Financial: Ron Scott receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Ron Scott has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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1. Orientation to the Course
This initial session orients readers to the course and to what might appear to be esoteric (but critically-important to practice success) subject matter – ethicolegal rights and duties. A 5-question pretest precedes presentation of substantive materials.
2. Foundations of Professional Ethics and Ethicolegal Duties
This section focuses on the modern-day blending of health law and professional ethics, as reflected by the mutual obligations imposed by professional association codes of ethics and state practice acts. Discussion of fiduciary duty and patient access to care services are also included.
3. Patient Autonomy
The section begins with a review of the four fundamental biomedical ethical principles guiding pediatric physical therapy practice: respect for patient autonomy over care-related decision-making, beneficence, nonmaleficence and justice. Discussion naturally flows into exploration of patient informed consent, and the special informed consent issues affecting minor patients. The discussion concludes with the issue of conflicts of interest, and how ethically to avoid them.
4. Code of Ethics and Core Values
This section overviews the APTA Code of Ethics and analyzes how closely the ethical obligations of member-physical therapists are matched by those governing member-physical therapist assistants. The section concludes with discussion of core values – collective and individual.
5. Education Law and Ethics
This section overviews IDEA (the Individuals with Disabilities in Education Act), the roles of physical, occupational and speech therapists in serving disabled students and their families, and current case law pronouncements. A case exemplar is presented, along with discussion of academic discipline of staff in education settings.
6. Malpractice and Adverse Actions for Patient Injuries and Ethics Violations
This section overviews health care malpractice, venues for processing adverse legal and ethics actions, and special duties owed to 3rd parties incident to patient intervention. Discussion of reporting statutes – for child abuse and neglect and other indicators – ensues.
7. Contractual Restrictive Employment Covenants: Ethicolegal Issues for Pediatric Physical Therapists
This section overviews restrictive contractual covenants that pediatric physical therapists may encounter. Covenants not to compete are explored in detail, along with a case exemplar. Recommendations for inclusion of a no-covenant-not-to-compete ethics provision for APTA’s Code of Ethics are presented.
8. HIPAA and Children and End-of-Session Case
This section discusses the special privacy and information disclosure duties incumbent upon pediatric physical therapists treating children. A summary end-of-session case exemplar is presented, followed by concluding comments.
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