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Ethical issues faced by a department chairperson
Dirk Elston1, Jane M Grant-Kels
1Ackerman Academy of Dermatopathology, 145 East 32nd Street, 10th Floor, New York, NY 10016, USA. delston@ameripath.com
Insights
Department chairmen face ethical dilemmas regarding patient relationships, faculty demands, and performance management. This review explores these challenges, highlighting the need for more research in medical ethics for leadership.
Area of Science:
- Medical Administration
- Bioethics
- Healthcare Management
Background:
- Department chairmen routinely encounter complex ethical dilemmas in academic medical settings.
- Existing literature provides limited guidance on addressing these specific leadership challenges.
Purpose of the Study:
- To delineate the responsibilities inherent in the role of a department chairman.
- To examine exemplary ethical issues frequently managed by chairmen.
- To provide a framework for navigating these ethical quandaries.
Main Methods:
- Review of existing literature and expert opinion.
- Discussion of case-based ethical scenarios relevant to departmental leadership.
Main Results:
- Key ethical issues include managing patient relationships in tertiary care, demands on volunteer faculty, promotion and mentorship processes, and performance evaluations.
- The study highlights a scarcity of peer-reviewed publications on these critical topics.
Conclusions:
- Department chairmen require robust ethical frameworks to address multifaceted challenges.
- Further scholarly attention and publication are needed to support ethical leadership in academic medicine.
Abstract:
There are numerous ethical dilemmas faced routinely by department chairmen. Herein, we attempt to describe the responsibilities of a chairperson and then discuss some exemplary ethical issues that they are often required to handle, including. (1) How should a chair deal with the potential undermining of established doctor-patient relationships when a patient comes to the tertiary medical center? (2) What demands can a chair require of volunteer faculty to ensure the success of the department? (3) How should a chair deal with promotion issues and mentorship? (4) How should a chair deal with performance issues? We offer opinions and cite existing data, but we ask the reader to recognize that very few peer-reviewed publications are available on these topics. We hope that in the future these ethical conundrums will be addressed more frequently in medical journals.
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