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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Legal and Ethical Issues in Human Genetics

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Confidentiality

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Malpractice Law

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Genetic Discrimination

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Genetic Discrimination

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Regulation of Human Genome Research

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Gene Patents

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Ethical Challenges in Genetic Testing

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Views on Genetic Testing

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Autonomy

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Beneficence / Nonmaleficence

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Legal Responsibilities of Health Care Providers

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Case 3: Familial Adenomatous Polyposis

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Familial Adenomatous Polyposis

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Genetic testing for FAP

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Case 3: Familial Adenomatous Polyposis

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Ethical Principles of Concern:

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

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Duty to Warn Third PartiesSafer v. Pack (1996)

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Duty to warn third parties, cont.

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Duty to warn third parties, cont.

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Duty to warn third parties, cont.

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Ethical Issues to Consider:

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Genetic Testing in Minors

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Genetic Testing in Minors

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Friedreich Ataxia Case 1

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Freidreich Ataxia Case

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Issues to consider:

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Case: Hemophilia in the family?

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Case: Hemophilia in the family?

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Ethical Principles to Consider:

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Case 1: CF Newborn Screening

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Case 1: CF Newborn Screen

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Case 1: CF Newborn Screening

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Possible Explanations for Discrepancy:

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How to proceed…

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Ethical Principles of Concern:

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

OCW: Genetics (L. Demmer)

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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

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Ethical Principles to consider:

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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

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Past Medical History

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Physical Exam

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Physical Exam, cont.

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Work-up:

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Follow-up

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Tufts OpenCourseWare Legal and Ethical Issues in Genetics

© 2007 Tufts University

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Ethical Principles of Concern:

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