A5052030357- Ethics in medical practice
- Palliative Care and End-of-Life Issues
- HIV, Drug Use, Sexual Risk
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Crime, Illicit Activities, and Governance
- Migration, Health and Trauma
- Opioid Use Disorder Treatment
- Online and Blended Learning
- Conflict of Laws and Jurisdiction
- Legal Education and Practice Innovations
- Medical Malpractice and Liability Issues
- Patient Dignity and Privacy
- Higher Education Practises and Engagement
- Interprofessional Education and Collaboration
- Mental Health and Patient Involvement
- Innovations in Medical Education
- Healthcare cost, quality, practices
- Pharmaceutical studies and practices
- Cardiac Arrest and Resuscitation
- Community Health and Development
- Health disparities and outcomes
- Therapeutic Uses of Natural Elements
- Health Systems, Economic Evaluations, Quality of Life
Toronto Public Health
2025
University of the West of Scotland
2009-2023
University of Denver
2023
University of Aberdeen
2020
Queens University
2019
Faculty of Media
2009-2019
Queen's University
2015-2019
Novartis (United Kingdom)
2006-2009
The University of Sydney
2004-2008
University of Newcastle Australia
1999-2007
Off-label prescribing is the prescription of a registered medicine for use that not included in product information. The practice common, with rates up to 40% adults and 90% paediatric patients. illegal may sometimes be clinically appropriate, but associated number clinical, safety ethical issues. To date, no explicit guidance has been available help clinicians assess appropriateness off-label prescribing. We describe development guide clinicians, policymakers funders health care evaluating...
Objectives Paramedic services face increasing challenges due to delays in patient transfer of care (TOC) at emergency departments (EDs). Prolonged TOC times directly impact paramedic services' ability provide response, though the and clinical factors contributing these remain unclear. We examined for all transports ED analyzed associated with prolonged TOC.
Teaching ethics incorporates teaching of knowledge as well skills and attitudes. Each these requires different assessment methods. A core curriculum must address both the foundations specific ethical topics. Ethical focuses on development awareness, moral reasoning, communication collaborative action skills. Attitudes that are important for medical students to develop include honesty, integrity trustworthiness, empathy compassion, respect, responsibility, critical self-appraisal commitment...
Purpose The purpose of this paper is to discuss performance in postgraduate education Sweden and Scotland. Drawing on two cases, the considers three themes: differences students’ by study mode, length study, finally comparing mode between modules Scotland with an entire programme Sweden. Design/methodology/approach empirical setting from builds evaluation online on‐campus groups exactly same module syllabus. Swedish also based distance data compiled both countries arise student scores...
To determine attitudes among surgeons in Australia to assisted death, and the proportion of who have intentionally hastened death with or without an explicit request.Anonymous, cross-sectional, mail-out survey between August November 1999683 out 992 eligible general (68.9% response rate).Proportion respondents answering affirmatively questions about administering excessive doses medication intention hasten death.247 (36.2%; 95% CI, 32.6%-39.9%) reported that, for purpose relieving a...
To provide optimal care for our ageing population, some form of advance planning (ACP) is essential. Overseas data suggest that the process ACP and use directives (ACD) suboptimal in residential institutions. By comparison there are few Australian data.To study prevalence ACD care.Cross-sectional using a questionnaire Hunter area, NSW, Australia.Very low levels formal were found (available only 0.2%). Only 1.1% residents had 'no-CPR' orders documented medical record, while 5.6% guardian 2.8%...
Abstract This paper uses a case example to review the current legal status of advance directives, as well their ethical rationale. We draw attention ongoing efforts institutionalize and some tractable intractable reasons why directives are ineffective. then introduce concept care planning, argue that we should not assume have place in this process. conclude by offering three assumption may operate, suggesting contingency uncertainty sometimes overwhelm all rational approaches medical care....
It is well recognised that medicine manifests social and cultural values the institution of healthcare cannot be structurally disengaged from sociopolitical processes create such values. As with many other indigenous peoples, Aboriginal Australians have a lower heath status than rest community frequently experience effects prejudice racism in aspects their lives. In this paper authors highlight ethical convictions may held by peoples order to explore how health practitioners can engage...
Abstract Direct‐to‐consumer advertising of prescription medicines (DTCA‐PM) is currently banned in Australia. DTCA‐PM thought to increase health‐care costs by increasing demand for drugs that are both expensive and potentially harmful. However, occurring Australia despite the current prohibition. We argue successful regulation practice has been undermined as a result changes brought about ongoing communications revolution, centrality patient choice medical decision‐making impossibility...
Patients may participate in teaching many ways, different settings and with degrees of expert supervision. The majority patients are generally very willing to teaching. At times, however, decline see students because they too sick, wish maintain their privacy, prefer have more care, or simply no involvement students. This raises the question as whether any obligation education.A number arguments advanced justify claim that an student These include: should training for benefit others if from...
Aim To investigate knowledge about and attitudes to cardiopulmonary resuscitation (CPR), determine whether written information CPR alters choices made. Design Questionnaire-based survey before immediately after provision of describing its risks benefits. Subjects setting All health professionals (803) competent inpatients (260) in a tertiary care hospital (John Hunter Hospital, Newcastle, New South Wales, Australia) June 1994. Main outcome measures scores choice (number hypothetical clinical...
In Australia there has been only limited experience with ethics consultation, and are no reports of practical details. 1999, the Institutional Clinical Ethics Committee at John Hunter Hospital, Newcastle, initiated an Acute Service (ACES) to formalise a perceived need within hospital for consultation. This had previously met by ad-hoc councils "wise men". The ACES approach uses team people different perspectives provide consultation in timely manner. Our initial shown that formal process may...
Abstract A majority of patients with cancer have been reported to endorse euthanasia and physician assisted suicide (PAS) in general a substantial proportion these for themselves. However, the potential influence mental health other clinical variables on decisions is not well understood. This study 228 outpatients attending an oncology clinic Newcastle, Australia used cross‐sectional design logistic regression modelling examine relationship demographic, disease status, quality life attitudes...
Purpose – The purpose of this paper is to explore how injecting opiate users on a methadone treatment programme experience stigma as drug addicts, and service in health care pharmacy settings. In particular the explores rationale for drugs, which argued create conditions experiencing shame at micro interactional level, influenced by macro institutional factors. links issue being an user question whether definition recovery “drug free” Scottish policy document Road Recovery (2008) creates...
* "Culture" can be understood as the way in which people make sense of world by deploying shared meanings, attitudes, assumptions and values. Doctors will frequently encounter patients whose lives are guided ethical systems values that different from their own. Individuals may differ beliefs about decision-making, regardless cultural background. should willing to examine test own moral open alternative traditions beliefs. Engaging with other cultures does not imply all norms accepted...
Purpose The purpose of this paper is to examine the reasons and risk factors that explain threefold increase in drug-related deaths from 267 1996 934 2017 Scotland. authors explore known links between deprivation problem drug use (PDU) discuss impact policy service provision on PDU deaths. Design/methodology/approach Using quantitative data sets National Records Scotland (NRS) for registered Scottish Index Multiple Deprivation (SIMD), we produce statistical mortality rates relating areas...