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Medical Law and Ethics

  • Module code: LL5305
  • Year: 2018/9
  • Level: 5
  • Credits: 30
  • Pre-requisites: None
  • Co-requisites: None

Summary

The module focuses on how the law impacts on the provision of healthcare in England and Wales and the ethical implications of healthcare decision making. The module initially focuses on issues such as consent and refusal of treatment, capacity to make healthcare choices and confidentiality.The module then goes on to consider the legal and ethical issues arising at the beginning and end of life, particular challenges and development of the law. In the second semester topics such as mental health and organ donation will be covered. Medical law is very topical and a focus of this module is to relate the learning to issues reported in the press, encouraging discussion of recent case law and professional issues.

Aims

  • To introduce students to the terminology of medical law
  • To introduce students to ethical principles and theories relevant to healthcare
  • To provide knowledge, develop an understanding and critical appreciation of the general principles of medical law and ethical frameworks, their application to topical issues in healthcare and specific topic areas
  • To develop the skills of research, analysis, problem-solving and essay-writing skills in the context of medical law and ethics

Learning outcomes

On successful completion of the module, students will be able to:

  • Demonstrate an understanding and appreciation of the topics covered in the lectures and their application to current medico-legal debate
  • Demonstrate knowledge and understanding of relevant case law and legislation
  • Prepare well-structured and coherent answers to essay and problem questions
  • Research medical law and ethics topics using a variety of sources

Curriculum content

  • Consent/refusal of treatment and capacity
  • Confidentiality
  • Clinical negligence
  • Mental health
  • Organ donation
  • Human rights and the provision of medical treatment
  • Issues at the beginning of life
    • Status of the unborn and liability for occurrences before birth
    • Contraception and abortion
    • Medically assisted reproduction
  • Issues at the end of life

o   Assisted suicide

o   Voluntary active euthanasia

o   Withholding and withdrawing medical treatment

o   Advance decisions and lasting powers of attorney

 

Teaching and learning strategy

This module is delivered through a programme of interactive workshops (two hours each week). The feedback/feedforward sessions will outline topics and refer students to cases and articles contained in the handbook. Students should complete the reading and the work set for discussion in advance of the workshops to facilitate informed discussion. Students should also undertake independent research using a variety of sources. 

The published articles of the module leader are included as reading materials for all seminars. Film clips are used in teaching sessions to encourage reflection and discussion of issues such as capacity, consent, best interests etc.

Due to the experiential nature of the learning on this degree, and the importance of professional development enabling students to develop practical skills, learn from and interact with others, attendance is compulsory. Any students not attending a minimum of 80% of their timetabled sessions will be at risk of academic failure or termination from the course.

Breakdown of Teaching and Learning Hours

Definitive UNISTATS Category Indicative Description Hours
Scheduled learning and teaching Interactive workshops and feedback/forward sessions 66
Guided independent study 234
Total (number of credits x 10) 300

Assessment strategy

Formative assessment: towards end of first teaching block

All students will be required to take part in student presentations. Each group will be given feedback and marks awarded for the presentation, although the marks will not count towards  module assessment.

Students will be allocated to a group of no more than 10 members three weeks prior to the presentations. Each group will be given a newspaper story to research and prepare for presentation in class. Each member of the group must contribute to the research and preparation of the presentation. Each group may choose up to four of its members to make the presentation. Members of the team will informally assess contributions. It will be noted if a student fails to make adequate contribution to the presentation.

Each team will have up to 12 minutes to present the legal and ethical issues arising in the newspaper report, and five minutes to answer questions from the audience. PowerPoint presentations and inventive use of visual aids are encouraged. Feedback is provided to the group.

Marks are awarded for

Presentation skills

  • Clarity of presentation
  • Use of visual aids
  • Keeping to time

Analysis of legal and ethical issues arising

  • Identification of the issues
  • Accuracy of argument
  • Evidence of research
  • Well-structured and coherent answers

Coursework 40%

Case study 2,500 words

There are two components to the assessed coursework: essay and research review

Essay: Preparation of an essay analysing the ethical and legal issues relevant to a healthcare topic or topics of the student's choice, taken from a newspaper article. The essay must focus on the significant ethical and legal issues raised by the newspaper article (not the general issues arising from the article). A copy or photocopy of the original article must be appended to the answer â€' this does not count towards the word limit.

Research review: list three cases/articles (at least one of each) used in the research, with a brief note of the search techniques used and a resumé (maximum three lines) of their relevance to the essay.

End of year examination 60%

Two hours

Answer two out of five essay- and problem-based questions

Permitted materials: notes on two sides of A4

Mapping of Learning Outcomes to Assessment Strategy (Indicative)

Learning Outcome Assessment Strategy
1) Demonstrate an understanding and appreciation of the topics covered in the lectures and their application to current medico-legal debate Formative, summative: coursework â€' marks awarded for consideration of ethical and legal issues arising in the newspaper article Examination â€' marks awarded for demonstration of an understanding of the principles of medical law and a detailed understanding of particular topics covered in this module. Marks awarded for coherent reference to topical medico-legal debate
2) Demonstrate knowledge and understanding of relevant case law and and legislation Formative, summative: completion of coursework requires demonstration of knowledge of key legislation, eg Mental Capacity Act 2005. It will assess the student's ability to identify and analyse and discuss relevant legal and ethical principles arising in the newspaper article. Examination requires demonstration of relevance of case law and legislation for particular topics. Marks awarded for demonstration of knowledge and understanding of relevant law
3) Research medical law topics using a variety of sources Formative, summative: preparation of the coursework and answers to exam questions. Marks awarded for evidence of research beyond secondary sources
4) Prepare well-structured and coherent answers to essay and problem questions Summative: marks awarded for clarity of expression, well-structured and coherent answers in coursework and in answer to examination questions

Elements of Assessment

Description of Assessment Definitive UNISTATS Categories Percentage
Written exam Written exam 60%
Coursework Coursework 40%
Total (to equal 100%) 100%

Achieving a pass

It IS NOT a requirement that any major assessment category is passed separately in order to achieve an overall pass for the module.

Bibliography core texts

J Herring, Medical Law and Ethics (Oxford University Press)

Bibliography recommended reading

C Johnston and P Bradbury, 100 Cases in Clinical Ethics and Law (Hodder Arnold)

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