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Scenarios

The use of scenarios is an excellent way of making instruction in RCRH interactive. A good case scenario will stimulate discussion among the students. Course participants become involved and find themselves expressing opinions as their ethical sensibilities are aroused by the case. Cases also tend to eliminate the intimidating barriers to discussion found in classrooms where faculty, staff and trainees at various levels learn together (a highly desirable situation). In courses with guest speakers, controversial cases can generate interactions between instructors that add more spice and understanding to the presentations. The scenarios can often be examined from multiple points of view and simple solutions are not required or even desirable. The teacher will often act as facilitator and allows the students to take the lead in analysis, making sure only that the appropriate topics are considered. This permits the fostering of ethical sensitivity and teaches acceptance of uncertainly in RCRH.

Students tend to keep their cases and refer to them when personally confronted with an analogous ethical dilemma. Scenarios also make good essay examination questions as the students have to wrestle with questions they raise.

The cases presented in this E-book represent major issues confronting clinical investigators. They are error-ridden by design.

Course instructors can use their imagination in creating cases on their own. Good examples reach the public domain with all-too-great frequency. Individual scenarios should not attempt to deal with all the issues in research ethics, but rather should tackle a theme. Providing a number of questions for the audience to consider generally works well. It is worth providing specific demographic information about the individuals in the scenarios including gender, title and research status because the latter two will affect judgments about behavior. It's easier and more specific for students to refer to Edith Jones rather than "the graduate student." Good scenarios avoid excessive introductions and technical detail that creates "solutions" based on technical changes rather than confronting the ethical dilemmas.

RCRH involves adherence to a myriad of Federal, State and local regulations, guidelines, and idiosyncrasies. Incorporating local conditions as features of scenarios can be very useful in the instruction process.

Many of the cases could have been placed after more than one chapter as they cover a range of issues. That's reality. I tried to have an important issue related to each chapter considered in the case. Each of these cases has been tried in my course and found to be sufficiently provocative to engender active discussion.
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