Consent and confidentiality
MCC role objectives
- When appropriate, facilitate collaboration among families and patients, while maintaining patient wishes as the priority, ensuring confidentiality, and respecting patient autonomy (1.5)
- Effectively communicate in challenging situations (delivering bad news, addressing anger, confusion, medical error, misunderstanding and media interviews) (3.5)
- Disclose to the patient personal values or beliefs that may limit professional involvement (3.7)
- Recognize that the clinical situation requires expertise beyond one’s own, and determine the urgency (2.2)
- Maintain patient confidentiality (2.3)
- Know and communicate to patients the limits of professional confidentiality (reportable conditions, duty to warn) (2.3.2)
- Know, and appropriately implement, current ethical and legal aspects of the consent and capacity process (2.4) These include:
- principles of full disclosure (2.4.5)
- Assess and respond to the specific determinants of health relevant to the individual, the community, and/or the population (1.1)
- Know and understand the key issues in the Canadian health system and any relevant laws and legislation (3.0)
- Manages patients using available best practices (2)
- Verbal or written communication is clear and timely (9)
Entrustable professional activities
- Assess, diagnose and manage patients with acute, common and complex diseases across outpatient settings (2)
- Collaborate with patients, families and members of the interdisciplinary team (9)
- Seeks appropriate consultation from other health professionals, recognizing the limits of one’s own expertise (5)
- Develops rapport, trust and ethical therapeutic relationships with patients and families (8)
- Accurately elicits and synthesizes relevant information and perspectives of patients and families, colleagues and other professionals accurately (9)
- Conveys relevant information and explanations accurately to patients and families, colleagues and other professionals (10)
- Demonstrates a commitment to their patients, profession and society through ethical practice (19)
- Demonstrates knowledge of and applies the professional, legal and ethical codes for physicians (21)
By the end of this module the participants should be able to:
- Demonstrate an understanding of the fundamental values underlying the consent and confidentiality process in Canada (such as autonomy and respect for persons)
- Demonstrate an ability to apply Canadian standards of consent and confidentiality in clinical situations, using appropriate communication skills
- Demonstrate an ability to act appropriately and professionally when individual patient and societal claims are in conflict
- What are the three components required in obtaining consent to treatment?
- What are the exceptions to the rule of confidentiality?
- How does one resolve a conflict between duty to patient and duty to society?
- What are the public-health requirements concerning reportable diseases?