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 andInnovation, Conflicts of Interest, Business Dealings, and End of Life Issues, each with a brief introduction by the authors.
Chapter 1: Introduction: A Primer on Surgical Ethics; Chapter 2: Informed Consent and Disclosure:; 1. Painted Into a Corner: Unexpected Complications in Treating a Jehovahs Witness; 2. A Patient Refuses Consent for Life-Saving Surgery;; 3. Consent for an Intraoperative Video Recording; Chapter 3. Professional Self-Regulation:; 11. What to Tell Patients Harmed by Other Physicians;; 12. Eye-Witness to Incompetent Surgery;; 13. Military Physicians Ethical Response to Evidence of Torture; Chapter 4. Innovation and Research:; 22. When Does Conventional Surgery Become Research?; 23. A Surgeons Obligation When Performing New Procedures; 24. The Ethics of Innovative Approaches for Well-Established Procedures; Chapter 5. Conflicts of Interest and Conflicts of Commitment; 33. Intentional Over-Treatment: The Unmentionable Conflict of Interest; 34. Patient Responsibilities, Family Responsibilities;; 35. Non-Financial Conflicts of Interest; Chapter 6. The Ethics of Surgery as a Surgery:; 44. Ethics of Physicians Income;; 45. Ethics of Personal Advertising in Surgery; 46. Ethics of Institutional Marketing: The Role of Physicians; Chapter 7. Medical Professionalism Challenges: Assaults from Within and Without; 56. Going Public with Amazing Cases: Fiat or Fiasco?;; 57. Unprofessional Behavior that Disrupts: Crossing the Line; 58. My Brothers Keeper: Ethics of Uncompensated Care for Undocumented Immigrants; Chapter 8. End-of-Life Issues; 63. Futility and Surgical Intervention;; 64. Advanced Age, Dementia, and an Abdominal Aneurysm: Intervene?; 65. Complying with Advance Directives in the OR;; 66. Abdominal Aortic Aneurysm in a Death Row Inmate;; 67. Telling the Truth About Terminal Diseases;; 68. Arsenic and Old Lace: End of Life Care in the Post-Operative; 69. Training on Newly Deceased Patients;; 70. Withdrawal of Life-Sustaining Low-Burden Care;; 71. Physician Assisted Suicide: Has It Come of Age?;
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