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.