An Apple A Day Ethics

For example, the Hippocratic oat, the prayer of Moses Maimonides, the bible, the Holy Koran, and the Islamic legacy, as well as cultures, traditions, and social morality have shaped and guided the development of ethical standards in the medical profession. The majority of these historical documents focus on “avoiding harm to patients” Ethics refers to a professional moral conduct. Ethics, particularly professional ethics, describes the moral actions based on professional character and ethical principles in each profession. The statements of medical ethics require the health care providers to do what is best for the patient and place the patients’ interests before the interests of the physician. Above all, the purpose of medical ethics is to protect and defend human dignity and patients’

The resident physician violated beneficence, because he did not do good by respecting the patient’s autonomy and he was being uncivil.

17. Pellegrino argues for a three-tiered system of obligations incumbent upon physicians. They are in ascending order of ethical sensitivity.

Throughout the history of medicine there has always been a need for shared commitment to ideals of moral, ethical and humane practice. The Hippocratic Oath, created by a compilation of works largely based on Hippocrates, has always stood as guidelines for the conduct of physicians. The Classical oath has and continues to serve well in preserving the sanctity of the medical profession while developing a basis for the respectful treatment of patients. However, this out-dated oath is not equipped to handle the modern trials and tribulations faced by physicians and health care in general. Many of its principles are simply unrealistic and inapplicable in today’s society. For this reason a revised version of the oath was written. As I will

Another reason why physicians are finding it difficult employ the time-honored principles listed within the Hippocratic Oath is due to the increase in the number of patients listed under their care and the short amount of time with which they are able to see their patients (Hippocrates, pg. 1). Physicians, who work at clinics, on average, find themselves in charge of several patients. The number of patients that a physician must care for is generally too many for him to become acquainted with and care for, especially if the patient doesn’t schedule routine visits. As a result, physicians are only able to see patients for about an hour. During the appointments, physicians try their best to answer their patient’s questions. However, patients’ often feel intimidated and

“The only appropriate and realistic model of the Dr.‐patient relationship is paternalism. Doctors are the medical experts; most patients have little, if any, reliable medical knowledge; implicit trust in one’s physician is essential to the healing process; and doctors have the responsibility for our health and therefore have the duty to make all the important medical decisions.” Critically assess that claim.

Presence of a Duty of care: Physicians have a responsibility to treat people in a medically- appropriate manner.

Edmund Pellegrino’s account of virtue based ethics practiced by a physician reaches an extremely high moral standard and involves the expression, at the highest level, of benevolence, temperance, fidelity to trust, integrity, justice and compassion which goes over and above what is strictly required of a physician; whereas, legal and rights-based ethical conceptions involve a physician adhering to the duties imposed on them by the laws of the land-such as physician licensure, good Samaritan laws, anti-discrimination laws, etc., and medical ethics codes and duties which are more obligations and duties to what strict ethics spells out.

Although all honorable doctors do their best to uphold the Hippocratic Oath, doctors unwittingly go against it when they emotionally detach themselves from their patients; therefore, they create unintended harm.

As someone who is interested in pursuing a career in the medical field, it becomes apparent that medicine and ethics have a unique and pertinent relationship. Everyday doctors, nurses, and other health care workers have to make ethical decisions or help families make ethical decisions for their patients. For example, in the video that featured bioethicist Toby Schonfeld, she discussed some of the ethical dilemmas faced in hospitals today. The most notable ethical conflicts she noted were physician assisted suicide, and other dilemmas such as transferring a patient to palliative care, or whether someone should get a pacemaker or not. Perhaps, in my future I will face similar ethical problems and will have to figure out a way to draw a conclusion that is the best for both the patient and their family.

The term “medical ethics” is defined by The American Medical Association as “(1) moral principles or practices and (2) matters of social policy involving issues of morality in the practice of medicine.” The nine principles of medical ethics as outlined by the AMA tell how a physician should conduct themselves in the profession, the third and fourth of which states “(3) A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient. (4) A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the

Even though everyone seemed to agree and felt the same way about the situation, it was difficult to rationalize or logically defend what we felt was the right thing to do, which would involve breaking patient confidentiality. Some of the principles that we thought could be used to defend our position were beneficence, non-maleficence, and utilitarianism. Going back to the Dr. Pellegrino’s article, the population-based ethics, in which the physician takes the role of a social servant for the good of the society, could also be used to defend our position. This discussion served as a motivation to not just learn the ethical principles, but also to become more knowledgeable in how to apply the ethical principles to different situations. It also encouraged me to develop the virtue of prudence in order to be prepared for the tricky situations that may arise in clinical

They did not see morality as part of the medical equation.” What Maslin means is that doctors, rather medical students, care about science and finding cures more than the person they are treating. Not only are people’s lives at stake, but their sense of freedom of living their lives the way they want to. Doctors are just now beginning to realize that their patients are human. Meaning that if someone dies, their family will resent the doctor because they feel like all doctors care about is the next treatment and what the next course of action is.

The unequal powers in the physician-patient relationship has been long recognised by the law. Until the end of the 20th century, healthcare services, particularly in the medical field, were still delivered under a ‘parens patriare’ approach that gave practitioners wide professional discretion to make non-consensual decisions on behalf of their patients as long as it was done in their ‘ best interests’.

Imagine you are injured or sick and have sought a doctor’s help. Although you trusted your doctor, something, something seemingly very in control of the doctor, went wrong. You are angry and confused, but also think of the commonality of medical malpractice. So, why do doctors, who are supposed to help, harm? Though many flaws influence it, malpractice can be, and often is unintentional. Most doctors aren’t trained to harm their patients. Inexperience and lack of medical discovery led to unintentional suffering of the patient. Personal flaws, like lack of willingness to abandon previous medical methods and shortcomings in communication also harm patients. Further reasons why doctors harm are socio-medical understandings that breed hate, prejudices stemming from a society’s belief about certain people, such as the medical practice under the Nazi regime. Additionally, displayed in the case of Ignác Semmelweis, judgement of one to oneself can be detrimental to any progress one’s ideas could make. We will examine these concepts through Jerome Groopman’s “Flesh-and-Blood Decision Making”, Sherwin Nuland’s The Doctors’ Plague and Barbara Bachrach’s “In the Name of Public Health”. Those who practice medicine are, unfortunately, unfree from the imperfections that plague all of humanity. Through these intimate and varied faults, doctors do harm.