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Remember Evil: Remaining Assumptions In Autonomy-based Accounts Of Conscience Protection
Discussions of the proper role of conscience and practitioner judgement within medicine have increased of late and with good reason. The cost of allowing practitioners the space to exercise their best judgement and act according to their conscience is significant. Misuse of such protections carve out societal space in which abuse, discrimination, abandonment of patients and simple malpractice might occur. These concerns are offered amid a backdrop of increased societal polarization and are about a profession (or set of professions) which has historically fought for such privileged space. There is a great deal that has been and might yet be said about these topics, but in this paper author Bryan Pilkington addresses one recent thread in this discussion: the justification of conscience protection rooted in autonomy.
Pilkington, B. C. (2019). Remember Evil: Remaining Assumptions In Autonomy-based Accounts Of Conscience Protection. Journal of Bioethical Inquiry, 1-6. DOI: 10.1007/s11673-019-09949-7
https://link.springer.com/article/10.1007/s11673-019-09949-7
Medical Professionalism Across Cultures: A Literature Review
This review aims to identify the cultural perspectives of medical professionalism by identifying relevant literature from the Middle East, East/South Asia and the Western world that discuss definitions. A literature search was conducted using the "Summon" search engine, and 200 articles sorted by relevancy were manually reviewed. Based on the surveys and documents gathered from each of the regions, the definitions seem to be fairly consistent in their recognition of characteristics important to the concept of medical professionalism. These include several characteristics, with some of the most common being personal character, respect for patient autonomy, responsibility and social obligations; the main difference lies in emphasis with the West focusing on societal issues and patient rights, the Middle East focusing on morality and personal character, and East Asia focusing on respect, responsibility and other duties. These differences are reviewed, and the cultural sources are further expanded upon.
Yasin, L., Stapleton, G. R., & Sandlow, L. J. (2019). Medical Professionalism Across Cultures: A Literature Review. MedEdPublish, 8(3). doi: 10.15694/mep.2019.000191.1