UT Southwestern Events Calendar

Ethics Grand Rounds: "The "Difficult" Patient Reconceived: An Expanded Moral Mandate for Clinical Ethics"

The "Difficult" Patient Reconceived: An Expanded Moral Mandate for Clinical Ethics

Speaker: Autumn M. Fiester, Ph.D., Assistant Professor of Medical Ethics at Health Policy at Perelman School of Medicine, University of Pennsylvania

Abstract: Between 15%-60% of patients are considered “difficult” by their treating physicians. Patient psychiatric pathology is the conventional explanation for why patients are deemed “difficult.” But the prevalence of the problem suggests the possibility of a less pathological cause. I argue that the phenomenon can be better explained as responses to problematic interactions related to healthcare delivery. If there are grounds to reconceive the “difficult” patient as reacting to the perception of ill treatment, then there is an ethical obligation to address this perception of harm. Resolution of such conflicts currently lies with the provider and patient. But the ethical stakes place these conflicts into the province of the ethics consult service. As the resource for addressing ethical dilemmas, there is a moral mandate to offer assistance in the resolution of these ethically charged conflicts that is no less pressing than the more familiar terrain of clinical ethics consultation.

Tuesday, December 10, 2019 at 12:00pm to 1:00pm

Eugene McDermott Plaza and Lecture Halls (D), D1.602
5323 Harry Hines Blvd, DALLAS, TX 75390

Event Type

Grand RoundsCME Credit Course


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