A 19-year-old woman presents to urgent care 18 hours after unprotected intercourse and requests emergency contraception. She is hemodynamically stable, denies gynecologic surgery or contraindications to hormonal therapy, and has a negative urine pregnancy test. She states she has reliable transportation and insurance. The physician has deeply held religious beliefs that contraception is morally wrong and has never prescribed contraceptive medications. The physician is one of two providers on duty; the other provider is unavailable for 6 hours. Which of the following best describes the physician's ethical and legal obligation?
- A)Refuse to provide emergency contraception based on conscientious objection, and document this refusal in the medical record
- B)Prescribe emergency contraception while clearly stating personal disapproval of the patient's moral choices
- C)Provide emergency contraception without delay or refer to the available colleague; if unavailable, arrange immediate referral to an accessible providerGABARITO
- D)Counsel the patient extensively about alternative contraceptive methods and request she return after consulting with family
- E)Provide emergency contraception but require the patient to sign an informed consent acknowledging the physician's moral reservations
Explicação
Physicians have an ethical and legal obligation to provide medically indicated care or ensure timely access to care without imposing personal beliefs, particularly in urgent/emergent situations where delays cause harm. Emergency contraception's efficacy decrea... Ver explicação completa e trilha adaptativa →