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Chapter 5 - Conflicts of Interest and Conflicts of Commitment

from Section 1 - Professional Ethics in Obstetrics and Gynecology

Published online by Cambridge University Press:  01 November 2019

Laurence B. McCullough
Affiliation:
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
John H. Coverdale
Affiliation:
Baylor College of Medicine, Texas
Frank A. Chervenak
Affiliation:
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Summary

This chapter provides an ethical framework for the identification and responsible management of conflicts of interest and conflicts of commitment.

The professionally responsible management of conflicts of interest and conflicts of commitment is essential for sustaining the three commitments of the ethical concept of medicine as a profession (see Chapter 1) and therefore for professional integrity.

Type
Chapter
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Publisher: Cambridge University Press
Print publication year: 2019

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References

Chervenak, FA, McCullough, LB, Hale, RW. Guild interests: an insidious threat to professionalism in obstetrics and gynecology. Am J Obstet Gynecol 2018; 219: 581584.Google Scholar
Porter, D, Porter, R. Patient’s Progress: Doctors and Doctoring in Eighteenth Century England. Cambridge: Cambridge University Press, 1989.Google Scholar
Gregory, J. Lectures on the Duties and Qualifications of a Physician. London: W. Strahan and T. Cadell, 1772. In McCullough LB, ed. John Gregory’s Writings on Medical Ethics and the Philosophy of Medicine. Dordrecht, the Netherlands: Kluwer Academic, 1998: 161–248.Google Scholar
McCullough, LB. John Gregory and the Invention of Professional Medical Ethics and the Profession of Medicine. Dordrecht, the Netherlands: Springer, 1998.CrossRefGoogle Scholar
Percival, T. Medical Ethics; or, A Code of Institutes and Precepts, Adapted to the Professional Conduct of Physicians and Surgeons. London: Johnson & Bickerstaff, 1803.Google Scholar
American College of Obstetricians and Gynecologists. Committee Opinion No. 390. Ethical decision making in obstetrics and gynecology. Obstet Gynecol 2007; 110: 14791487.CrossRefGoogle Scholar
National Academy of Medicine. Conflicts of Interest in Medical Research, Education, and Practice. Washington, DC: National Academies Press, 2009.Google Scholar
Hillman, BJ, Joseph, CA, Mabry, MR, et al. Frequency and costs of diagnostic imaging in office practice: a comparison of self-referring and radiologist-referring physicians. N Engl J Med 1990; 323: 16041608.Google Scholar
International Association for Medial Ultrasound. Practice parameters. Available at www.aium.org/resources/guidelines.aspx (accessed March 1, 2019).Google Scholar
Jain, C. ACOG Committee Opinion No. 723. Guidelines for diagnostic imaging during pregnancy and lactation. Obstet Gynecol 2019; 133: 186.Google Scholar
Choo, EK, Byington, CL, Johnson, NL, Jagsi, R. From #MeToo to #TimesUp in health care: can a culture of accountability end inequity and harassment? Lancet 2019; 393: 499502.CrossRefGoogle ScholarPubMed
Holroyd-Leduc, JM, Straus, SE. #MeToo and the medical profession. CMAJ 2018; 190: E972E973.Google Scholar
Bayer, T, Coverdale, J, Chiang, E. A national survey of physicians’ behaviors regarding sexual contact with patients. South Med J 1996; 89: 977982.Google Scholar
McCullough, LB, Chervenak, FA, Coverdale, J. Ethically justified guidelines for defining sexual boundaries between obstetrician-gynecologists and their patients. Am J Obstet Gynecol 1996; 175: 496500.CrossRefGoogle ScholarPubMed
Johns Hopkins Hospital. Hospital agrees to pay $190 million over recording of pelvic exams. Available at www.nytimes.com/2014/07/22/us/johns-hopkins-settlement-190-million.html (accessed March 1, 2019).Google Scholar
‘Just the grossest thing’: Women recall interactions with U.S.C. doctor. Available at www.nytimes.com/2018/05/17/us/USC-gynecologist-young-women.html. Accessed March 1, 2019.Google Scholar
Anonymous. Our family secrets. Ann Intern Med 2015; 163: 321.Google Scholar
von Staden, H. “In a pure and holy way:” personal and professional conduct in the Hippocratic Oath. J Hist Med Allied Sci 1996; 51: 404437.Google Scholar
Pernick, MS. Bioethics and history. In Baker, RB, McCullough, LB, eds. The Cambridge World History of Medical Ethics. New York: Cambridge University Press, 2009: 1620.Google Scholar
Hoffmann, F. Medicus politicus; sive, regulae prudentiae secundum quas medicus juvenis studia sua & vitae rationem dirigere debet. (The Politic Doctor, or Rules of Prudence according to which a Young Physician Should Direct his Studies and Reason of Life). Leiden: Philip Bonk, 1738.Google Scholar
Tong, R. Feminine and Feminist Ethics. Belmont, CA: Wadsworth, 1993.Google Scholar
American Psychiatric Association. Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry. 2013. Available at https://www.psychiatry.org/psychiatrists/practice/ethics (accessed March 1, 2019).Google Scholar
American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 723. Sexual misconduct. Obstet Gynecol 2007; 110: 441444.Google Scholar
Selective Service System. Conscientious objection and alternative service. Available at www.sss.gov/consobj (accessed March 1, 2019).Google Scholar
Chervenak, FA, McCullough, LB. Obstetric ethics and the abortion controversy. Am J Ethics Med 1994; 3: 36. https://www.psychiatry.org/psychiatrists/practice/ethics (accessed March 1, 2019).Google Scholar
Chervenak, FA, McCullough, LB. Reply (re: The ethics of direct and indirect referral for termination of pregnancy). Am J Obstet Gynecol 2008; 199: 232e1–3.26.Google Scholar
American College of Obstetricians and Gynecologists. Committee on Ethics. Committee Opinion Number 385. The limits of conscientious refusal in reproductive medicine. Obstet Gynecol 2007; 110: 1203–1208.Google Scholar
Planned Parenthood. Available at www.plannedparenthood.org/ (accessed March 1, 2019).Google Scholar
American Association of Pro-Life Obstetricians and Gynecologists. AAPLOG response to the ACOG Ethics Committee Opinion #385, titled “The limits of conscientious refusal in reproductive medicine.” February 6, 2008. Available at www.consciencelaws.org/ethics/ethics079-004.aspx3. Accessed March 1, 2019.Google Scholar

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