Original Publication
Open Access

Neonatal Ethics Teaching Program - Scenario-Oriented Learning in Ethics: Antenatal Consultation at the Limit of Viability

Published: March 2, 2015 | 10.15766/mep_2374-8265.10043

Included in this publication:

  • SOLE Antenatal Consultation - Instructor's Guide.doc
  • Antenatal Consultation - Supervisor Guide.doc
  • Antenatal Consultation - Trainee Guide.doc
  • Antenatal Consultation - Standardized Patient Guide.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Scenario Oriented Learning in Ethics uses standardized patients (SPs) as a teaching tool to impart knowledge on the principal and the three key competencies of the Neonatal Ethics Teaching Program that trainees are expected to acquire before completing their Neonatal-Perinatal Medicine (NPM) training at the University of Ottawa. Furthermore, this workshop provides trainees the opportunity to practice and learn how they would interact with a true patient in a given clinical scenario. The goal of this workshop is to help trainees show improvement in their communication skills and demonstrate appropriate application of ethical principles when they have to interact with parents in delicate, difficult, and ethically charged situations regarding their child. The educational methods used by the NPM program to facilitate adult learning and to teach communication skills include experiential learning, relational learning, small group workshops, scenarios involving SP, and activities structured to promote self-reflection and inclusion of the family perspective. Based on these methods we integrated a SP in our small-group scenario-oriented workshops to allow for exposure to different approaches to the task and multiple different reactions from the SP. By including the SP posing as the “families” of the patient, clinician trainees can be trained and formally evaluated on their approach to distressed families, while negotiating all aspects of the encounter. The debriefing is conducted as a group process where all the participants are deemed to be on the same professional level and equally respected. At the end of one rotation between the SP and a trainee (i.e., before starting with a new trainee), the supervisor guides the debriefing, concentrating on learning outcomes. Enough time is provided for participants to verbalize their feelings and completely debrief. At the conclusion of the scenario, the SPs share their feedback by summarizing two or three points that are valuable to the trainees. This time is also used for the participant to summarize and identify their strengths and areas needing improvement in order to be able to become a better communicator and professional.

Educational Objectives

By the end of this module, the learner will be able to:

  1. Improve communication skills when interacting with parents during an antenatal consultation for a mother at risk to give birth at the limit of viability.
  2. Identify areas of potential conflict at the limit of viability.
  3. Explain the major ways to resolve conflict at the limit of viability.
  4. Apply shared decision making principles when planning the management at the limit of viability.

Author Information

  • Thierry Daboval: Children's Hospital of Eastern Ontario
  • Emanuela Ferretti, MD: Children's Hospital of Eastern Ontario
  • Kristina Rohde: Children's Hospital of Eastern Ontario
  • Paul Muirhead: Williams McEnery Barristers & Solicitors
  • Gregory Moore: Children's Hospital of Eastern Ontario

None to report.

None to report.


Daboval T, Ferretti E, Rohde K, Muirhead P, Moore G. Neonatal ethics teaching program - scenario-oriented learning in ethics: antenatal consultation at the limit of viability. MedEdPORTAL. 2015;11:10043. https://doi.org/10.15766/mep_2374-8265.10043