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Whose best interest?
Ryan M Antiel1, Jon C Tilburt, Fredric W Hafferty
1Mayo Medical School, Mayo Clinic, Rochester, USA.
Insights
William Mayo
Area of Science:
- Medical Ethics
- Healthcare Policy
- Professional Identity in Medicine
Background:
- Reflecting on William James Mayo's 1910 commencement address at Rush Medical College.
- Mayo's speech emphasized patient-centered care and collaborative advancement of medical knowledge.
- The address serves as a foundational principle for the Mayo Clinic's model of care.
Discussion:
- Examining whether the primary focus in medicine remains the patient's best interest.
- Assessing the extent of unity within the medical profession over the past century.
- Analyzing the impact of Mayo's foundational principles on contemporary medical practice.
Key Insights:
- The core tenets of patient-first care and professional collaboration remain critical.
- Medicine faces ongoing challenges in consistently prioritizing patient welfare above all else.
- The degree of inter-professional unity in serving patients requires continuous evaluation.
Outlook:
- Encouraging a renewed commitment to Mayo's principles of patient advocacy and scientific advancement.
- Highlighting the need for ongoing dialogue on ethical medical practice and professional cohesion.
- Fostering a future where the patient's best interest is unequivocally the central guiding principle.
Abstract:
In the summer of 1910, William James Mayo, M.D., delivered the commencement address at Rush Medical College in Chicago. In his speech, he uttered words that have become the cornerstone of Mayo Clinic's model of care: "The best interest of the patient is the only interest to be considered, and in order that the sick may have the benefit of advancing knowledge, a union of forces is necessary." In this article, we reflect on issues raised by Mayo's speech that strike at the very heart of our professional identity and ask two questions: Is medicine's foremost concern the best interest of the patient? And has medicine really united over the last century in the service of patients?
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