I. ETHICAL REASONING AND PRINCIPLES IN MEDICINE; II. THREE ETHICAL PRINCIPLES AND QUESTIONS; III. "RESOLVING" ETHICAL DILEMMAS; IV. "DOING RIGHT:" A DECISION-MAKING PROCEDURE FOR CLINICAL ETHICS; V. APPLYING THE ETHICS DECISION-MAKING PROCEDURE; I. THE AUTONOMY PRINCIPLE; II. THE CASE OF MRS MALETTE AND DR SHULMAN; III. CHOICES: THE GOOD, THE BAD, AND THE UGLY; IV. REDUCED AUTONOMY; I. RIGHTS OF PRIVACY, CONFIDENTIAL DUTIES; II. PROFESSIONAL REGULATIONS; III. LIMITS TO CONFIDENTIALITY; IV. DUTY TO WARN AND PROTECT; V. THE DIGITAL AGE; I. ON NOT TELLING THE TRUTH; II. THE TRUTH-TELLING TASK; III. MODERN LAW AND THE PROFESSION; IV. THE CHANGING PRACTICE OF MEDICINE; V. THE VARNISHED TRUTH; I. THE ESSENCE OF INFORMED CONSENT; II. ETHICAL CONSENT; III. THE DOCTOR WHO DIDN'T: THE CASE OF MR REIBL V. DR HUGHES; IV. THE ESSENTIAL ELEMENTS OF CONSENT: WHEN, WHO, WHAT, HOW?; V. EXCEPTIONS TO CONSENT; I. ATTENDING TO AND ASSESSING CAPACITY; II. SUBSTITUTE DECISION MAKERS; III. TREATMENT OF THE VULNERABLE; IV. WHEN NOT TO RESCUE; V. FAILURE TO CARE FOR SELF; VI. CASES INVOLVING MINORS; I. THE PRINCIPLES OF BENEFICENCE AND NON-MALEFICENCE; II. THE "DUTY TO RESCUE" THE PATIENT; III. ENDANGERING ONE'S SELF; IV. IN THE BEST INTERESTS OF MINORS; V. PARENTAL REQUESTS FOR TREATMENT; I. PROFESSIONALISM IN HEALTHCARE; II. PROFESSIONALS AND THE DRUG INDUSTRY; III. BOUNDARIES AND CROSSINGS; IV. THE ERROR OF OUR WAYS; I. JUSTICE IN EVERYDAY MEDICINE; II. DISTRIBUTIVE JUSTICE; III. MEDICALLY NECESSARY TREATMENT; IV. THE ROLE OF PRACTICE GUIDELINES; V. THE HEALTH PROFESSIONAL'S MASTER; I. BIRTHING AND REPRODUCTIVE CHOICE; II. IN THE INTEREST OF THE CHILD: BEING BORN AND LIVING LIFE; III. THE NEW AGE OF REPRODUCTION; IV. DESPERATELY SEEKING STEM CELLS; I. ALLOWING DEATH: REFUSALS BY THE PATIENT; II. ADVANCE DIRECTIVES; III. WHO IS THE PATIENT?; IV. LOST SOULS; V. PHYSICIAN-ACCELERATED DEATH; I. CULTURAL CONNECTIONS; II. ALL IN THE GENOME?; III. SCIENTIFIC REVELATIONS; IV. SOME QUESTIONS AND ANSWERS REGARDING RESEARCH; CONCLUSION: GOING FROM HERE; NOTES; INDEX
Philip C. Hebert is emeritus professor of family medicine in the Department of Family and Community Medicine at the University of Toronto, and chair of the research ethics board at Sunnybrook Health Sciences Centre. For twenty years he was a family physician at Sunnybrook & Women's College Health Sciences Centre, retiring from active clinical practice in 2010. He remains on staff there as a consultant. He has an interest in many areas of ethics including disclosure, end-of-life care, consent, medical error, and medical education and teaches widely across Canada. In 2008, he received the second annual William Marsden Award from the CMA for his contribution to ethics teaching in Canada, and in 2011 he was named Academic Family Physician of the Year and received the University of Toronto's Department of Family and Community Medicine Award of Excellence.