The Ethics of Surgical Practice Cases, Dilemmas, and Resolutions

by Jones, James W.; McCullough, Laurence B.; Richman, Bruce W.

• ISBN13: 9780195321081
• ISBN10: 0195321081
• Edition: 1st
• Format: Hardcover
• Copyright: 2008-06-23
• Publisher: Oxford University Press

Summary

Surgical ethics is the application of ethics to issues specific to surgery. This volume provides a collection of clinical case studies representing a wide range of the ethical issues surgeons confront today. It is an excellent text for teaching surgical ethics to surgical residents and medical students and a fascinating read for practicing surgeons. It is intended to engage the reader into participating in evidence-based ethical conflicts. The authors escort us through 71 brief, realistic, and ethically complex problems, offering a series of five possible resolutions to each and guiding us through the relative benefits and weaknesses of the options until a best ethical choice is defended. The volume includes sections on Consent and Disclosure, Self-Regulation, Research and Innovation, Conflicts of Interest, Business Dealings, and End of Life Issues, each with a brief introduction by the authors.

Table of Contents

Introduction: A Primer on Surgical Ethics	p. 2
Informed Consent and Disclosure	p. 1
Painted into a Corner: Unexpected Complications in Treating aJehovah's Witness
A Patient Refuses Consent for Life-Saving Surgery
Consent for an Intraoperative Video Recording	p. 3
Professional Self-Regulation	p. 11
What to Tell Patients Harmed by Other Physicians	p. 12
Eye-Witness to Incompetent Surgery	p. 13
Military Physician's Ethical Response to Evidence of Torture
Innovation and Research	p. 22
When Does Conventional Surgery Become Research?	p. 23
A Surgeon's Obligation When Performing New Procedures	p. 24
The Ethics of Innovative Approaches for Well-Established Procedures
Conflicts of Interest and Conflicts of Commitment	p. 33
Intentional Over-Treatment: The Unmentionable Conflict of Interest	p. 34
Patient Responsibilities, Family Responsibilities	p. 35
Non-Financial Conflicts of Interest
The Ethics of Surgery as a Surgery	p. 44
Ethics of Physician's Income	p. 45
Ethics of Personal Advertising in Surgery	p. 46
Ethics of Institutional Marketing: The Role of Physicians
Medical Professionalism Challenges: Assaults from Within and Without	p. 56
Going Public with Amazing Cases: Fiat or Fiasco?	p. 57
Unprofessional Behavior the Disrupts: Crossing the Life	p. 58
My Brother's Keeper: Ethics of Uncompensated Care for Undocumented Immigrants
End-of-Life Issues	p. 63
Futility and Surgical Intervention	p. 64
Advanced Age, Dementia, and an Abdominal Aneurysm:Intervene?	p. 65
Complying with Advance Directives in the OR	p. 66
Abdominal Aortic Aneurysm in a Death Row Inmate	p. 67
Telling the Truth About Terminal Diseases	p. 68
Arsenic and Old Lace: End of Life Care in the Post-Operative	p. 69
Training on Newly Deceased Patients	p. 70
Withdrawal of Life-Sustaining Low-Burden Care	p. 71
Physician Assisted Suicide: Has it Come of Age?
Table of Contents provided by Publisher. All Rights Reserved.