Browsing by Subject "Physician's Role"
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Item Good sport and good doctoring: when patients want enhancements, not therapy (The Daniel W. Foster, M.D., Visiting Lectureship in Medical Ethics)(2020-11-10) Murray, Thomas H.We know that athletes, from aspiring teens to professional and aging masters, use drugs to enhance their performance. We know that in almost all sports using performance-enhancing drugs (PEDs) is forbidden. Why do athletes use them despite the prohibitions and sanctions if they are caught? Anyway, what's wrong with using PEDs in the first place? If everyone was allowed to use them, wouldn't the competitions be just as fair? How can physicians respond ethically to patients requesting help in obtaining or monitoring their health as they use PEDs? How can our experience with biomedical enhancement in sport help us understand other ways patients ask your help in using medicine to pursue goals well outside the accepted legitimate goals of medicine?Item Meaning, morality, and medically assisted gender crossing(2016-10-11) Nelson, Jamie LindemannThroughout the last two thirds of the 20th Century, and up to the present, medicine has played a crucial role in the lives of transgender people. Its most conspicuous contributions have been in the use of what today are often called "gender confirmation surgeries" and hormonal interventions. Yet medicine has made at least equally significant conceptual contributions: faced with a phenomenon that has been hard to square with widely accepted truisms about maleness and femaleness, putting "gender identity disorder" or "gender dysphoria" into the nosology has provided ways of thinking about transgender that have been useful to both transgender and non transgender people. Increasingly transgender people have challenged these medical understandings. In this presentation, I examine what it might mean for medicine to assist gender crossing, not under the rubric of a diagnostic category, but guided by understandings of gender and transgender negotiated with those requesting its help.Item Medical ethics related to child abuse: evaluations, diagnoses, and reporting(2024-02-13) Lowen, Deborah E.For medical practitioners encountering situations of child abuse or neglect, the subject matter itself can be difficult and even traumatizing. The ethical issues that arise add to the discomfort for those involved with these cases. Through case vignettes, this webinar will discuss some of the more common ethical dilemmas, such as determining a plan for medical evaluations related to abuse, formulating medical diagnoses, and responding to mandatory reporting laws. The relationship of these ethical issues to concerns about the roles and functioning of child welfare agencies will also be addressed.Item Physician advocacy: influencing our future(2019-05-03) Solow, BlairItem Physicians, healthcare costs, and society: who's responsible for what?(2015-10-13) Tilburt, Jon C.Physicians play a key role in the utilization of healthcare financial resources. The unsustainable rise in the cost of healthcare in the US implies physicians should be part of addressing rising costs to make them more sustainable. But how can they do so with integrity? Ancient vows of medicine require fidelity to individual best interests. Modern norms of social contract require attention to just distribution of societal resources. Both are important. If and when these responsibilities conflict how can they be reconciled? This talk will describe the problem of dual agency, the challenges it poses to contemporary US medical practice, and common solutions to address the challenge. These challenges will be illustrated with empirical data from recent research with doctors, and will outline empirical, normative, and policy opportunities to clarify and define what kind of role physicians can and should play in addressing healthcare costs with integrity.Item Population health care interventions: outcomes & equity considerations(2024-01-05) Liao, Joshua M.Item Reclaiming our voices: activism as antidote(2023-09-22) Bornstein, Sue S.Item The short history and tenuous future of "professionalism"(2022-12-13) Wynia, Matthew[Note: The slide presentation is not available from this event.] The concept of professionalism in health care is both newer and more fragile than many assume. The history, strengths, risks, and alternatives to professionalism should be understood if we hope to create a future in which health professionals work well together in teams to effectively and ethically serve our patients and communities.