Knowledge of medical terminology and health care problems
In this article I want To elaborate briefly on the knowledge requirements listed in the previous article, it is
important to note that these requirements are essentially summary statements.
Consider, for example, knowledge requirement number 6 (K6). It is a succinct
reference to the subject areas in medicine that a health care ethics consultant
should be familiar with. A somewhat expanded version of this requirement would
include the following:
1. Knowledge of medical
terminology: An effective health care ethics consultant should understand a
wide range of medical terms from such basic terms as diagnosis, prognosis,
benign, malignant, fetus or embryo, to more complex terms, such as multiorgan
or multisystem failure, coma, brain-stem function, persistent vegetative state,
and brain death. However, the health care ethics consultant would not be
expected to have knowledge of less common, more esoteric terms, such as
panhypopituitarism or holoprosencephaly, if s/he had never been involved in a
case where these diagnoses were relevant.
2. Common health
care problems: An effective health care ethics consultant should appreciate the
clinical dimensions of common diseases, for example, the etiology, medical work-up,
diagnosis, course of illness, prognosis, and available interventions for lung
cancer. By contrast, the ethics consultant need not be as familiar with Jakob-Creutzfeldt
disease; s/he need only know how to find and select relevant information when
this is missing.
3. Emerging health care problems:
Although the health care ethics consultant could not be expected to be aware of
recent developments in every branch of medicine, s/he should become familiar
with health care issues as soon as they are recognized to have potentially
significant implications-either because of the extent of their impact, or
because of potential social and political ramifications (e.g., Resource
Allocation, Acquired Immunodeficiency Syndrome [AIDS], and Assisted
Reproductive Technologies).
Second, although not listed strictly
in order of importance, the knowledge requirements fall into two distinct broad
categories. First, "extensive knowledge" of facilitation techniques,
self, fundamental concepts in health care, ethics, and health care ethics is
required-these areas of knowledge being at the core of health care ethics
consultation. For the rest, only practical "working" knowledge-actual
or potential-is needed. Potential working knowledge presumes the ability to
become knowledgeable "enough" for the task at hand. In any case, the
value of the knowledge (whether extensive knowledge or working knowledge) lies
in the ethics consultant's ability to use the knowledge.
Categories:
health care ethics consultant,
Knowledge Requirements
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