Tag Archive for ‘ethics’
The ACS Division of Education and the MacLean Center are offering two fellowships in surgical ethics.
This report summarizes the topics addressed by the College’s delegation at the American Medical Association’s House of Delegates meeting in June.
Potential solutions for resolving an ethical dilemma—disagreement regarding a course of treatment—are addressed in this article as are suggestions for balancing clinical judgment with patient goals.
This article addresses a difficult ethical dilemma that transplant surgeons may encounter—whether a patient with a psychiatric illness is a good candidate for a liver transplant—and discusses possible approaches to this type of case in the absence of national protocols.
This article helps surgical investigators make the distinction between quality improvement initiatives and human subjects research projects. The authors also provide insights into initial project design and offer guidelines for addressing ethical concerns related to health care research.
A network of U.S. kidney transplant surgeons and Guyanese health care professionals worked together to develop a program to deliver free renal replacement therapy to Guyanese patients. This article describes the 14 medical missions the authors made to Guyana, with an emphasis on logistics and outcomes of the team’s public-private partnership. This model is now being extended to the CARICOM (Caribbean community), a group of 15 countries in the Caribbean basin.
The following comments were received regarding recent articles published in the Bulletin.
This article presents a case study involving an ethical dilemma in which a pharmaceutical company asks a physician to participate in a clinical trial and offers to pay the physician for enrolling patients in the study. The authors explore four options for resolving the dilemma: accept the offer and only reveal details relevant to informed consent, accept the offer and inform patients of the reimbursement arrangement, participate in the clinical trial without accepting reimbursement, and avoid participating in the clinical trial altogether.
To help commemorate the American College of Surgeons’ (ACS) 100th anniversary, the Bulletin of the American College of Surgeons is reprinting articles centered on the issues and developments that have defined the character and integrity of the organization throughout its history.
This month’s reprint centers on the College’s response to a March 1952 in which the U.S. Supreme Court ruled that the income tax deductions that two North Carolina opticians took for kickbacks to ophthalmologists on eyeglasses sold to their patients were ordinary and necessary expenses.
The Supreme Court’s decision prompted the ACS Board of Regents to study the intricacies of fee-splitting and to periodically issue statements defining and clarifying the College’s views on the matter. The first of these proclamations, “A Statement on Certain Unethical Practices in Surgery,” is reprinted in the May issue of the Bulletin. The statement is preceded by an article describing the court case and the ACS response. These materials were published in the July-August 1952 Bulletin.