Surgical Ethics

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Laurence B. McCullough, James W. Jones, Baruch A. Brody
Oxford University Press, Apr 2, 1998 - Medical - 416 pages
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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.

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1 Principles and Practice of Surgical Ethics
Autonomous Decision Making of the Surgical Patient
3 Confidentiality in Surgical Practice
4 Advance Directives and the Determination of Death
Serious Moral Choices with Limited Time Information and Patient Participation
The Case of Transplantation
7 Acute yet NonEmergent Patients
8 Elective Patients
12 Research and Innovation in Surgery
13 Preventing and Managing Unwarranted Biases against Patients
14 SelfRegulation of Surgical Practice and Research
15 Surgery and Other Medical Specialties
16 Obligations of Surgeons to NonPhysician Team Members and Trainees
17 Financial Relationships with Patients
18 Understanding Assessing and Managing Conflicts of Interest
19 Relationships with Payers and Institutions that Manage and Deliver Patient Services

9 Poor Surgical Risk Patients
10 Care of Dying Patients
11 Patients Who Are Family Members Friends Colleagues Family Members of Colleagues

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About the author (1998)

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).

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