Volume I of the Casebook, Making Difficult Decisions with Patients and Families is a free and open-access online resource for continuing professional education in healthcare ethics for doctors, nurses, and allied healthcare staff. Each case is supported by expert commentaries highlighting ethical issues and a clinical perspective by a healthcare professional offering practical insight. Additional support is provided by informational backgrounders, questions for reflection, and further online resources.
The characters that appear in the Casebook are fictitious and modelled for teaching and learning purposes on the basis of common clinical encounters described by healthcare professionals, and do not refer to specific, real individuals, living or dead. Any individuals appearing in photographs depicting these characters bear no relationship or connection whatsoever to the stories ascribed to those characters.
Quotes from Physicians
“The casebook is particularly useful as a learning tool to increase our exposure to these difficult situations in the local setting, and help to prepare as well as instil confidence in tackling such problems.”
—Dr Lisa Anne Wong, Medical Resident in Paediatrics
“This is a valuable resource for residents at all stages. It's very helpful to read the expert commentaries and think through the various ethical frameworks that were used."
—Dr Lydia Wong, Medical Resident in Paediatrics
“Ethics is an integral aspect of medical practice. How can we help families accept the reality of the dying child? With money, of course, you can give everything that families may want. But what is the ethical thing to do?”
—Dr Tan Poh Lin, Paediatrician
“Patients and caregivers value meaningful conversations, especially about our beliefs and faiths, especially how that would impact their feeling of general well-being. So if you want to carry on a conversation about comfort, then put it to them but also respect their own volition and beliefs.”
—Dr Ramaswamy Akhileswaran, Hospice Director
“How would you manage a typical eighty-year-old patient with chronic disease and memory loss? Not everything is, “See, and refer the patient onward.” Then you don’t develop yourself as a doctor. We start by teaching the junior doctors, and it’s like an apprenticeship.”
—Dr Yehudi Yeo, Family physician, NHG Polyclinics
“7 out of 10 students in our medical school have seen how the poor in Singapore live. We say: when someone is not adhering to your lifestyle advice or medication, know the context of his struggles, and you'll understand why.”
—Dr Gerald Koh, Family Physician and Community Geriatrician