There has been a sea-change in dermatology in the last three decades. Managed care, electronic records and communication, cosmetic dermatology, direct-to-consumer advertising, core competencies, and conflicts of interest were either nascent concepts or not even on the horizon as recently as the mid-1980s. The public, accrediting organizations, and physicians themselves recognize the need for training resources in dermatology ethics and professionalism. There is a need to address these topics in a format that will stimulate dialogue and reflection.
สารบัญ
INTRODUCTORY CHAPTER.- Basics of bioethics and ethical analysis.- Codes of professional ethics.- CLINICAL ETHICS.- Medical errors.- Refusal of treatment.- Care of minors.- Privacy and confidentiality.- Electronic communications and teledermatology-ethics in cyberdermatology.- Unsolicited diagnosis.- Fictional illness and psychodermatology.- RESEARCH AND PUBLICATION ETHICS.- Human subjects research and IRBs in dermatology.- Ethical issues in dermatologic genetics-genetic testing, gene patents.- Publication ethics- Ethical issues for writers, editors, and reviewers.- SUBSPECIALTY ETHICAL ISSUES.- Ethical issues in surgical dermatology .- Ethical issues in cosmetic dermatology, including office dispensing, advertising and promotion, ethics of medispas, the dermatologist as entrepreneur.- Ethical issues in dermatopathology.- Ethical issues in industrial dermatology and contact dermatitis.- PROFESSIONAL ETHICS.- Ethical Issues in Specialty Training including: relationship to faculty and patients, the residency match, trainee-industry relationships.- Lying for patients, ‘gaming the system’ and other challenges to honesty.- Professional boundaries.- The impaired or incompetent dermatologist.- Gifts to physicians.- Conflicts of interest and dual loyalties.- Dermatologist-Industry relationships.- Access to care and manpower issues.
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