Top Banner
1. Legal and Ethical Issues in Human Genetics 2. Confidentiality Tufts OpenCourseWare © 2007 Tufts University Legal and Ethical Issues in Genetics OCW: Genetics (L. Demmer) Page - 1
24

1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

Mar 30, 2018

Download

Documents

hadiep
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

1. Legal and Ethical Issues in Human Genetics

2. Confidentiality

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 1

Page 2: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

3. Malpractice Law

4. Genetic Discrimination

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 2

Page 3: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

5. Genetic Discrimination

6. Regulation of Human Genome Research

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 3

Page 4: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

7. Gene Patents

8. Ethical Challenges in Genetic Testing

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 4

Page 5: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

9. Views on Genetic Testing

10. Autonomy

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 5

Page 6: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

11. Beneficence / Nonmaleficence

12. Legal Responsibilities of Health Care Providers

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 6

Page 7: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

13. Case 3: Familial Adenomatous Polyposis

14. Familial Adenomatous Polyposis

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 7

Page 8: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

15. Genetic testing for FAP

16. Case 3: Familial Adenomatous Polyposis

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 8

Page 9: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

17. Ethical Principles of Concern:

18. Duty to Warn Third Parties Safer v. Pack (1996)

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 9

Page 10: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

19. Duty to Warn Third PartiesSafer v. Pack (1996)

20. Duty to warn third parties, cont.

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 10

Page 11: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

21. Duty to warn third parties, cont.

22. Duty to warn third parties, cont.

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 11

Page 12: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

23. Ethical Issues to Consider:

24. Genetic Testing in Minors

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 12

Page 13: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

25. Genetic Testing in Minors

26. Friedreich Ataxia Case 1

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 13

Page 14: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

27. Freidreich Ataxia Case

28. Issues to consider:

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 14

Page 15: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

29. Case: Hemophilia in the family?

30. Case: Hemophilia in the family?

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 15

Page 16: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

31. Ethical Principles to Consider:

32. Case 1: CF Newborn Screening

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 16

Page 17: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

33. Case 1: CF Newborn Screen

34. Case 1: CF Newborn Screening

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 17

Page 18: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

35. Possible Explanations for Discrepancy:

36. How to proceed…

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 18

Page 19: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

37. Ethical Principles of Concern:

38. Case: Known but unknowing patients with Factor V LeidenDefic...

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 19

Page 20: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

39. Case: Known but unknowing patients with Factor V LeidenDefic...

40. Ethical Principles to consider:

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 20

Page 21: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

41. Case 2: 14 year old female with lack of pubertal development...

42. Past Medical History

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 21

Page 22: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

43. Physical Exam

44. Physical Exam, cont.

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 22

Page 23: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

45. Work-up:

46. Follow-up

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 23

Page 24: 1. Legal and Ethical Issues in Human Geneticsocw.tufts.edu/data/20/303946.pdf · Legal and Ethical Issues in Human Genetics 2. Confidentiality ... Legal and Ethical Issues in Genetics

47. Ethical Principles of Concern:

Tufts OpenCourseWare © 2007 Tufts University

Legal and Ethical Issues in Genetics

OCW: Genetics (L. Demmer) Page - 24