CLINICAL ETHICS ROTATION
All students must complete a 3-credit-hour core Clinical Ethics
Rotation. Students are exposed to clinical cases as they arise,
to hospital ethics committees and ethics consultation programs,
to institutional review boards (IRB), and to hospital policies
covering "do not resuscitate" orders (DNR), advance
directives, withdrawal of artificial feeding, organ procurement
and transplantation, and medical futility. They will become
familiar with the clinical, psychological, social, professional
and institutional context in which ethical problems arise.
While there will be some didactic and seminar sessions, students
will spend most of their time observing rounds in relevant services
(e.g., intensive care units, pediatrics, geriatrics, etc.) with
leading clinicians. Schedules will need to be somewhat individualized
to meet student needs, allowing for a minimum of eight (8) hours
of clinical experience per week during two 10-week rotations.
The current locations for this course are MetroHealth Medical
Center, University Hospitals of Cleveland, and the Cleveland
Clinic Foundation. Students complete rotations at all sites
and also spend thirty percent of each rotation at the Hospice
for the Western Reserve. A preceptor will be available and responsible
for each hospital.
Students are required to:
spend eight (8) hours a week in clinical settings;
maintain a clinical "log"of experiences on rotation;
attend five didactic seminars on: competency and informed consent;
DNR and treatment limitation; advance directives and the PSDA;
ethics committees/consultation; and management, politics and
finance
attend City-wide Ethics Case Discussions
attend ethics committee and IRB meetings at the hospital sponsoring
their rotation.
Participating Clinical Areas of the MetroHealth System are:
Arrhythmia Service
Burn Intensive Care Unit
Consultation Liasion Psychiatry
MHMC Ethics Committee
Emergency Medicine
General Medicine
Genetics
Institutional Review Board
Legal Services
Medical Intensive Care Unit
Neonatal Intensive Care Unit
Pastoral Care
Pediatric Rounds
Pediatric Intensive Care Unit
Surgical Intensive Care Unit
Social Work
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