Retos éticos en la toma de decisiones clínicas dental practice committee forum
Ward Van Dijk (Holanda)
Sudeshni Naidoo (África del Sur)
Hora: 15:00 - 17:30
Moderador(es): Ward Van Dijk (Holanda)
CAN PATIENTS TRUST DENTISTS? THE ETHICAL FOUNDATIONS OF THE PROFESSION OF DENTISTRY
Jos Welie (Estados Unidos)
- > Explain the relationship between public trust and professional status.
- > Discuss factors that can undermine public trust in the dental profession.
- > Advocate strategies that sustain public trust.
The labels “profession” and “professionalism” are often used generically as synonyms of “high quality” or “expertise”. As such, they lack ethical significance. However, the term “profession” also has a narrower meaning, reflecting its etymological root of“public promise”: A commitment made by a group of experts to those in need of their services to be trustworthy. Few occupations can justifiably claim to be a profession in this ethical sense. As providers of much needed expert healthcare services, it seems obvious that dentists are professionals proper. However, dentists face significant professional-ethical challenges related to their also being entrepreneurs who typically own and manage their private businesses. We will review core differences between professional and business ethics, highlighting those areas where the rules of good entrepreneurship can run counter to the rules of professionalism.
ETHICS CASES - CLINICAL DECISIONS IN GENERAL DENTAL PRACTICE
Ward Van Dijk (Holanda)
- > Understand the differences between clinicians in decision-making
- > Discuss the difficulty of ethical dilemmas for general practitioners
- > Understand the importance of ethics in daily practice
Everyday practitioners take decisions during their work. Do we choose to extract the tooth or treat with an endo? Most of the time the decision is made automatically because of experience from the past. But sometimes the case can be more difficult because the request from the patient seems unethical to the dentist. Should the dentist do what the patient asks him/her to do, or refuse to treat the patient? What if a patient’s cultural belief is the motivating factor for him or her to request a certain treatment? The lecture will give some cases to be discussed with the audience and see which ethical problems can arise from‘simple’ requests from the patients. Do we realize enough the needs from the patients or do we decide on our own experience and ethical point of view?
“PULL OUT MY FRONT TEETH” - ETHICAL DECISIONS IN DEVELOPING COUNTRIES
Sudeshni Naidoo (South Africa)
- > Understand the four ethical principles
- > Understand the obligations created by respect for autonomy Recognize
- > Ethical dilemmas in clinical practice where principles conflict
The patterns of oral diseases in developing countries continue to reflect widespread inequality in the access to prevention and dental care, and the oral health status of their populations highlights differences in the availability, accessibility and acceptability of oral health care. In this context, bioethics can be used to improve and consolidate citizenship, human rights and social justice. This presentation will reflect on ethical decision-making regarding dental care in developing countries. It will cover professional responsibility, ethical standards and barriers and challenges of maintaining standards in practice in developing countries, and include the importance of equity and justice in providing oral health care with the overarching principles of ethics and bioethics that are applicable to general dental practice. The presentation will conclude with possible strategies that are applicable to practice.