SlateScott first floated his bright idea about "medical ethics are for foreigners not a good-hearted genius like me" in 2010.
Here's what happens. In some far off corner of the world, some psycho doctor does something horrible like deliberately inject a patient with flesh-eating bacteria. The media hears about it and panics the public, who become suitably enraged and make demands of their politicians. Their politicians go to leading medical administrators and demand that doctors be more ethical. The leading medical administrators obviously don't control the actions of every single psycho doctor, so they think quick and say "Okay, we'll make all medical students take a class on Ethics and Professionalism," hand the implementation off to professors, and then raise their own salaries for thinking of such a brilliant idea.
I guess California and Alberta and Sweden and Japan were far off from Cork, Ireland. How did he pass that class?