MEDICAL TECHNOLOGY LAWS AND BIOETHICS

Universidad de Zamboanga

SCHOOL OF ALLIED MEDICINE

Medical Technology Department

Posted by Eduardo Danda II, RMT

Course Title

Medical Technology Laws and Bioethics

Course Description:

This course deals with various laws related to the Medical Technology/Medical Laboratory Science profession in the Philippines with emphasis on the Philippine Medical Technology Act of 1969 (RA 5527) and its amendments. It also includes the study of Code of Ethics of Medical Technologists and bioethics. Bioethics focuses on the basic ethical principles, major bioethical principles and its application to health and human life.

Course Credit: 3 units lecture

Contact Hours: 3 hours lecture per week (54 hours per semester)

Prerequisite: Introduction to Medical Technology with STS

Placement: Third Year, 1st Semester

Terminal Competencies: At the end of this course, the student is able to:

1. recognize the rights and privileges, duties and responsibilities of medical

technologists/medical laboratory scientists in the practice of the profession.

2. cite the different laws, presidential decrees, administrative orders, issuances associated

with the practice of the medical technology profession

3. explain the ethical principles relating to health and human life.

4. clarify issues related to ethics, bioethics, health ethics and professional ethics.

5. internalize the necessary virtues as health care professionals.

References for Medical Technology Laws:

1. Fallorin, Conrado C. The Philippine Medical Technology Profession 3 rd ed. 2003.

2. Moraleta, Nardito D. The Medical Technology Profession and the Philippine Laws on Medical Technology. 2004.

3. Rabor, Rodolfo R. Medical Technology Laws and Ethics: A Collection of Philippine Laws, Statutes, and Code of Ethics of Medical Technologists. 2008.

4. Republic Acts, Administrative Orders, Presidential Decrees and Executive Orders and other Issuances (DOH, CHED, PRC, etc.)

References for Bioethics:

1. Alora-Tan, Angeles. Bioethics, 2 nd ed. Philippines: UST Printing Press, 2006.

2. Ciabal, Laura Evelyn P. Health Ethics: A Guide for the Health Professionals . Quezon City: C & E Publishing, Inc., 2003.

3. Edge, Raymund, S. Groves and J. Randall. Ethics of Health Care: A Guide for Clinical Practice 3^rd ed. Australia: Thomson Delmar Learning, 2006.

4. Panicola, Michael et. Al. Introduction to Health Care Ethics: Theological Foundations, Contemporary Issues and Controversial Cases. USA: St. Mary Press, 2007.

5. Pence, G. E. Classic Cases in Medical Ethics: Accounts that have shaped medical ethics, with philosophical, legal and historical backgrounds 4 th ed. USA: McGraw Hill, 2004.

Electronic References:

1. http://www.doh.gov.ph/

2. http://www.nhmrc.gov.au/ethics/human/index.htm

3. http://www.pamet.org

4. http://www.prc.gov.ph/portal.asp?pid=57

5. http://www.ualberta.ca/BIOETHICS/page2.html

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PART I

Premid Examination -----------------------------------------------------------------------------------

Laws Pertaining to Medical Technology Profession

I. RA 5527 – The Philippine Medical Technology Act of 1969 Quiz 1

1. RA 6138

2. PD 498

3. PD 1534

II. RA 4688 – The Clinical Laboratory Law of 1966 Quiz 2

1. Introduction to Clinical Laboratory

2. Provisions of RA 4688

3. Implementing Guidelines of RA 4688

III. Professional Regulation Commission (PRC) Quiz 3

1. RA 8981: PRC Modernization Act of 2000

2. PRC Issuances relevant to Medical Technology Practice

IV. RA 7719: The National Blood Service Act of 1994 Quiz 4

1. Provisions of RA 1517 and RA 7719

2. Implementing Guidelines of RA 7719

3. RA 1517 (Blood Banking Law)

V. Latest update on the Medtech Profession

Midterm Examination-------------------------------------------------------------------------------------

VI. RA 8504: HIV Law Quiz 5

1. Background of HIV/AIDS

2. Overview of HIV/AIDS in the Philippines

3. Policies prescribed on:

3.1. Health Awareness

3.2. Test and screening

3.3. Violations and Penalties

4. PNAC: Philippine National AIDS Council

5. A.O. 55 Series of 1989: Rules and Regulations governing the Accreditation

of Laboratories Performing H.I.V. testing.

VII. RA 7722: Higher Education Act of 1994 Quiz 6

1. Policies, Standards and Guidelines for Medical Technology/Medical

Laboratory Science Education (CMO 14 S. 2006)

2. Implementing Guidelines of RA 7722

3. Latest updates of Medical Technology Education

VIII. Regulations governing Medical Technology/Medical Laboratory Science Quiz 7

Internship Training Laboratories

1. AO and other Issuances related to Medical Technology Internship Training

2. Latest updates on the Medtech internship

IX. Other Laws Related to the Medical Technology Practice Quiz 8

1. AO and other issuances related to Water Testing Laboratories

2. Newborn Screening Act

3. Organ Donation Act

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X. Code of Ethics Quiz 9

1. PAMET Version of the Code of Ethics (1997 Revision)

2. IAMLT Version of the Code of Ethics

3. PAMET Hymn

4. Medical Technologist Prayer

Part II

Pre-Final Examination---------------------------------------------------------------------------------

Bioethics

I. Overview of Bioethics Quiz 10

1. Introduction to Bioethics

1.1. Definition of Health

1.2. Definition of Disease/Illness

2. Ethical principle

2.1. Ontological

2.2. Physiological

3. Ethics

3.1. Etymology

3.2. Ethos of Man

3.3. Meaning/Definition

3.3.1. Human Acts

3.3.2. Morality

3.4. Ethics as a Practical Science

3.5. Bioethics, Health Ethics, Professional Ethics

II. The Human Person Quiz 11

1. The Notion of a Person:

1.1. Needs and Values of Human Persons

1.1.1. Biological

1.1.2. Psychological

1.1.3. Social

1.1.4. Spiritual

2. The Human Act: Its Characteristics

2.1. Knowledge

2.2. Freedom

2.3. Willfulness

3. Conscience Quiz 12

3.1. Definition of Conscience

3.2. Conscience as a “Practical Judgment”

3.3. Kinds of Conscience

3.3.1. Correct or True

3.3.2. Erroneous or False

3.3.2.1. Culpable

3.3.2.2. Inculpable

3.3.3. Certain

3.3.4. Doubtful

3.3.5. Scrupulous

3.3.6. Lax

III. The Calling of Health Care Provider Quiz 13

1. The Health Care Profession

1.1. Merton’s Values of a Profession

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1.2. Merton’s knowing, doing and helping principles

1.3. Differences between profession and occupation

1.4. Characteristics of trust

1.5. Relationship of health care provider and patient

2. Duties and Rights of a patient

3. Personalizing the Health Care Profession: Factors needed in ethical decisions

4. Psychoanalytical Model

5. Duties and Rights of a health care provider

5.1. Characteristics of a good health care provider

5.2. Commitment of a health care provider

Final -----------------------------------------------------------------------------------------------------------

IV. Basic Ethical Principles Quiz 14

1. Stewardship

2. Totality

2.1. Application in Health Care

2.2. Relationship of totality to wholeness

3. Principle of Double Effect

4. Principle of Cooperation

4.1. Formal /Informal

4.2. Immediate / Mediate

V. Major Bioethical Principles Quiz 15

1. Respect for Person

1.1. Respect as a Value

1.2. Principle of Free and informed consent

1.3. Principle of Autonomy

2. Importance of Free and Informed Consent

2.1. Patient’s right to information

2.2. Proxy consent

3. Principles of Justice

3.1. Neighborly relations

3.2. Types of Justice

4. Beneficence: Its application to health care

5. Inviolability of Life: Quiz 16

5.1. Crimes against human life

5.1.1. Suicide

5.1.2. Mutilation

5.1.3. Sterilization

5.1.4. Euthanasia

5.1.5. Drug Addiction

5.1.6. Alcoholism

5.1.7. Abortion

6. Non-Maleficence

VI. Applied Health Ethics Quiz 17

1. Informed Consent

1.1. Functions

1.2. Elements

2. Beginning of Life

2.1. Principal value of Human Sexuality

2.2. Rights of a person to sex and Project inherent of a health care provider

2.3. Maternal and Fetal conflicts

2.4. Double Effect principle to maternal and fetal conflicts

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2.5. Artificial Insemination and In Vitro Fertilization

3. End of Life

3.1. Needs of a dying person

3.2. Role of Health Care provider in caring for the dying person

3.3. Suffering

3.4. Role of suffering in man

3.5. Role of the healthcare provider in a suffering patient

4. Death Quiz 18

4.1. Karl Rahner’s view on death

4.2. Dying with Christ

5. Health Professional Relationships with other Health care Professionals

5.1. Mutual Responsibility

5.2. Mutual Support

5.3. Mutual Respect

VII. Analysis of Bioethical Issues Quiz 19

1. Introduction

2. Ethical Method

3. Deontological Methods

3.1. Legalism

3.2. Deontologism

3.3. Legal Positivism

3.4. Teleological Methods

3.4.1. Utilitarianism

3.4.2. Proportionalism

3.4.3. Emotivism

4. Prudential Personalism

IX. Virtues of Healthcare Providers Quiz 20

1. Definition of virtues/Role of Virtues in Health Care

1.1. Fidelity

1.2. Honesty

1.3. Integrity

1.4. Humility

1.5. Respect

1.6. Compassion

1.7. Prudence

1.8. Courage

1.9. Truth

1.10. Love

1.11. Faith

1.12. Hard work

1.13. Social Justice

2. Vices

2.1. Authority and Power

2.2. Pride

2..3. Greed

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GUIDELINES FOR MTLE CLASS FOR SY. 2009-2010

a. Sources of grade

a. Written Major Examination --------------------------------- 60%

b. Quizzes--------------------------------------------------------- 40%

a. Written or essay

b. Individual class discussion

c. Group Discussion

d. Case study