title: A methodology for teaching ethics in the clinical setting: a clinical handbook for medical ethics.
abstract: The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: Do your obligations converge or conflict?; Step 5: What is the strongest objection that could be made to the identification of convergence in step 4 or the arguments in step 4? How can this objection be effectively countered?; and Step 6: How could the ethical conflict, or perceived ethical conflict, have been prevented?
authors.affiliation: Center for Ethics, Medicine, and Public Issues, Baylor College of Medicine, Houston, TX 77030.
authors.forename: L B
authors.initials: LB
authors.lastname: McCullough
authors.forename: C M
authors.initials: CM
authors.lastname: Ashton
mesh_terms: D026686:Beneficence; D002982:Clinical Clerkship; D003479:Curriculum; D026689:Ethical Analysis; D026690:Ethics, Clinical; D004992:Ethics, Medical / Q000193:education*; D028681:Moral Obligations; D026684:Personal Autonomy; D013663:Teaching / Q000379:methods*; D013781:Texas; D013782:Textbooks as Topic