Up-to-3500-word paper exploring a clinical ethics issue of potential relevance to you as a medical student, related to an actual case that you have witnessed during observerships or office preceptor time. Evaluation will be based on quality and clarity of exploration and analysis of the issues, cogency of argument, independent thought, and use of relevant references and sources. Include justification for your thoughts and opinions. Appropriate citations must be included.
During my observership with a general practitioner at Westbay clinic, I encountered a mother who came into the office with her child who is complaining of flu-like symptoms. Upon entering the room, I asked the boy to remove his shirt and I noticed a pattern of very distinct bruises on the boy’s torso. I asked the mother where the bruises came from, and she told me that they are from a procedure she performed on him known as “cao gio,” which is also known as “coining.” The procedure involves rubbing warm oils or gels on a person’s skin with a coin or other flat metal object. The mother explains that cao gio is used to raise out bad blood, and improve circulation and healing. When I touched the boy’s back with my stethoscope, he winced in pain from the bruises. I debate whether or not the general doctor should call Child Protective Services and report the mother.
Discuss the different ethical issues related to this case.
When should a physician step in to stop a cultural practice? (If someone answers “when it harms the child” remind that person that there is some pain in many of our medical procedures, for example, having one’s tonsils removed)
Should the physician be concerned about alienating the mother and other people of her ethnicity from modern medicine?
Do you think that the physician should report the mother?
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