Socioeconomic pressures on medicine have redefined traditional relationships between physicians and patients, researchers and regulatory bodies, and consultants and device companies. Physicians are disheartened that the public perception of medicine, reinforced by the media, is often negative.
Beyond the precept of “first, do no harm,” our ethical code dictates that we place the welfare of those in our charge beyond all other concerns. Our commitment to professionalism ensures that we perform our duties in a mindful, respectful manner that takes into account both the physical and the psychosocial manifestations of disease.
This review is one of a series of articles reflecting the sections of the Code of Ethics of the American Society for Surgery of the Hand. The physician–patient relationship has been subjected to numerous stressors over the past several decades.
In its guidelines for hand care professionals, the American Society for Surgery of the Hand has set the following criteria as guidelines for the ethical hand surgeon in the 21st century: decency, honor, and integrity.
Many advances in hand surgery have been supported and enabled by the integral relationship that exists between the profession of hand surgery and industry. This relationship takes many forms, including medical education, development of new technology and methodology, research, and opportunities for patient education.
Post operative analgesia plays an important role in the management of out-patient hand procedures (1,2,3). Unfortunately, there has been a rise in prescription opioid abuse in North America (4) and as such prescribing practices need to be scrutinized. The goal of this study was to review patterns of opioid prescription in an elective ambulatory hand surgery practice and to identify if patient, anesthetic or surgical factors influenced prescribing patterns.
Some anticipated that the Accreditation Council for Graduate Medical Education duty hours restrictions would foster a team-focused “new professionalism” among residents. This study explores the prevalence and challenges of a new professionalism and whether they vary by program size.
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