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.
Introduction: A Primer on Surgical Ethics; Informed Consent and Disclosure:; a. Painted Into a Corner: Unexpected Complications in Treating a Jehovahs Witness; b. A Patient Refuses Consent for Life-Saving Surgery; c. Consent for an Intraoperative Video Recording; Professional Self-Regulation; a. What to Tell Patients Harmed by Other Physicians; b. Eye-Witness to Incompetent Surgery;; c. Military Physicians Ethical Response to Evidence of Torture; Innovation and Research; a. When Does Conventional Surgery Become Research?;; b. A Surgeons Obligation When Performing New Procedures;; c. The Ethics of Innovative Approaches for Well-Established Procedures; Conflicts of Interest and Conflicts of Commitment; a. Intentional Over-Treatment: The Unmentionable Conflict of Interest; b. Patient Responsibilities, Family Responsibilities; c. Non-Financial Conflicts of Interest; The Ethics of Surgery as a Surgery; a. Ethics of Physicians Income; b. Ethics of Personal Advertising in Surgery; c. Ethics of Institutional Marketing: The Role of Physicians; Medical Professionalism Challenges: Assaults from Within and Without; a. Going Public with Amazing Cases: Fiat or Fiasco?; b. Unprofessional Behavior that Disrupts: Crossing the Line; c. My Brothers Keeper: Ethics of Uncompensated Care for Undocumented Immigrants; End-of-Life Issues; a. Futility and Surgical Intervention; b. Advanced Age, Dementia, and an Abdominal Aneurysm - Intervene?; c. Complying with Advance Directives in the OR; d. Abdominal Aortic Aneurysm in a Death Row Inmate; e. Telling the Truth About Terminal Diseases; f. Arsenic and Old Lace: End of Life Care in the Post-Operative; g. Training on Newly Deceased Patients; h. Withdrawal of Life-Sustaining Low-Burden Care; i. Physician-Assisted Suicide: Has It Come of Age?;
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