Ethics | PRACTICE QUESTIONS | INBDE
TLDRDr. Ryan's final video in the ethics series delves into the application of the American Dental Association's (ADA) Code of Ethics in dental practice. He presents 15 practice questions designed to mirror those found on the board exam, covering principles such as autonomy, non-maleficence, beneficence, justice, and veracity. The video emphasizes the importance of informed consent, conflict of interest disclosure, and the legal and ethical obligations of dentists, including reporting adverse reactions and maintaining professional competence. Dr. Ryan also clarifies misconceptions about the ADA Code's legal binding nature and provides guidance on handling situations like patient abandonment and suspected child abuse. The video concludes with an encouragement to engage with the content, test one's knowledge, and continue professional development in ethics for patient care improvement.
Takeaways
- 📚 Start with the ADA Code of Ethics: Understanding the five ethical principles (autonomy, non-maleficence, beneficence, justice, and veracity) is crucial for ethical practice in dentistry.
- 🚫 Ethical Violation Example: Not informing a patient about a lost root in the maxillary sinus during extraction is a violation of veracity, emphasizing the importance of truthfulness in patient care.
- 🤔 Conflict of Interest: A dentist must disclose any monetary incentives for using specific dental products to maintain veracity and avoid conflicts of interest.
- 🤝 Principle of Justice: The ADA principle that promotes seeking allies to improve access to care for all is categorized under justice, focusing on fairness and equality in dental care provision.
- 🚫 Patient Abandonment: Failing to complete a treatment plan or notify a patient of its discontinuation is a violation of non-maleficence, which requires doing no harm to patients.
- 🤝 Autonomy vs. Beneficence: Respecting a patient's decision while also considering the dentist's responsibility to do good can lead to conflicts between these two ethical principles.
- 📝 Reporting Adverse Reactions: Dentists are obligated to report adverse medication reactions to the FDA, which falls under the principle of veracity.
- 🌐 Legal Binding: The ADA Code of Professional Conduct is legally binding only to ADA members, not to all dentists globally.
- 👶 Informed Consent for Minors: Parents or legal guardians provide consent for minors, which is part of respecting patient autonomy.
- 📉 Handling Abuse Suspicions: When suspicions of child abuse arise, the proper procedure is to recognize, report, record, and then render treatment.
- 💰 Overbilling: Increasing treatment fees for insured patients is a violation of veracity, as it involves dishonesty about fee structures.
- ❌ Slander and Criticism: Unfair criticism or slander of other dentists is a violation of the principle of justice, specifically justifiable criticism.
- 🙅♂️ Patient Selection: Dentists have the discretion to refuse treatment to patients who are abusive towards staff, as long as the refusal is not based on disability, aligning with the principle of justice.
- 📈 Continuing Education: Dentists are obliged to keep their knowledge and skills updated to prevent harm to patients, which is part of the principle of non-maleficence.
Q & A
What is the ethical principle violated if a dentist loses a root in the maxillary sinus during extraction and does not inform the patient?
-The ethical principle violated is veracity, which involves truthfulness and honesty in communication with patients. Failing to inform the patient about the incident is considered a form of lying by omission.
What ethical principle is violated if a dentist uses a new impression material and does not disclose receiving payment from a dental supply company for its use?
-The ethical principle violated is veracity, specifically the requirement to disclose any monetary or special interests that may influence the dentist's professional decisions or recommendations.
Which ADA principle of ethics promotes the concept that the dental profession should actively seek allies to improve access to care for all?
-The principle of justice is responsible for promoting the concept of improving access to care for all. It focuses on delivering dental care without prejudice and ensuring fair access to dental services.
What ethical principle is violated when a dentist does not finish a patient's treatment plan and does not notify the patient that treatment will be discontinued?
-The ethical principle violated is non-maleficence, which includes the obligation to avoid causing harm to patients. Abruptly ending a treatment plan without notice is considered patient abandonment and is harmful to the patient.
When a patient wants a fractured tooth extracted but the dentist believes it can be restored, which two ethical principles are in conflict?
-The two ethical principles in conflict are beneficence, which encourages the dentist to do good and provide treatment that may benefit the patient in the long term, and autonomy, which respects the patient's right to self-determination.
Under which ethical principle would it be reasonable for a dentist to refuse to see a patient who behaves rudely and abusively towards the front office staff?
-The ethical principle of justice allows for reasonable discretion in patient selection. If a patient's behavior is abusive and does not improve after being asked to correct it, the dentist may choose not to accept the patient into their practice.
Which component of the ADA Code is legally binding to all dentists globally?
-The Code of Professional Conduct is legally binding, but only for members of the American Dental Association (ADA). Not all dentists in the U.S. or globally are members of the ADA, so while the ADA Code provides guidelines, only ADA members are legally bound to it.
What is the proper sequence of actions a dentist should take when suspicions of child abuse arise?
-The proper sequence is to recognize, report, record, and then render treatment. Reporting suspicions of child abuse should happen before treatment is rendered.
Which aspect of the ADA Code for Justice excludes offering or accepting rebates and split fees?
-The aspect that excludes offering or accepting rebates and split fees falls under the principle of justice, specifically in the context of financial transactions and the integrity of professional relationships.
What is the role of informed consent in ethical dental practice?
-Informed consent is a key aspect of patient autonomy. It requires that patients are fully informed about the treatment, including risks, benefits, and alternatives, and have the opportunity to ask questions before giving their consent.
What ethical principle is associated with a dentist's obligation to keep their knowledge and skills updated through continuing education?
-The ethical principle associated with a dentist's obligation to maintain up-to-date knowledge and skills is non-maleficence, which involves the commitment to do no harm to patients by providing current and competent care.
Why is it important for dentists to understand and apply the ADA Code of Ethics?
-Understanding and applying the ADA Code of Ethics is crucial for dentists to ensure they provide ethical, competent, and patient-centered care. It helps to guide professional behavior, maintain trust with patients, and avoid legal and ethical pitfalls.
Outlines
😀 Introduction to Ethics Series and Practice Questions
Dr. Ryan introduces the final video in the ethics series, sponsored by bootcamp.com, and encourages viewers to watch the previous seven videos for context. He outlines the structure of the video, which includes 15 practice questions on ethics identical to those that might be found on a test day. The video aims to test the viewer's knowledge of the ADA Code of Ethics and the five ethical principles: autonomy, non-maleficence, beneficence, justice, and veracity.
🤔 Ethical Principles and Dentistry Scenarios
The video script presents a series of hypothetical dental scenarios where ethical principles are violated. Each scenario is followed by a question that asks the viewer to identify which ethical principle was breached. The principles discussed include veracity (truthfulness), justice (fairness), non-maleficence (do no harm), and autonomy (self-governance). The scenarios cover a range of issues from patient informed consent to conflicts of interest and professional conduct.
📚 ADA Code of Ethics and Legal Binding
The script clarifies that while the ADA Code of Professional Conduct provides guidelines for all dentists, only members of the American Dental Association (ADA) are legally bound by it. It also addresses the concept of informed consent, emphasizing the importance of patient involvement and autonomy in decision-making. The video corrects a previous statement regarding the legal binding nature of the ADA Code to all dentists globally.
💰 Ethical Considerations in Billing and Dentist Conduct
The video discusses the ethical principles violated by overbilling a patient with dental insurance and slandering another dentist's work. It emphasizes the importance of truthfulness and justifiable criticism in professional conduct. The script also touches on the informed consent process, highlighting the necessity for open communication between the dentist and the patient, including discussing risks, benefits, and alternatives.
🚫 Handling Patient Misconduct and Continuing Education
The script addresses the ethical principles that justify refusing treatment to a patient who behaves rudely and abusively towards staff. It also stresses the dentist's obligation to keep their knowledge and skills updated to prevent harm to patients, which falls under the principle of non-maleficence. The video concludes with an encouragement for viewers to engage with the content, share their results, and continue their studies.
Mindmap
Keywords
💡Ethics
💡ADA Code of Ethics
💡Autonomy
💡Non-maleficence
💡Beneficence
💡Justice
💡Veracity
💡Informed Consent
💡Patient Abandonment
💡Overbilling
💡Continuing Education
Highlights
This video is sponsored by bootcamp.com, which offers iron bde prep and a discount with the coupon code mental dental.
The video is the final installment in a series on ethics, covering the ADA Code of Ethics and its application in dentistry.
Dr. Ryan provides a set of 15 practice questions to test viewers' understanding of ethical principles in dentistry.
The ethical principle of veracity is violated if a dentist fails to inform a patient about an incident during a procedure.
The principle of autonomy is violated if a patient is not properly informed before treatment, preventing them from making an informed decision.
A dentist violates the principle of veracity by not disclosing financial incentives for using a specific dental supply.
The ADA principle of justice promotes improving access to dental care for all, emphasizing fairness and equality.
Patient abandonment, or ending treatment without notice, violates the principle of non-maleficence, which requires doing no harm.
Conflicting ethical principles of beneficence and autonomy arise when a patient's wishes conflict with a dentist's professional judgment.
Reporting adverse medication reactions to the FDA is part of the ethical principle of veracity, emphasizing truthfulness.
The ADA Code of Professional Conduct is legally binding only to members of the American Dental Association, not to all dentists globally.
The ethical principle allowing a legal guardian to make decisions on behalf of a patient is part of the concept of informed consent and falls under autonomy.
Suspicions of child abuse must be reported immediately following the correct order of recognize, report, record, then render treatment.
The principle of justice in the ADA Code addresses issues such as patient selection, emergency services, and justifiable criticism of colleagues, but not second opinions.
Overbilling a patient because they have dental insurance violates the principle of veracity by not being truthful about fees.
Slander against another dentist is a violation of the principle of justice, specifically the aspect of justifiable criticism.
Informed consent discussions must include risks, benefits, and alternatives, but not necessarily the cost of treatment.
It is reasonable to refuse treatment to a patient who behaves rudely and abusively towards staff under the principle of justice, if it's not disability-related.
Dentists are ethically obliged to keep their knowledge and skills updated to prevent harm to patients, which falls under the principle of non-maleficence.
Transcripts
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