Surgical Ethics

by McCullough, Laurence B.; Jones, James W.; Brody, Baruch A.

• ISBN13: 9780195103472
• ISBN10: 0195103475
• Format: Hardcover
• Copyright: 1998-04-02
• Publisher: Oxford University Press

Summary

The first textbook on the subject, this is a practical, clinically comprehensive guide to ethical issues in surgical practice, research, and education written by some of the most prominent figures in the fields of surgery and bioethics. Discussions of informed consent, confidentiality, and advance directives--core concepts integral to every surgeon-patient relationship--open the volume. Seven chapters tackle the ethical issues in surgical practice, covering the full range of surgical patients--from emergency, acute, high-risk, and elective patients, to poor surgical risk and dying patients. The book even considers the special relationship between the surgeon and patients who are family members or friends. Chapters on surgical research and education address innovation, self-regulation in practice and research, and the prevention of unwarranted bias. Two chapters focus on the multidisciplinary nature of surgery, including the relationships between surgery and other medical specialties and the obligations of the surgeon to other members of the surgical team. The economic dimensions of surgery, especially within managed care, are addressed in chapters on the surgeons financial relationships with patients, conflicts of interest, and relationships with payers and institutions. The authors do not engage in abstract discussions of ethical theory; instead, their discussions are always directly relevant to the everyday concerns of practicing surgeons. This well-integrated volume is intended for practicing surgeons, medical educators, surgical residents, bioethicists, and medical students.

Author Biography

Laurence B. McCullough, Ph.D., is Professor of Medicine, Community Medicine and Medical Ethics at Baylor College of Medicine, Houston, TX. He is also the author, with Frank A. Chervenak, of Ethics in Obstetrics and Gynecology (OUP, 1994).
James W. Jones, M.D., Ph.D., is Professor of Surgery, Cell Biology and Medical Ethics at Baylor College of Medicine, Houston, TX. He is also Chief of Surgical Service at the Houston Veterans Affairs Medical Center.
Baruch A. Brody, Ph.D., is the Leon Jaworski Professor of Biomedical Ethics and Director of the Center for Medical Ethics and Health Policy at Baylor College of Medicine. He is also Professor of Philosophy at Rice University. His previous books include Life and Death Decision Making (OUP, 1988) and Ethical Issues in Drug Testing, Approval, and Pricing (OUP, 1995).

Table of Contents

Contributors	xv
1. Principles and Practice of Surgical Ethics	3	(12)
Laurence B. McCullough
James W. Jones
Baruch A. Brody
2. Informed Consent: Autonomous Decision Making of the Surgical Patient	15	(23)
Laurence B. McCullough
James W. Jones
Baruch A. Brody
3. Confidentiality in Surgical Practice	38	(19)
Mary Faith Marshall
C.D. Smith III
4. Advance Directives and the Determination of Death	57	(21)
Stuart J. Youngner
Jerry M. Shuck
5. Emergency Patients: Serious Moral Choices, with Limited Time, Information, and Patient Participation	78	(19)
Kenneth L. Mattox
H. Tristram Engelhardt, Jr.
6. Acute, High-Risk Patients: The Case of Transplantation	97	(19)
Robert M. Arnold
Byers W. Shaw
Ruth Purtilo
7. Acute yet Non-Emergent Patients	116	(17)
Jeremy Sugarman
Robert Harland
8. Elective Patients	133	(19)
Andrew Lustig
Peter Scardino
9. Poor Surgical Risk Patients	152	(19)
Amir Halevy
John C. Baldwin
10. Care of Dying Patients	171	(27)
Stephen Wear
Robert Milch
W. Lynn Weaver
11. Patients Who Are Family Members, Friends, Colleagues, Family Members of Colleagues	198	(18)
Jonathan D. Moreno
Frank E. Lucente
12. Research and Innovation in Surgery	216	(26)
Joel E. Frader
Donna A. Caniano
13. Preventing and Managing Unwarranted Biases against Patients	242	(13)
Loretta M. Kopelman
Donald R. Lannin
Arthur E. Kopelman
14. Self-Regulation of Surgical Practice and Research	255	(25)
R. Scott Jones
John C. Fletcher
15. Surgery and Other Medical Specialties	280	(22)
Nancy S. Jecker
Margaret D. Allen
16. Obligations of Surgeons to Non-Physician Team Members and Trainees	302	(20)
Ruth Purtilo
Byers W. Shaw
Robert Arnold
17. Financial Relationships with Patients	322	(20)
Kenneth V. Iserson
Bruce E. Jarrell
18. Understanding, Assessing, and Managing Conflicts of Interest	342	(25)
George Khushf
Robert Gifford
19. Relationships with Payers and Institutions that Manage and Deliver Patient Services	367	(18)
Kevin Wm. Wildes
Robert B. Wallace
Index	385