Professional autonomy — CPD Bites of ethics in pharmacy Ep. 1

00:08:17
https://www.youtube.com/watch?v=zsO9fr7EPdw

Resumen

TLDRThe video illustrates a scenario where pharmacist Sarah faces pressure from her manager Gonzalo to sell complementary products with prescriptions. This situation raises ethical concerns regarding professional autonomy, patient welfare, and the role of business in healthcare. Sarah must choose whether to comply with the management's demands, which compromises patient care, or assert her professional values and risk losing her job. Ultimately, Sarah decides to reject the unethical sales practice, emphasizing trust, integrity, and the importance of patient autonomy in pharmacy practice.

Para llevar

  • 👩‍⚕️ Sarah represents the ethical struggles of pharmacists.
  • 🏢 Management pressures can conflict with professional values.
  • 💼 Professional autonomy is crucial for healthcare professionals.
  • 💔 Patient care should not be compromised for sales.
  • 🤝 Trust between pharmacists and patients is essential.
  • ⚖️ Ethical dilemmas require careful decision making.
  • 📉 Poor business practices can harm patient relationships.
  • 📝 Effective communication with management is vital.
  • 🌟 Upholding integrity enhances profession reputation.

Cronología

  • 00:00:00 - 00:08:17

    The session discusses professional autonomy in pharmacy, highlighting Sarah, a pharmacist under pressure to upsell complementary products. Gonzalo, her manager, expects her to meet sales targets, creating tension between ethical obligations and workplace demands. Sarah is warned to adhere to company policies to retain her job, raising concerns about the appropriateness and safety of forcing additional product sales with prescriptions. The scenario outlines ethical issues, particularly in professional autonomy and business ethics, stressing the importance of patient-centered care. Trust in the pharmacy profession is emphasized, with options for Sarah to either comply and risk public backlash or stand for her beliefs, potentially risking her job. Ultimately, Sarah chooses to assert her professional autonomy while clearly justifying her decision against unethical practices, reflecting the conflict between corporate expectations and ethical responsibilities in healthcare.

Mapa mental

Vídeo de preguntas y respuestas

  • What is the main ethical issue presented in the scenario?

    The main ethical issue is professional autonomy and the pressure to compromise patient care for sales.

  • Who are the main characters in the video?

    The main characters are Sarah, the pharmacist, and Gonzalo, the manager.

  • What does Sarah decide to do about management's request?

    Sarah decides to refuse the request to offer complimentary products with each prescription due to ethical concerns.

  • What are the implications of Sarah's decision?

    If Sarah complies, there could be patient outrage; if she refuses, she may risk losing her job but upholds her professional integrity.

  • What does patient-centered care emphasize?

    Patient-centered care emphasizes prioritizing patient safety and dignity over sales.

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Subtítulos
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Desplazamiento automático:
  • 00:00:00
    [Music]
  • 00:00:00
    foreign
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    thank you for joining us today
  • 00:00:24
    session will provide some insight into
  • 00:00:29
    aspects of professional autonomy and
  • 00:00:31
    pharmacy
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    let me introduce you to Sarah
  • 00:00:35
    is a young pharmacist in charge working
  • 00:00:39
    in a large Pharmacy franchise to a
  • 00:00:41
    famous company
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    Sarah is requested to offer a
  • 00:00:46
    complimentary product with every
  • 00:00:49
    prescription she dispenses
  • 00:00:52
    prompted by the company's software
  • 00:00:54
    installed within this dispensing system
  • 00:00:59
    and this is Gonzalo the manager who
  • 00:01:03
    expects her to meet a certain number of
  • 00:01:06
    sales each day
  • 00:01:08
    so hey Sarah hi Gonzalo
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    a lady just left the pharmacy with an
  • 00:01:14
    antibiotic but no probiotic and I have
  • 00:01:18
    also just had a look at your last week
  • 00:01:21
    sales and you haven't reached your
  • 00:01:23
    minimum sales Target of complementary
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    products oh okay
  • 00:01:28
    please pay attention to upper management
  • 00:01:30
    policies so you don't lose your job we
  • 00:01:33
    do like you on board but you know
  • 00:01:36
    business is business
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    I was an aware of management policy is
  • 00:01:41
    also strict it's not always appropriate
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    or even safe to recommend a
  • 00:01:45
    complementary product with each
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    prescribed medicine
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    well you have been warned we do need to
  • 00:01:52
    be a viable business and there's no harm
  • 00:01:54
    in making our businesses strong
  • 00:01:57
    [Music]
  • 00:02:06
    so the facts of the matter here are that
  • 00:02:10
    Sarah the pharmacist in child is being
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    pressured by upper management to make
  • 00:02:14
    inappropriate sales
  • 00:02:16
    of complementary medicines this poses a
  • 00:02:20
    problem of whether to follow the rules
  • 00:02:22
    of management which may or may not be
  • 00:02:24
    appropriate
  • 00:02:25
    or risk losing her job or refusing to
  • 00:02:28
    follow those rules
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    the ethical issues identified here
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    are more than one so
  • 00:02:37
    most important
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    ethical issue is
  • 00:02:42
    professional autonomy
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    a pharmacist is responsible for the
  • 00:02:47
    professional decisions and contributions
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    he or she makes in professional practice
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    and a pharmacist or manager or franchise
  • 00:02:56
    must not override the professional
  • 00:02:58
    autonomy of other pharmacists in his or
  • 00:03:02
    her employee
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    unless consumer safety may be
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    compromised
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    the second ethical parameter is business
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    ethics
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    though it is not wrong to expect to make
  • 00:03:15
    a living in other words a profit of some
  • 00:03:19
    sort from the proceeds of your business
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    this is called a duality of Interest
  • 00:03:25
    and it supports the viability of your
  • 00:03:28
    existence as a healthcare business
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    it is also applicable to medicine and
  • 00:03:35
    other health services
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    they all have a business aspect to their
  • 00:03:40
    profession
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    it is wrong however to make that profit
  • 00:03:45
    at the expense of the vulnerability or
  • 00:03:47
    disadvantage of the patient or the
  • 00:03:50
    client or the consumer in healthcare
  • 00:03:54
    patient-centered care is at the core of
  • 00:03:57
    professional values and ethics
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    so it is not wrong to stop and provide
  • 00:04:03
    complementary medicines with safety as
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    our highest priority but it is wrong to
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    impose an unnecessary product on a
  • 00:04:12
    patient with a marketing tactic that
  • 00:04:15
    takes advantage of patient vulnerability
  • 00:04:18
    and their trust in our profession
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    the values of this and that are involved
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    in this scenario are mainly about
  • 00:04:30
    Trust and trust is a value that we
  • 00:04:33
    should honor and maintain by behaving
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    with Integrity not by taking advantage
  • 00:04:38
    of patients vulnerability
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    public trust and confidence in the
  • 00:04:43
    profession of Pharmacy may be undermined
  • 00:04:48
    what options and implications do we have
  • 00:04:50
    here does Sarah have
  • 00:04:53
    Sarah
  • 00:04:54
    can take option one which is to do what
  • 00:04:57
    she's told to do and as an implication
  • 00:05:00
    there could be patient and public
  • 00:05:04
    outrage
  • 00:05:05
    especially in this day of social media
  • 00:05:09
    an option two
  • 00:05:11
    Sarah takes a stand
  • 00:05:13
    now the implication of taking a stand
  • 00:05:16
    could be a good one like she would be
  • 00:05:18
    upholding the reputation of the
  • 00:05:20
    profession no doubt about that
  • 00:05:23
    but she might lose her job if she
  • 00:05:25
    herself doesn't walk away before she
  • 00:05:28
    loses her job so there might be tough
  • 00:05:31
    implications to option number two
  • 00:05:34
    so Sarah will choose an option and
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    justify clearly why she chose that
  • 00:05:40
    option
  • 00:05:42
    remember
  • 00:05:43
    the most important step in decision
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    making is the justification of the
  • 00:05:48
    choice made
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    um there's no harm in making our
  • 00:05:54
    business as strong
  • 00:05:56
    thank you for the warning please let the
  • 00:05:59
    management know I shall not be held
  • 00:06:00
    accountable for research K performance
  • 00:06:02
    indicators if that's not susceptible for
  • 00:06:05
    them I shall resign
  • 00:06:06
    wow
  • 00:06:08
    why would you choose to do that I think
  • 00:06:10
    there is no time to talk here I'll
  • 00:06:12
    explain in an email to the boss
  • 00:06:18
    dear management
  • 00:06:19
    I have been asked by
  • 00:06:21
    provider complimentary product with
  • 00:06:24
    every prescription I dispense and I
  • 00:06:26
    declined to comply with such requirement
  • 00:06:28
    the reason for my action are as follows
  • 00:06:31
    as a pharmacist I have the right to my
  • 00:06:34
    own professional autonomy and the
  • 00:06:37
    franchise should know that a
  • 00:06:39
    professional autonomy is stated in our
  • 00:06:42
    code of ethics our code of ethics also
  • 00:06:45
    specifies that patient care is at the
  • 00:06:47
    core of our professional values there is
  • 00:06:50
    no patient care of beneficence in trying
  • 00:06:53
    to deceive patients into purchasing an
  • 00:06:55
    unwanted or unnecessary product this is
  • 00:06:59
    against the principle of respect for
  • 00:07:01
    patient autonomy and dignity an informed
  • 00:07:03
    consent
  • 00:07:04
    and importantly as a pharmacist I do not
  • 00:07:08
    wish to lose the stress of my clientele
  • 00:07:10
    this is not only unethical but it is not
  • 00:07:12
    good for the pharmacy's business if the
  • 00:07:15
    franchise would invest in building Trust
  • 00:07:17
    of the community instead of lining their
  • 00:07:20
    pockets at the expense of vulnerable
  • 00:07:22
    people we will make much more profit as
  • 00:07:26
    a healthcare professional I am proud to
  • 00:07:28
    be a pharmacist and I wish to remain
  • 00:07:31
    proud of my profession the franchise is
  • 00:07:34
    requesting staff to behave unethically
  • 00:07:36
    putting the whole professional at risk
  • 00:07:39
    of public criticism and shame I do not
  • 00:07:42
    wish to be part of it kind regard Sarah
  • 00:07:45
    the pharmacist
  • 00:07:58
    thank you
  • 00:08:12
    [Music]
Etiquetas
  • professional autonomy
  • pharmacy ethics
  • patient-centered care
  • business ethics
  • complementary products
  • trust
  • integrity
  • Sarah
  • Gonzalo
  • healthcare profession