RT Book, Section
A1 Lo, Bernard
A1 Grady, Christine
A2 Jameson, J. Larry
A2 Fauci, Anthony S.
A2 Kasper, Dennis L.
A2 Hauser, Stephen L.
A2 Longo, Dan L.
A2 Loscalzo, Joseph
SR Print(0)
ID 1155941125
T1 Ethical Issues in Clinical Medicine
T2 Harrison's Principles of Internal Medicine, 20e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259644016
LK accessmedicine.mhmedical.com/content.aspx?aid=1155941125
RD 2024/04/16
AB Twenty-first-century  physicians  face  novel  ethical  dilemmas  that  can  be  perplexing  and  emotionally  draining.  For  example,  electronic  medical  records,  handheld  personal  devices,  and  provision  of  care  by  interdisciplinary  teams  all  hold  the  promise  of  more  coordinated  and  comprehensive  care,  but  also  raise  new  concerns  about  confidentiality,  appropriate  boundaries  of  the  doctor–patient  relationship,  and  responsibility.  Chapter  1  puts  the  practice  of  medicine  into  a  professional  and  historical  context.  The  current  chapter  presents  approaches  and  principles  that  physicians  can  use  to  address  the  ethical  issues  they  encounter  in  their  work.  Physicians  make  ethical  judgments  about  clinical  situations  every  day.  Traditional  professional  codes  and  ethical  principles  provide  instructive  guidance  for  physicians  but  need  to  be  interpreted  and  applied  to  each  situation.  Physicians  need  to  be  prepared  for  lifelong  learning  about  ethical  issues  and  dilemmas  as  well  as  about  new  scientific  and  clinical  developments.  When  struggling  with  difficult  ethical  issues,  physicians  may  need  to  reevaluate  their  basic  convictions,  tolerate  uncertainty,  and  maintain  their  integrity  while  respecting  the  opinions  of  others.  Discussing  perplexing  ethical  issues  with  other  members  of  the  health  care  team,  ethics  consultation  services,  or  the  hospital  ethics  committee  can  clarify  issues  and  reveal  strategies  for  resolution,  including  improving  communication  and  dealing  with  strong  or  conflicting  emotions.