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Problem-Solving Before Instruction (PS-I): A Protocol for Assessment and Intervention in Students with Different Abilities
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Competence and ability.

Eric Vogelstein

    Bioethics
    |August 1, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Medical decision-making competence is often linked to abilities. However, this study argues that rationality, not just abilities, is essential for competent medical decision-making and the right to choose treatment.

    Keywords:
    abilityautonomycapacitycompetencedecisionrationality

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    Area of Science:

    • Bioethics
    • Philosophy of Medicine
    • Medical Decision-Making

    Background:

    • The prevailing view links medical decision-making competence to possessing specific abilities.
    • This perspective suggests a certain level of ability is necessary for autonomy in healthcare choices.

    Purpose of the Study:

    • To critically examine the prevailing ability-based theories of medical decision-making competence.
    • To propose and defend an alternative theory grounding competence in rationality.

    Main Methods:

    • Philosophical analysis of existing theories on decision-making competence.
    • Development and argumentation for a rationality-based model of competence.

    Main Results:

    • Ability-based theories of medical decision-making competence are philosophically insufficient.
    • Competence in medical decision-making is fundamentally tied to possessing a specific kind of rationality.

    Conclusions:

    • The right to make one's own medical decisions should not be solely based on abilities.
    • A rationality-based framework offers a more robust understanding of medical decision-making competence.