of the course
Password is given on the lectures.
A thorough knowledge of the textbook is the absolute minimum for passing the exam, although in itself it may not be enough to pass it.
Because the power point slides contain only the outline of each lecture, participation on the lectures is indispensable for a full understanding of the subject.