More than ever before, clinicians are confronted with complex ethical issues in their medical practice. These include disagreements between patients, relatives, and healthcare staff over treatment decisions, difficulties in obtaining informed consent, and issues of medical error, truth-telling and patient confidentiality. Recognising the growing importance of ethical awareness in medicine, the recent Ethics in Practice report of the Royal College of Physicians (2005) concluded that key medical personnel should be suitably trained in clinical ethics. Increasingly, formal examinations in medicine assess applicants on aspects of clinical ethics. The new Applied Clinical Ethics (ACE) course is aimed at practising clinicians and members of CECs, focusing entirely on clinical ethics and practical decision-making. Several of the speakers are both clinicians and ethicists. The convenient arrangement of modules, each falling on a Saturday at monthly intervals, will enable practising clinicians to apply their knowledge in between sessions and attend the course without taking time off work. See the Course Website for further details.
The integration of Work Coaches (WCs) & Disability Employment Advisors (DEAs) into UK General Practice (GP) provides an innovative approach to bridging the gap between health & employment services. We now reflect on the findings of our recent study led by Shriti Patani, Lara Shemtob & Kabir Varghese in collaboration with colleagues from the Department of Primary Care and Public Health at Imperial College London. The study explored the benefits & challenges of integrating emplyment support services in primary care from the perspectives of GPs & work coaches. What’s the context? Employment is a critical social determinant of health, with unemployment linked to poorer physical & mental wellbeing & reduced quality of life. Traditionally, individuals seeking employment support access services through Jobcentres. However, barriers including stigma or lack of awareness - especially in people with disabilities or long-term health conditions -...
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