DEPARTMENT/COURSE



COURSE NAME/NUMBER: Medical Law and Ethics MEDA 150

HOURS/CREDITS: 3 Credits

CLASS LOCATION/TIMES: Location: Building B Room 109

Days: M, W, F

Time:

PREREQUISITES: None

COURSE DESCRIPTION: Caring for patients involves ethical and legal responsibilities which makes knowledge of current trends in medical law, ethics and bioethics fundamental for healthcare workers. This course presents regulations that pertain to professional liability, types of consent, employment practices, medical records and cultural implications. Current bioethical considerations are also discussed.

INSTRUCTOR: Amy Kinshella, RMA

OFFICE HOURS/CONTACT INFORMATION:

Office Hours: 7:30-8:00 a.m.; 2:30-3:00 p.m.

(By appointment)

Office Location: Building B, Room Phone: (425) 235-2352 Ext 5686

Email: akinshella@rtc.edu

COURSE OBJECTIVES (Course Competencies): Upon successful completion of this course the student will be able to:

1. Define the similarities and differences between laws and ethics.

2. Discuss the reasons for studying law, and bioethics.

3. Describe how to apply the three decision-making models discussed in this chapter.

4. Explain why ethics is not just about the sincerity of one’s beliefs, emotions, or religious viewpoints.

5. Discuss why an understanding of the legal profession is necessary for the healthcare professional.

6. Describe the sources of law.

7. Describe the steps for a bill to become a law.

8. Discuss the difference between civil law and criminal law, explaining the areas covered by each.

9. List six intentional torts and give examples of each.

10. List examples of criminal actions that relate to the healthcare worker.

11. Discuss the difference between a felony and a misdemeanor.

12. Describe the types of courts in the legal system.

13. Explain the trial process.

14. Discuss why an expert witness might be used during a lawsuit.

15. List the four basic characteristics of state medical practice acts.

16. Describe the three methods by which a state grants a license to practice medicine.

17. Discuss conduct that may result in a physician’s loss of license to practice medicine.

18. Identify the difference between licensure and certification.

19. Discuss what the term standard of care means for the physician and what it means for someone in your profession.

20. Describe the importance of the discovery rule as it relates to the statute of limitations.

21. Discuss the importance of the phrase respondeat superior as it relates to the physician.

22. Describe today’s healthcare environment.

23. Discuss the similarities and differences among HMOs, PPOs, and EPOs.

24. Describe five types of medical practice.

25. Discuss the term diplomat as it relates to medical specialty boards.

26. Identify three categories of licensed nurses and describe their educational requirements.

27. Describe five categories of certified healthcare professionals.

28. Describe the diagnostic related group (DRG) system of classification.

29. State the difference between Medicare and Medicaid.

30. Describe the rights a physician has when practicing medicine and when accepting a patient.

31. Discuss the nine principles of medical ethics as designated by the American Medical Association (AMA).

32. Summarize “A Patient’s Bills of Rights”.

33. Understand standard of care and how it is applied to the practice of medicine.

34. Discuss three patient self-determination acts.

35. Describe the difference between implied consent and informed consent.

36. Define the four Ds of negligence for the physician.

37. Discuss the meaning of respondeat superior for the physician and the employee.

38. Discuss the meaning of res ipsa loquitur.

39. Explain the term liability and what it means for the physician an dother healthcare professionals.

40. List ten ways to prevent malpractice.

41. State two advantages to arbitration.

42. Discuss three types of damage awards.

43. Describe two types of malpractice insurance.

44. Explain the law of agency.

45. Describe the public duties of a physician.

46. Discuss the guidelines that should be used when completing a legal record or certificate.

47. List the information that must be included in a death certificate.

48. Describe the cases in which a coroner or health official would have to sign a death certificate.

49. List ten reportable communicable diseases.

50. Discuss the Child Abuse Prevention and Treatment Act of 1974.

51. Describe eight signs that indicate a child, spouse, or elderly person may be abused.

52. Discuss the federal legislation of controlled substances.

53. List and explain the five schedules of drugs.

54. Explain how an Employee Assistance Program (EAP) can help troubled employees.

55. Discuss cultural differences that might affect a patient’s medical care and treatment.

56. Discuss the regulations concerning equal employment opportunity and employment discrimination.

57. Describe the regulations affecting employee health and safety.

58. Discuss the regulations affecting employee compensation and benefits.

59. Give examples of regulations affecting consumer protection and collection practices.

60. Define and explain the federal labor acts discussed in this chapter.

61. Describe accommodations that can be made in the workplace for persons with disabilities.

62. List several questions that may be legally asked during an employment interview. List several questions that are illegal to ask during an interview.

63. Discuss guidelines for good hiring practices.

64. Describe several religious practices that have an influence upon the practice of medicine.

65. List five purposed of the medical record.

66. List seven requirements for maintaining medical records as recommended by the Joint Commission on Accreditation of Healthcare Organizations.

67. Discuss eleven guidelines for effective charting.

68. Discuss what is meant by timeliness of charting and why it is important in a legal context.

69. Define the Privacy Act of 1974.

70. Describe twelve ways to protect patient confidentiality that relate to the use of fax, copiers, e-mail, and computers.

71. Discuss the time periods for retaining adults’ and minors’ medical records, fetal heart monitor records, and records of birth, death, and surgical procedures.

72. Explain thirteen guidelines to follow when subpoena deuces tecum is in effect.

73. Identify the problems associated with patient confidentiality.

74. Discuss the purpose of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

75. Describe the information to which the Privacy Rule refers and how it applies to your profession.

76. List which entities are affected by HIPAA.

77. Discuss the penalties for noncompliance with HIPAA.

78. List the patients’ rights under the privacy standards.

79. Discuss the ethical issues concerning information technology.

80. List and discuss at least ten bioethical issues the modern physician and healthcare professional faces.

81. Describe how an ethical decision-making model, such as the Seven-step Decision Model, can be used when confronted with difficult ethical dilemmas.

82. Discuss ethical issues relating to genetic testing.

83. Describe the advances in human stem cell research.

84. Summarize the ethical issues of organ transplantation.

85. Discuss the importance of codes of ethics such as Nuremberg Code and the Declaration of Helsinki.

86. Discuss the ethical considerations relating to artificial insemination.

87. Describe the Baby M case.

88. Discuss the ethical consideration relating to surrogate motherhood and contraception.

89. List several ethical issues surrounding sterilization and contraception.

90. Explain the importance of Roe v. Wade.

91. Discuss the difference between cardiac and brain-oriented death.

92. Describe the Harvard Criteria for a Definition of Irreversible Coma.

93. Discuss the pros and cons of euthanasia.

94. Provide examples of ordinary versus extraordinary means used in the treatment of the terminally ill.

95. List and discuss the five stages of dying as described by Dr. Kubler-Ross.

96. Discuss eleven treatments that might be ordered for the critically or terminally ill.

ATTENDANCE AND MAKE-UP POLICY: Throughout the Medical Assistant Program, an outstanding work ethic is emphasized and encouraged. Participation and professionalism are essential to your success as a student and as a Medical Assistant. Ten percent of your grade involves participation and professionalism. Professionalism points will be deducted at a total of 1 point per 60 minutes of class time missed for each subject. Point deductions will be broken down in 15 minute increments. For example: 0-15 minutes = 0.25 points, 16 -30 minutes = 0.50 minutes, etc.

If you must be absent, make arrangements beforehand to have a fellow student obtain any handouts and reading assignments you miss. You are also responsible for getting assignments from a fellow student by phone or email when you are absent in order to complete an assignment on time. Students missing three (3) or more consecutive class days due to illness are required to submit a note from their healthcare provider certifying they physically able to return to the classroom. The full attendance policy is outlined in your medical assistant packet.

NATURE OF THE COURSE: To accommodate a wide variety of learning and personal styles many different instructional approaches may be used including: lecture, group discussion, demonstrations, interactive exercises, role playing, video programs, computer based training, student research, self directed learning projects and collaborative teaching with Program Instructors.

COURSE OUTLINE: See attached document

GRADING: Grades are based on the following weighted categories and assigned the corresponding decimal grade:

Professionalism/Participation 10%

Homework 15%

Quizzes 20%

Mid Term/Paper 25%

Final Exam 30%

TEXT: Fremgen, Bonnie F. Medical Law & Ethics, Fourth Edition. New Jersy: Pearson Prentice Hall, 2012.

ADDITIONAL MATERIALS:

Pens: Blue or black ink; no erasable or gel pens

Pencils

Calendar for assignments

USB Drive to store work

RESOURCES:

fremgen

rtc.edu/library

EMERGENCY INSTRUCTIONS FOR INCLEMENT WEATHER: In case of weather closure of the RTC Campus, class will be cancelled. Call the school at (425) 235-2352 and choose option 9 for weather closure information. Information will also be available on the website (RTC.edu) and local television and radio stations.

CLASSROOM MANAGEMENT POLICIES:

Renton Technical College recognizes and values diversity between students on campus, including cultural diversity, diversity of age, life style, race, religion, and financial backgrounds. Students are expected to listen respectfully to others and conduct themselves professionally in the classroom, at clinical sites, and at all campus related activities.

Certain behaviors will not be tolerated. Students engaging in those behaviors will be asked to leave the classroom and appropriate disciplinary steps will be taken. Certain behaviors will not be tolerated. Students engaging in those behaviors will be asked to leave the classroom and appropriate disciplinary steps will be taken. Students will also lose all their professionalism points for the day. Examples are:

• Unprofessional or disruptive behavior

• Sleeping in class

• Inappropriate attire

• Foul language

• Sexual harassment

Cheating and Plagiarism: As outlined in the Allied Health Department Handbook, Renton Technical College has a zero tolerance policy towards cheating and plagiarism. On a paper or presentation, if wording is taken directly from any source without giving credit to the source, the student will receive a zero (0) on that paper or presentation. When there is doubt, the instructor will make the final judgment on whether plagiarism has occurred.

Disciplinary action includes, but is not limited to, the student receiving a zero (0) on a test, paper or presentation up to and including immediate expulsion from the program.

Reading Assignments: The student is responsible for reading all assigned material prior to the lecture. Much more can be gained from the classroom discussion if there is some basic familiarity with the content.

Questions: If you do not understand something during a lecture and do not want to ask a question in front of the entire class, talk to your instructor or other students when there is free time within the classroom. (There will be frequent opportunities at the end of class sessions to get clarification) Asking classmates questions while other classroom information is taking place is disruptive to the entire class and the instructor. It also causes students to miss what is currently being discussed.

Quizzes: There will be quizzes given approximately once a week. A Pop Quiz could be given at any point when the instructor needs to evaluate how much information is being assimilated by the students. Pop Quizzes cannot be made up. If you are absent on the day of a scheduled quiz, you must make up the quiz the day you return to school to receive credit. In addition, if you are more than 10 minutes late for a quiz you will need to make it up by arrangement with the instructor. The highest possible grade for a make-up quiz is 90%.

NOTE: If your class is a hybrid quizzes will be administered on line. These quizzes will be timed and available on specified days as noted in the course outline. Quizzes not taken during the available time frame can only be made up at the discretion of the instructor. DO NOT wait until the last minute to take your quizzes.

Mid Term and Final: There will be a mid-term given after which the student and instructor will meet and discuss progress as necessary. A final exam will be given during the last week of the quarter. You will lose one letter grade for every day the final examination is not taken from the date it is offered to the rest of the class. The mid-term and cumulative final will be proctored and may be administered in any form (written, oral, online, etc.).

Homework: is due on the assigned date and must be complete to earn homework points. Incomplete homework must be submitted within one school day of the due date to receive points. If a student is absent on the day homework is due the homework is considered late and must be submitted the day the student returns to earn points. Points are earned as follows:

Submitted on time and complete 10 points

Submitted late and complete 5 points

Note: Information contained in this syllabus is subject to change.

Allied Health Grading Scale 2011

|Decimal Grade |Grade Percent |Letter Grade |

| | |Equivalent |

|4.0 |100 |A |

|3.9 |99 | |

|3.8 |98 |A- |

|3.7 |97 | |

|3.6 |96 | |

|3.5 |95 | |

|3.4 |94 |B+ |

|3.3 |93 | |

|3.2 |92 | |

|3.1 |91 |B |

|3.0 |90 | |

|2.9 |89 | |

|2.8 |88 |B- |

|2.7 |87 | |

|2.6 |86 | |

|2.5 |85 | |

|2.4 |84 |C+ |

|2.3 |83 | |

|2.2 |82 | |

|2.1 |81 |C |

|2.0 |80 | |

|1.9 |79 |C- |

|1.8 |78 | |

|1.7 |77 | |

|1.6 |76 | |

|1.5 |75 | |

|1.4 |74 |D+ |

|1.3 |73 | |

|1.2 |72 | |

|1.1 |71 |D |

|1.0 |70 | |

|0.9 |69 |D- |

|0.8 |68 | |

|0.7 |67 | |

|0.0 |66 or less |F |

Note: Students must earn at least a grade or 2.0 (80%) in each course to continue in the Medical Assistant Program.

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