Cte lesson Plan



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CTE Lesson Plan
Email: shannon.croft@birdvilleschools.net

Pathway:


Cluster:


Course:
Health Science Clinical Rotation

Grade Level:
(type an X in the bracket for all that apply)
[ ] 6 [ ] 7 [ ] 8

[ ]9 [ ] 10 [x ] 11 [ x] 12


Project Name: Informed Consent



Primary Unit of Study (from Scope & Sequence): Ethics and Legal



Objective:


Upon completion of this lesson, the student will be able to:

• evaluate the implications of signed consent; and

• recognize patients who might not be able to give informed consent.

Materials Required:


HST Key Points Notes

Paper and pen/pencil

Role-Play Rubric

Project Rubric

Sample Consent Form(s)

Movie: “Miss Evers’ Boys”



Essential Question: Why is informed consent important?



Time Required: 4 hours



Procedure:


I. Develop an informed consent form for the healthcare procedure involved in the role-play activity.

II. Role-play a medical professional who must explain a medical procedure and obtain informed consent

Sample informed consent forms can be obtained from the hospital endoscopy

III. Complete the Tuskegee activity and discuss the events.

IV. View the movie “Miss Evers’ Boys.”
The Syphilis Study at Tuskegee

In 1932, the Public Health Service, working with the Tuskegee Institute, began a study to record the natural history of syphilis in the hopes of justifying treatment programs for blacks. It was called the "Tuskegee Study of Untreated Syphilis." The goal of the study was to observe the long-term effects of syphilis. Syphilis is a complex, sexually transmitted disease (STD) with a highly variable clinical course. The disease is caused by the bacterium, Treponema pallidum. Syphilis is passed from person-to-person through direct contact with syphilis sore and can also be passed from mother to child during pregnancy.

The study initially involved 600 black men from Macon County, Alabama – 399 with syphilis, 201 who did not have the disease. The study was conducted without the benefit of patients' informed consent. Researchers told the men they were being treated for "bad blood," a local term used to describe several ailments including syphilis, anemia, and fatigue. In truth, they did not receive the

proper treatment needed to cure their illness even after the introduction of penicillin therapy in

1943. In exchange for taking part in the study, the men received free medical exams, free meals, and burial insurance. Although originally projected to last 6 months, the study actually went on for

40 years. The study was exposed on June 26, 1972. At the time, 74 participants were still living.

In May 1997, President Clinton apologized for the Tuskegee Syphilis Study.
Was the study unethical in 1932? Should it ever have been started? Did the subjects provide informed consent?

Was it ethical at first, but then unethical after penicillin was discovered?

Could this study have been done differently? Should it have been done differently?
Adapted from:

http://www.cdc.gov/tuskegee/timeline.htm



Closure:


Ask students to imagine what it would feel like if they were in a hospital, and someone in scrubs came into their room and just grabbed their arm to draw blood.

Evaluation:


Role-Play Rubric

Project Rubric



Differentiation Strategies:


For reinforcement, the student will outline a healthcare situation requiring informed consent.

For enrichment, the student will summarize and write a report on the

following court cases:

1. Doe v. Ohio State University Hospitals and Clinics, 663 N.E. 2d 1369

(Ohio Ct. of App., Sept. 19, 1995). Hospital sued for performing HIV test without informed consent.

2. Zinermon v. Burch, 110 S Ct. 975 U.S. Sup. Ct., Feb.27, 1990). Patient not competent to sign forms.


Additional Resources:


http://texashste.com/documents/curriculum/health_science/clients_rights_and_choices.pdf

http://www.aafp.org/afp/20010715/299.htmla

http://www.med.umich.edu/1libr/aha/umlegal04.htm - living will sample

www.cdc.gov




Additional Files:


HSTE Informed consent

  • Role-Play Rubric

  • Project Rubric

  • Sample Consent Form(s)

  • HST Key Points Notes







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