MBChB in Medicine

Vertical theme

Ethics and law is a vertical theme, which runs throughout the five years of the MBChB programme. Students’ learning is designed to develop over the five years,in which they will cover the core topics and competencies outlined in the core content of learning issued by UK teachers of ethics and law.

Year 1

In Year 1, medical students have an introduction to ethics and law during their unit Human Basis of Medicine. All Year 1 students undertake a 5-week element on Foundations in Ethics and Law. The ethics teaching covers the following topics:

  • An Introduction to Ethics and Law in Medicine
  • Moral Theory
  • Justice and Healthcare
  • Confidentiality
  • Medicine and the Law

Assessment in this unit comprises case study analysis in the Human Basis of Medicine exam.

MBChB students seeking more information about this course should check the Medicine homepage or Blackboard.

Year 2

In Year 2, medical students develop their knowledge of ethics and law in seminars and lectures covering such topics as:

  • Consent and the first clinical attachment
  • Diagnosing death and dealing with patients with disorders of consciousness
  • Ethical issues in reproduction, reproductive technologies and termination of pregnancy
  • Responsibility for health

Year 3

Year 3 students develop their knowledge and abilities in ethics and law in the Psychiatry and Ethics Unit. This Unit covers key aspects of the Core Curriculum in medical ethics and is not just about ethics in psychiatry.

The Ethics Element will help students to build on the principles and approaches they encountered in Years 1 and 2, in addition to introducing new ethical and legal issues relevant to Psychiatry.

Ethics Element teaching takes place in clinical Academies. Each Academy has an Ethics Element Coordinator who oversees the Ethics teaching, which mainly comprises case-based seminars with a good staff/student ratio.  Materials for Academy teaching are provided by the Centre for Ethics in Medicine.

Element Aim

As well as building on the teaching in Ethics and Law students received in years 1 and 2 the following topics are also covered:

Assessment in this Unit comprises an Ethics case study (due in week 8) and multiple-choice questions in the end of Unit exam.

Objectives

By the end of this Unit students will have gained/experienced

  • Revision of the grounding in Ethics and Law given in Years 1 and 2;
  • Integration of Ethical theory with clinical experience to date;
  • Appreciation of Ethical and Legal issues in Psychiatry;
  • Improvement in skills of Ethical case analysis; and
  • Understanding general topics in Medical Ethics and Law, particularly those of consent, treatment of children, and research ethics.

Useful Links

The course makes extensive use of Blackboard and Hippocrates. Please refer to the relevant pages for information about the course, course materials, and useful links.

Contacts

Please direct queries to: year3-ethics@bristol.ac.uk

Year 4

In Year 4, ethics and law feature particularly in teaching on Care of the Elderly and Reproductive Health and Care of the Newborn. Amongst the topics covered are:

  • Care of older patients
  • Care of critically ill newborn patients
  • Sterilisation
  • Disclosing (and not disclosing) HIV status
  • Pre-natal testing

Year 5

In Year 5, ethical and legal issues are particularly considered in relation to Oncology and Palliative Medicine and to Preparing for Professional Practice. Amongst the topics covered are:

  • Withholding and withdrawing life-sustaining treatment
  • Current and advance refusals of treatment
  • Relieving intractable symptoms
  • Assisted dying

Student Selected Components (SSCs) in Ethics and Law

We offer supervision of SSCs in a range of topics in medical ethics and bioethics, including:

  • End of life decision-making
  • Justice in healthcare
  • Genetics in paediatrics and reproduction
  • Palliative care
  • Normative ethical theory

Students are encouraged to develop their own topics, in consultation with a member of staff. Please make contact as advised by the responsible MBChB SSC Co-ordinator.