Surgical Ethics

Front Cover
Community Medicine Laurence B. McCullough Professor of Medicine, and Medical Ethics, Cell Biology James W. Jones Professor of Surgery, and Medical Ethics, Baruch A. Brody Leon Jaworski Professor of Biomedical Ethics
Oxford University Press, USA, Mar 18, 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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Contents

Autonomous Decision Making
15
Confidentiality in Surgical Practice
38
Advance Directives and the Determination of Death
57
Serious Moral Choices with Limited Time
78
The Case of Transplantation
97
Acute yet NonEmergent Patients
116
Elective Patients
133
Poor Surgical Risk Patients
152
Research and Innovation in Surgery
216
Preventing and Managing Unwarranted Biases against Patients
242
SelfRegulation of Surgical Practice and Research
255
Surgery and Other Medical Specialties
280
Obligations of Surgeons to NonPhysician Team Members
302
Financial Relationships with Patients
322
Understanding Assessing and Managing Conflicts of Interest
342
Relationships with Payers and Institutions that Manage and Deliver
367

Care of Dying Patients
171
Patients Who Are Family Members Friends Colleagues
198

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