CPD 331 Lecture One Key Elements (1)
Foundation of a Successful Dental Practice
Ethical Framework: Essential for effective dental practice; must be adhered to consistently.
Professional Identity: Integrity in leadership and active involvement in dental governance.
Skill Mastery: Continuous learning and skill enhancement to remain current.
Core Elements of the Profession
Special Knowledge and Skill: Expertise beyond ordinary capabilities.
Service Above Self: Commitment to serving patients and the community.
Self-Regulation: Includes educational systems, licensing, and scholarly works.
ADA Principles of Ethics and Code of Professional Conduct
Framework for Conduct: Document created by dentists to outline ethical standards and obligations.
Guidance: Provides aspirations, prohibited behaviors, and legal implications regarding conduct.
Advisory Opinions: Offers insight into ethical dilemmas and decision-making.
Ethical Dilemmas in Practice
Definition: Situations with conflicting ethical imperatives and legal/moral perspectives.
Process of Resolution: Identify affected parties, assess options, weigh risks/benefits, seek guidance, and make a balanced decision.
Tension Between Different Domains: Navigating the balance between law, ethics, and personal morals.
Ethical Principles Underlying Practice
Key Principles: Autonomy, Nonmaleficence, Beneficence, Justice, Veracity.
Autonomy: Informed consent as a key component of patient rights.
Beneficence: Duty to act in the patient's best interest.
ADA Principle: Patient Autonomy
Definition: Respect for patient self-governance and confidentiality.
Primary Obligations: Engage patients in treatment decisions, protect privacy, respect their desires for treatment.
Page 2: Informed Consent Process
Definition: A communication-driven process respecting patient autonomy.
Content of Discussion: Information on diagnosis, treatment plans, risks, benefits, and alternatives.
True Conversation: Not merely signing a form; essential to have thorough discussions.
Information Equity: Provider must present information truthfully, free from bias.
Patient Rights: Patients may refuse care and should be continually informed at each visit.
Decision-Making Capacity of Patients
Assessment: Ensure patients can comprehend information and make reasoned choices.
In Cases of Diminished Capacity: Implement an assent process including family or legal representatives as necessary.
ADA Principle: Nonmaleficence
Definition: Duty to avoid harming patients.
Primary Obligations: Stay informed of personal limitations, make appropriate referrals, and delegate care responsibly.
Page 3: Additional Responsibilities under ADA
Impairment Responsibilities: Providers must avoid harm related to personal impairment and report colleagues when necessary.
Patient Abandonment: Strategies for managing the risk of abandoning patients should be in place.
ADA Principle: Beneficence
Definition: Obligation to promote patient welfare and act for the benefit of others.
Service and Care: Prompt and competent delivery of care tailored to individual patient needs.
Professional Responsibilities: Participation in professional societies, research, and leadership for a safe patient environment.
ADA Principle: Justice
Definition: Duty to treat individuals fairly.
Primary Obligations: Ensure equitable access to care without bias.
Emergency Services: Duties regarding both recognized and non-recognized patients.
Page 4: ADA Principle: Veracity
Definition: Commitment to honest communication.
Professional Integrity: Maintain trust by being truthful in all dealings with patients.
Avoiding Deception: Providers must refrain from giving false information regarding outcomes and practices.
Responsibilities Related to Ethical Conduct: Address issues like misleading claims, billing fraud, and misrepresentation of qualifications.