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Biomedical subjects

R Crisp

Publications and source records attributed to R Crisp.

7 recordsLinked to original sources
PubMed1999

Evaluating ethics competence in medical education.

We critically evaluate the ways in which competence in medical ethics has been evaluated. We report the initial stage in the development of a relevant, reliable and valid instrument to evaluate core critical thinking skills in medical ethics. This instrument can be used to evaluate the impact of medical ethics education programmes and to assess whether medical students have achieved a satisfactory level of performance of core skills and knowledge in medical ethics, within and across institutions.

Clinical Competence↗
PubMed1996

The Asbury draft policy on ethical use of resources.

The general practice partners invited two medical ethicists (RC and TH) to meet them to develop the document. The partners met RC and TH for one and a half hours on eight occasions over one year and met without them on eight further occasions. The entire general practice also had an all day session to discuss in detail an advanced version of the draft. The developmental process was of great value to the partnership and has led to appreciable change in individuals' views. The draft policy presented here is intended to start the ball rolling, so that proper guidelines will be developed at whatever level in the NHS is most appropriate. Comments and feedback are welcomed.

Attitude of Health Personnel↗
PubMed1993

"Not clinically indicated": patients' interests or resource allocation?

The decision that a particular intervention is not clinically indicated may conceal two quite different ethical assumptions. The first assumption is that the intervention is not of overall benefit to this patient. The second is that limited resources should not be used for this patient. These issues are discussed with reference to cardiac surgery in elderly patients with reference to the main theories of allocation: QALYs, needs theories, the sanctity of life theory, the lottery theory, and market forces.

Aged↗
PubMed1992

Vocational decision making by sixty spinal cord injury patients.

Sixty persons with spinal cord injury completed the My Vocational Situation (MVS) questionnaire developed by Holland, Daiger and Power. The MVS was designed to identify problems related to vocational decision making, ie lack of vocational identity, lack of occupational information, and the presence of environmental or personal barriers to a chosen occupational goal. As expected, more problems were reported by unemployed persons than by employed persons, and by those who reported lower levels of psychological well being. MVS scores were not mediated by age, time since injury or severity of injury.

Adaptation, Psychological↗
PubMed1989

Autonomy, welfare and the treatment of AIDS.

Many AIDS-related issues are polarised. At the social level, civil rights or liberties are seen as being in conflict with general utility, and an analogous distinction is often assumed to exist at the one-to-one, individual level at which doctors work. In this paper the latter form of the distinction is argued to be false. By seeing autonomy as part of welfare, doctors can think more directly about such issues as paternalism, confidentiality, and consent. A number of these issues are discussed in the light of the revised conception of welfare, in the form of simplified case studies.

Acquired Immunodeficiency Syndrome↗