The best lack all conviction: Biomedical ethics, professionalism, and social responsibility

Cambridge Quarterly of Healthcare Ethics

Volumn 12, Issue 1, 2003, Pages 21-38

  Coulehan, Jack ^a   Williams, Peter C ^b   Van McCrary, S ^b   Belling, Catherine ^a  

^a STONY BROOK UNIVERSITY   (United States)

^b STONY BROOK UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COGNITION; HUMAN; MEDICAL EDUCATION; MEDICAL ETHICS; MEDICAL PRACTICE; MEDICAL PROFESSION; MOTIVATION; READING; REVIEW; SOCIAL BEHAVIOR; TEACHING; ARTICLE; BIOETHICS; BIOETHICS AND PROFESSIONAL ETHICS; CONFLICT OF INTEREST; CURRICULUM; DOCTOR PATIENT RELATION; EDUCATION; EDUCATIONAL MODEL; ETHICS; SOCIAL JUSTICE; SOCIALIZATION; STANDARD; UNITED STATES;

BIOETHICS AND PROFESSIONAL ETHICS;

BIOETHICS; CONFLICT OF INTEREST; CURRICULUM; EDUCATION, MEDICAL; ETHICS, MEDICAL; ETHICS, PROFESSIONAL; HUMANS; MODELS, EDUCATIONAL; PHYSICIAN-PATIENT RELATIONS; SOCIAL JUSTICE; SOCIAL RESPONSIBILITY; SOCIALIZATION; UNITED STATES;

EID: 0037809614     PISSN: 09631801     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0963180103121044     Document Type: Review

References (87)

1. Accreditation Council for Graduate Medical Education Outcome Project. 2002. Available at: http://www.acgme.org.
2. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA 2002;287:226-35.
3. AAMC Core Curriculum Working Group. Graduate Medical Education Core Curriculum. Washington, D.C.: Association of American Medical Colleges; 2000.
4. Coulehan J, Williams PC. Professional ethics and social activism: where have we been? where are we going? In: Wear D, Bickel J, eds. Educating Physicians: Medical Student Professional Development and Social Change. Iowa City: University of Iowa Press, 2001:49-69.
5. Albanese M. Students are not customers: a better model for medical education. Academic Medicine 1999;74(11):1172-86.
6. Barry D, Cyran E, Anderson RJ. Common issues in medical professionalism: room to grow. American Journal of Medicine 2000;108:136-42.
7. Bennett MJ. The Empathic Healer: An Endangered Species? New York: Academic Press; 2001.
8. Medical Professionalism Project. Medical professionalism in the new millennium: a physicians' charter. The Lancet 2002;359:520-2.
9. Stephenson A, Higgs R, Sugarman J. Teaching professional development in medical schools. The Lancet 2001;357:867-70.
10. Wear D, Castellani B. The development of professionalism: curriculum matters. Academic Medicine 2000;75:602-11.
11. Wear D. On white coats and professional development: the formal and hidden curricula. Annals of Internal Medicine 1998;129:734-7.
12. Wear D. Professional development of medical students: problems and promises. Academic Medicine 1997;72:1056-62.
13. Bloom SW. The medical school as a social organization: the sources of resistance to change. Medical Education 1989;23:228-41.
14. Couch JB. A remedy for outmoded medical education. Health Cost Management 1985;2:1-4, 19.
15. Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Academic Medicine 1994;69:861-71.
16. Hundert EM. Characteristics of the informal curriculum and trainee's ethical choices. Academic Medicine 1996;71:624-33.
17. Cohen JJ. Heeding the plea to deal with resident stress. Annals of Internal Medicine 2002;136:394-5.
18. Clever LH. Who is sicker: patients - or residents? Residents' distress and the care of patients. Annals of Internal Medicine 2002;136:391-3.
19. Collier VU, McCue JD, Markus A, Smith L. Stress in medical residency: status quo after a decade of reform? Annals of Internal Medicine 2002;136:384-90.
20. Coulehan J, Williams PC. Vanquishing virtue: the impact of medical education. Academic Medicine 2001;76:598-605.
21. Coulehan J, Williams PC. Conflicting professional values in medical education. Cambridge Quarterly of Healthcare Ethics, this issue, 7-20.
22. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 5th ed. London: Oxford University Press; 2001.
23. Clouser KD, Gert B. A critique of principalism. Journal of Medicine and Philosophy 1990;15:219-36.
24. Arras JD, Steinbock B. Ethical Issues in Modern Medicine. 5th ed. Mountain View, Calif.: Mayfield; 1999.
25. Kanoti GA. Ethical Dilemma: A Values Guide for Medical Students. Thousand Oaks, Calif.: Sage Publications; 2000.
26. Jonsen AR, Siegler M, Winslade WJ. Clinical Ethics. New York: Macmillan; 2002.
27. Purtilo R. Ethical Dimensions in the Health Professions. Philadelphia: Saunders; 1999.
28. LaPuma J, Schiedermayer D. Ethics Consultation: A Practical Guide. Boston: Jones & Bartlett; 1994.
29. Eckenfels EJ. Contemporary medical students' quest for self-fulfillment through community service. Academic Medicine 1997;72:1043-50.
30. Kassirer JP. Managing care: should we adopt a new ethic? New England Journal of Medicine 1998;339:397-8.
31. Zoloth-Dorfman L, Rubin S. The patient as commodity: managed care and the question of ethics. Journal of Clinical Ethics 1995;6:339-56.
32. AMA Council on Ethical and Judicial Affairs. Ethical issues in managed care. JAMA 1995;273:330-5.
33. Miles SH, Koepp R. Comments on the AMA report "Ethical issues in managed care." Journal of Clinical Ethics 1995;6:306-11.
34. Engel GL. The need for a new medical model: a challenge for biomedicine. Science 196:129-36.
35. American Medical Association, Council on Ethical and Judicial Affairs. Code of Medical Ethics: Current Opinions with Annotations. Chicago: American Medical Association; 1996.
36. Coulehan JL. Being a physician. In: Mengel MB, Holleman WL, eds. Fundamentals of Clinical Practice: A Textbook on the Patient, Doctor, and Society. New York: Plenum; 1997:73-101.
37. Baker R. Deciphering Percival's code. In: Baker R, Porter D, Porter R, eds. The Codification of Medical Morality. Dordrecht: Kluwer; 1993:179-211.
38. Leake CD. Percival's Medical Ethics. New York: Robert E. Krieger; 1975:71.
39. Pellegrino ED, Thomasma DC. The Virtues in Medical Practice. London: Oxford University Press; 1993.
40. Pellegrino ED. The internal morality of clinical medicine: a paradigm for the ethics of the helping and healing professions. Journal of Medicine and Philosophy 2001;26:559-79.
41. Drane JF. Becoming a Good Doctor: The Place of Virtue and Character in Medical Ethics. Ashland, Ohio: Sheed & Ward; 1988.
42. American Medical Association. Professing Medicine: Strengthening the Ethics and Professionalism of Tomorrow's Physicians [commemorative issue of Virtual Mentor]. Chicago: American Medical Association; 2001.
43. Chervenak FA, McCullough LB, Pearse WH, Gabbe P. The moral foundation of medical leadership: the professional virtues of the physician as fiduciary of the patient. American Journal of Obstetrics and Gynecology 2001;184:875-80.
44. Swick HM, Szenas P, Danoff D, Whitcomb ME. Teaching professionalism in undergraduate medical education. JAMA 1999;282:830-2.
45. See note 5, AAMC Core Curriculum Working Group 2000:11.
46. See note 5, AAMC Core Curriculum Working Group 2000:11.
47. Rothman DJ. Medical professionalism: focusing on the real issues. New England Journal of Medicine 2000;342:1284-6.
48. Coulehan JL. Tenderness and steadiness: emotions in medical practice. Literature and Medicine 1996;14:222-36.
49. Branch WT Jr, Pels RJ, Harper G, Calkins D, Forrow L, Mandell F, et al. A new educational approach for supporting the professional development of third year medical students. Journal of General Internal Medicine 1995;10:691-4.
50. Branch WT, Kern D, Haider P, Weissmann P, Gracey EF, Mitchell G, Inui T. Teaching the human dimensions of care in clinical settings. JAMA 2001;286:1067-74.
51. Pololi L, Frankel RM, Clay M, Jobe A. One year's experience with a program to facilitate personal and professional development in medical students using reflection groups. Education for Health 2000;14(1):36-49.
52. Connelly J. Emotions, ethics, and decisions in primary care. Journal of Clinical Ethics 1998;9:225-34.
53. Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, Kaplan MD. Calibrating the physician: personal awareness and effective patient care. JAMA 1997;278:502-9.
54. Meier DE, Back AL, Morrison RS. The inner life of physicians and care of the seriously ill. JAMA 2001;286:3007-14.
55. Farber NJ, Novack DH, O'Brien MK. Love, boundaries, and the patient-physician relationship. Archives of Internal Medicine 1997;157:2291-4.
56. Balint M. The Doctor, His Patient, and the Illness. New York: International Universities Press; 1972.
57. Toombs SK, Barnard D, Carson RA, eds. Chronic Illness: From Experience to Policy. Bloomington: Indiana University Press; 1995.
58. Coulehan JL, Platt FW, Frankl R, Salazar W, Lown B, Fox L. Let me see if I have this right: words that build empathy. Annals of Internal Medicine 2001;135:221-7.
59. Hicks LK, Robertson DW, Robinson DL, Woodrow SI. Understanding the clinical dilemmas that shape medical students' ethical development: questionnaire survey and focus group study. BMJ 2001;322:709-10.
60. Dwyer J. Primum non tacere: an ethics of speaking up. Hastings Center Report 1994;24(1):13-8.
61. Bolton G. Stories at work: reflective writing for practitioners. The Lancet 1999;354:243-5.
62. Fishbein RH. Professionalism and "the master clinician": an early learning experience. Journal of Evaluation in Clinical Practice 2000;6:241-3.
63. Wright SM, Kern DE, Kolodner K, Howard DM, Brancati FL. Attributes of excellent attending physician role models. New England Journal of Medicine 1998;339:1986-93.
64. Montgomery K. Doctors' Stories: The Narrative Structure of Medical Knowledge. Princeton, N.J.: Princeton University Press; 1991.
65. Charon R. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA 2001;286:1897-1902.
66. Coulehan J. An alternative view: listening to patients. The Lancet 1999;354:1467-8.
67. Nelson HL, ed. Stories and Their Limits: Narrative Approaches to Bioethics. London: Routledge; 1997.
68. Morris DB. Narrative, ethics, and thinking with stories. Narrative 2001;9:55-77.
69. Charon R. Narrative medicine: form, function, and ethics. Annals of Internal Medicine 2001;134:83-7.
70. Brody H. "My story is broken; can you help me fix it?" medical ethics and the joint construction of narrative. Literature and Medicine 1994;13:79-92.
71. Brody H. Stories of Sickness. New Haven, Conn.: Yale University Press; 1987.
72. Greenhalgh T, Hurwitz B, eds. Narrative Based Medicine: Dialogue and Discourse in Clinical Practice. London: BMJ Books, 1998.
73. Cassell EJ. Doctoring: The Nature of Primary Care Medicine. London: Oxford University Press; 1997.
74. See note 69, Charon 2001:83.
75. Kidder T. The good doctor. The New Yorker 10 Jul 2000:40-56.
76. Scannell K. Death of the Good Doctor. San Francisco, Calif.: Cleis Press; 1999.
77. Verghese A. My Own Country. New York: Vintage Books, 1994.
78. Coles R. Lives of Moral Leadership. Rowley, Mass.: Random House; 2000.
79. Brabazon J. Albert Schweitzer: A Biography. 2nd ed. Syracuse, N.Y.: Syracuse University Press; 2000.
80. Schweitzer A. Out of My Life and Thought. Baltimore, Md.: Johns Hopkins Press; 1998.
81. O'Connor MM. The role of the television drama ER in medical student life: entertainment or socialization? MS-JAMA 1998;280:854-5.
82. See note 81, O'Connor 1998:855.
83. Moghanaki D. An ER-influenced school of medicine bone marrow drive. MS-JAMA 1999;281:np (letter to ed.).
84. Charon R. To render the lives of patients. Literature and Medicine 1986;5:58-74.
85. See note 35, AMA Council on Ethical and Judicial Affairs 1996:sect. VII.
86. See note 35, AMA Council on Ethical and Judicial Affairs 1996:sect. III.
87. See note 29, Eckenfels 1997:1046.