Far from a "second-class" publication, many original observations are first presented as case reports. Like scientific abstracts, the case report abstract is governed by rules that dictate its format and length. This article will outline the features of a well-written case report abstract and provide an example to emphasize the main features. Scientific forums have specific rules regarding how the abstract should appear.
Reexamining the ethical tenets of medicine and their application in new circumstances is a necessary exercise. The sixth edition of the American College of Physicians ACP Ethics Manual covers emerging issues in medical ethics and revisits older ones that are still very pertinent.
It reflects on many of the ethical tensions in medicine and attempts to shed light on how existing principles extend to emerging concerns. In addition, by reiterating ethical principles that have provided guidance in resolving past ethical problems, the Manual may help physicians avert future problems.
The Manual is not a substitute for the experience and integrity of individual physicians, but it may serve as a reminder of the shared duties of the medical profession.
Berger, MD; Thomas A.
Bledsoe, MD; Clarence H. Fitzgerald, MD; Thomas H. Herrin, MD; Nathaniel E. Luke, MD; Tanveer P. Ownby, MD; Amirala S. Tilburt, MD; and Barbara J. Medicine, however, does not stand still-it evolves. Physicians must be prepared to deal with changes and reaffirm what is fundamental.
This sixth edition of the Ethics Manual examines emerging issues in medical ethics and professionalism and revisits older issues that are still very pertinent. Changes to the Manual since the fifth edition include new or expanded sections on treatment without interpersonal contact; confidentiality and electronic health records; therapeutic nondisclosure; genetic testing; health system catastrophes; caring for oneself, persons with whom the physician has a prior nonprofessional relationship, and very important persons VIPs ; boundaries and privacy; social media and online professionalism; surrogate decision making and end-of-life care; pay-for-performance and professionalism; physician-industry relations; interrogation; cross-cultural efficacy, cultural humility, and physician volunteerism; attending physicians and physicians-in-training; consultation, shared care, and the patient-centered medical home; protection of human subjects; use of human biological materials and research; placebo controls; scientific publication; and sponsored research.
A case method for ethics decision making is included Appendix.
Because ethics and professionalism must be understood within a historical and cultural context, the second edition of the Manual included a brief overview of the cultural, philosophical, and religious underpinnings of medical ethics in Western cultures.
In this edition, we refer the reader to that overview 2, 3 and to other sources 4, 5 that more fully explore this rich heritage. The Manual raises issues and presents general guidelines.
In applying these guidelines, physicians should consider the circumstances of the individual patient and use their best judgment. Physicians have moral and legal obligations, and the two may not be concordant.
Physician participation in torture is legal in some countries but is never morally defensible. Physicians must keep in mind the distinctions and potential conflicts between legal and ethical obligations and seek counsel when concerned about the potential legal consequences of decisions.
We refer to the law in this Manual for illustrative purposes only; this should not be taken as a statement of the law or the legal consequences of actions, which can vary by state and country. Physicians must develop and maintain an adequate knowledge of key components of the laws and regulations that affect their patients and practices.
Medical and professional ethics often establish positive duties that is, what one should do to a greater extent than the law. Current understanding of medical ethics is based on the principles from which positive duties emerge.
These principles include beneficence a duty to promote good and act in the best interest of the patient and the health of society and nonmaleficence the duty to do no harm to patients.
From the principle of respect for autonomy are derived the rules for truth-telling.
The relative weight granted to these principles and the conflicts among them often account for the ethical dilemmas that physicians face. Physicians who will be challenged to resolve those dilemmas must have such virtues as compassion, courage, and patience.
The principle of distributive justice requires that we seek to equitably distribute the life-enhancing opportunities afforded by health care. How to accomplish this distribution is the focus of intense debate.Jun 15, · With this newest "Hawk" from Ruger, we have a revolver that will shoot ACP through the use of full moon clips and the wide range of 45Colt loads.
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Access the ACP Ethics Manual Sixth Edition Table of Contents. In October , Chester Wilk, D.C.
and four other chiropractors (one later dropped out) filed suit against the AMA. The Wilk suit also named many of the nation's other most prominenet medical groups as codefendants-groups such as the American Hospital Association, the American College of Surgeons, the American College of Physicians, and the Joint Commission on Accreditation of Hospitals.