Developed by Daniel Swagerty, MD, MPH
Instructors:   Jerry Menikoff, JD, MD
                    Martha Montello, PhD

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Specific Learning Objectives:

1. Introduction:

   Before reviewing the learning objectives and content, please take the following Pre-Test.  You must do this before you can proceed with the module.   The answers and explanations are given in the Post-Test that complete the module.

   Please review the Objectives, Content material, and Case Study before our class session.   We will apply the tasks in the Skills Objectives to the case study, and you should think about them ahead of time.

2. Pre-Test

3. Attitudes - First year medical students should be able to:
   1. Acquire knowledge that will foster one's ability to combine excellent clinical skills with ethical behavior.
      
   2. Acquire the ability to confidently and effectively participate in patient care situations that present ethical challenges to the health care team, institution, patient, and/or family.
      
   3. Acquire an ability to recognize and respond appropriately to typical ethical challenges encountered in clinical situations.

4. Knowledge - First year medical students should be able to:
   1. Discuss the principal of autonomy as an ethical standard, as it relates to medical decision making, and in contrast with the principal of beneficence.
   2. Discuss the principal of beneficence as an ethical standard, as it relates to medical decision making, and in contrast with the principal of autonomy.
   3. Discuss the principal of justice as an ethical standard.
   4. Discuss the principal of informed consent as an ethical standard, as it relates to medical decision making.
   5. Discuss the clinical situations in which life-sustaining treatment might alter one's choice of management 
   6. Describe the clinical situations in which medical futility might alter one's choice of management
   7. Describe the important medical treatment options which must often be considered by older adults and their surrogate decision makers.

5. Readings
   
6. Skills - First year medical students should be able to:

1. Define the principles of autonomy and beneficence.
2. Describe how one would assess a patient for decision making capacity.
3. Recommend appropriate courses of action for patients and family members as exemplified by the case studies.

7. Case Study

It's My Life, Isn't It?

8. Post-Test

9. If you have not already done so please fill out the Student Feedback Form.  Remember this feedback form is for credit.

By now you should have completed the Advanced Directive Module, if you have not, please do so now.

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