Multi-Professional Practices  

Oleh:

Parker, Michael

Jenis: Article from Books - E-Book
Dalam koleksi: Ethical Problems and Genetics Practice, page 88-111.
Topik: Multi-Professional; Ethics and Professions
Fulltext: Multi-Professional Practices.pdf (251.98KB)

Isi artikel

Together the preceding chapters have mapped out a number of recurring and overlapping problems characterised by conl icting values and moral commitments. All of these features of the moral world of the genetics professional are, or can be, interwoven and each of these aspects of clinical genetics is characterised by a co-productive relationship between the established relatively stable practices of day-to-day clinical genetics and the ethical problems encountered by genetics professionals in their pursuit of ‘good practice’. Against this background, decisions have nonetheless to be made – genetic counselling must take place, genetic tests must be offered or refused. In the day-to-day practice of genetics, played out across a moral landscape characterised by the tensions, resistances and practices described in Chapters 2 , 3 and 4 , there is a requirement for genetics professionals – clinical geneticists , genetic counsellors and laboratory staff – as real-world actors in real-world situations to make moral judgements about what is the right thing to do. Even though each of these professionals is likely in her own way to be highly committed to ‘good practice’ this will inevitably – as has been seen in previous chapters – be a commitment to something contested. Different genetics professionals will often have different views about what constitutes best practice in particular cases. Such decisions are also inevitably made within certain other, sometimes conl icting, constraints. Even though in day-to-day practice genetics professionals do have a lot of scope for independent action, they – and the other health professionals with whom they interact – are also members of clinical teams, professions and institutions, having, for example, been trained in certain ways, and inhabiting different professional contexts permeated by sometimes conl icting institutional and professional norms, commitments, traditions and practices. It is against this backdrop that they and their colleagues have the difi cult job of judging (and in so doing, of making) what is good practice in particular situations. This complexity and these tensions suggest a fourth way in which day-to-day practice can create ethical problems, one arising out of the differences between the judgements and interpretations of different individual genetics professionals; between the different professional groups in clinical genetics, i.e. between counsellors, geneticists and laboratory staff; and between genetics professionals and the other health professionals with whom they interact.

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