In this article, Medical Ethics: Medical Etiquette, it is a rule of conduct or manner that open the way for mutual understanding between the doctor and patient. Honorable men need no law. They inherently know what is right or wrong and are naturally considerate of the feelings of their patients and their colleagues (Tenery, 2016). Dr. Tenery suggest that some physician have some difficulty in applying these principles to their profession. Thorough his work with county and state societies, he revealed a formula which can help physician who do not know the correct medical etiquette. This formula consists of three measuring rods which can be applied to any problem of ethics. First, the measure of intent: One should determine if the intent of an actor a practice is to benefit the patient, the public, the profession, or the physician. Local custom and community ideals should be taken into consideration when applying the ethical precepts to particular fact situations. Third, the measure of the golden rule: The physician always can ask himself what treatment he would expect were the positions reversed (Tenery, 2016). Medical ethics do not change. Interpretation and how the principles are applied varies as the social environment changes, but the basic ethic principles remain the same. One example that Dr. Tenery gives is the rules concerning consultations or referral as we call it today has not changed but some doctor does not welcome the opinion of another doctor or the best interest of the patient. Dr. Tenery claims problems between physicians resulting from patient referral unusually stem from inadequate or faulty communication (Tenery, 2016). He believes that probably one of the most common mistakes made by young physicians do not know how to take criticism or the methods of older physician. No amount of scientific apparatus can replace the judgment and intuition that comes from years of experience in caring for the sick (Tenery, 2016).
The second article explain that the evolution of surgery has progress in the twenty – five years. The discovery of anesthesia has made surgery easy and less suffering to humans. With the establishment of a perfected aseptic technic, it seemed that the acme of surgical effort had been reached; and yet in the light of the discoveries coming to us daily, we can prophesy greater achievements for the future than are yet dreamed of (The Ethics of Surgery, 2018). The article describe that we should be thankful for the progress and the opportunities the future of surgery will bring and aid toward the advancement of the standards of the surgeon’s qualification. Even though surgery has advanced the requirement for surgeon has not. More surgery has been done by ill trained, incompetent me. The spirit of graft has towered the standard and the moral and ethics of the profession. When fee-splitting and the paying of commissions for surgical work began to be heard of something like a decade ago, it seemed so palpably dishonest and wrong that it was believed that it would soon die out or beat least confined to the few in whom the inherited commercial instinct was so strong that they could not get away from it. But it did not die; on the other hand, it has grown and flourished (The Ethics of Surgery, 2018). The article proposes that there are two ways this has happen. 1. Social and economic has change and wealth has induced medical profession whether right or wrong has adopt as a measure of self-protection. 2. An existence of low-grade stock company medical schools. Enough men of character, however, are entering the field through these better schools to insure the upholding of those lofty ideals that have characterized the profession in the past and which are essential to our continued progress (The Ethics of Surgery, 2018). The article advises that moral standards set for professional men and women in public life are going to be higher in the future, and with the limelight of public opinion turned on the medical and surgical corruption, the evil will cease to exist. I disagree because Big pharmaceutical company will continue to spend millions of dollars every year paying out top dollars by paying doctors through research grants, education grants, consulting fees, speaker fees, gifts and free meals.
Ethics are based on well-founded standards of right or wrong in terms of behavior, obligations, fairness, benefits to society and specific virtues. Being ethical is different as following the law and being ethical is not the same as doing “whatever society accepts” (Gillan and Pickerill, 2012). Medical ethics are important in both article and should always be practice but the current situation in medicine is everybody know the system has been corrupted and nobody wants to change it. Pharmaceutical company have paid huge amounts of money to doctors, researcher, and universities. Doctors are in the position of trust and have a duty to protect the health of their patient but the benefits of getting paid numerous amounts of money throws ethics out the door. While laws and codes of ethics exist for restricting gifts to almost everybody (journalists, police, civil servants, teachers etc.), no such law exists for doctors, other than disclosure. Because it is tacitly encouraged, the list of financial Conflict of Interest (COI) can become ridiculous. (Fung, 2017).
In conclusion, Ethics are in place but its up to the person to do the right thing when no one is watching. Medical ethics are referred to as high moral and practical standards that medical professionals should be held to. The main goal of medical ethics is to ensure that patients receive excellent care. Medical ethics need to be enforced, standards and policies set across the board at hospital, medical center, universities, etc. and each medical professional held accountable for their actions.
Fung, J. (2017). The corruption of the medical system and how it should change. Retrieved from https://www.dietdoctor.com/corruption-medical-system-change.
Gillan, K. and Pickerill, J. (2012) The difficult and hopeful ethics of research on, and with, social movements. Social Movement Studies, 11(2), pp.133-143.
Tenery, R. M. (2016). Medical Ethics: Medical Etiquette. JAMA, 315(12), 1291. https://doi-org.ezproxy2.apus.edu/10.1001/jama.2015.17079
The Ethics of Surgery. (2018). JAMA, 319(13), 1388. https://doiorg.ezproxy2.apus.edu/10.1001/jama.2017.12314