title: Guidelines for Teaching Cross-Cultural Clinical Ethics: Critiquing Ideology and Confronting Power in the Service of a Principles-Based Pedagogy.
abstract: This paper presents a pedagogical framework for teaching cross-cultural clinical ethics. The approach, offered at the intersection of anthropology and bioethics, is innovative in that it takes on the "social sciences versus bioethics" debate that has been ongoing in North America for three decades. The argument is made that this debate is flawed on both sides and, moreover, that the application of cross-cultural thinking to clinical ethics requires using the tools of the social sciences (such as the critique of the universality of the Euro-American construct of "autonomy") within (rather than in opposition to) a principles-based framework for clinical ethics. This paper introduces the curriculum and provides guidelines for how to teach cross-cultural clinical ethics. The learning points that are introduced emphasize culture in its relation to power and underscore the importance of viewing both biomedicine and bioethics as culturally constructed.
authors.affiliation: Division of Community Health and Humanities, Faculty of Medicine, Memorial University, Health Sciences Centre, 300 Prince Philip Drive, St. John's, Newfoundland & Labrador, Canada, A1B 3V5. fbrunger@mun.ca.
authors.forename: Fern
authors.identifier: http://orcid.org/0000-0001-8367-610X
authors.initials: F
authors.lastname: Brunger
mesh_terms: D002170:Canada; D002755:Choice Behavior / Q000941:ethics*; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D054521:Cultural Competency; D003657:Decision Making / Q000941:ethics; D026689:Ethical Analysis; D028663:Ethical Theory; D026690:Ethics, Clinical / Q000193:education; D004992:Ethics, Medical / Q000193:education*; D005610:Freedom; D006801:Humans; D009014:Morals; D011209:Power, Psychological; D028662:Principle-Based Ethics; D018794:Problem-Based Learning / Q000592:standards* / Q000639:trends; D012945:Social Values; D013663:Teaching / Q000592:standards* / Q000639:trends
keywords: Clinical ethics; Critical bioethics; Cultural competency; Medical education