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Why physicians should not do ethics consults.

F H Marsh1

  • 1Program in Medical, School of Medicine, University of Colorado Health Sciences Center, Denver 80262.

Theoretical Medicine
|September 1, 1992
PubMed
Summary
This summary is machine-generated.

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Physicians face complex ethical decisions, questioning if clinical ethicists provide objective ethics consults. This analysis suggests clinicians, influenced by habits and defensive medicine, are less suited for objective ethical consultations.

Area of Science:

  • Medical Ethics
  • Clinical Decision-Making
  • Healthcare Professionalism

Background:

  • The increasing complexity of bedside medical decisions fuels debate on appropriate parties for ethics consultations.
  • While clinical ethicists are often proposed for consultations, their objectivity is questioned.
  • Physicians' professional perspectives may impede their ability to serve as detached third-party consultants.

Purpose of the Study:

  • To evaluate the suitability of clinical ethicists versus physicians in providing objective ethics consultations.
  • To identify factors influencing physician objectivity in ethical case analysis.
  • To determine the most appropriate party for complex medical ethics consultations.

Main Methods:

  • Conceptual analysis of physician cognitive biases and professional psychology.
Keywords:
Bioethics and Professional EthicsProfessional Patient Relationship

Related Experiment Videos

  • Discussion of factors such as ingrained habits and defensive medicine impacting physician judgment.
  • Argumentative review of the role and limitations of clinical ethicists in consultations.
  • Main Results:

    • Physicians' professional mindset, including habits and defensive medicine, significantly compromises their objectivity.
    • The inherent nature of clinical practice limits physicians' capacity for detached ethical analysis.
    • Clinical ethicists may face challenges in maintaining the required level of detachment.

    Conclusions:

    • Clinical ethicists are less suited for providing objective consultations in cases with significant ethical challenges.
    • The inherent biases and professional pressures on physicians limit their effectiveness as objective ethics consultants.
    • Rethinking the structure and provider of ethics consultations is necessary for complex medical cases.