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Ann Thorac Surg 2004;77:1149-1150
© 2004 The Society of Thoracic Surgeons

Ethics in cardiothoracic surgery

Con

Joseph S. Coselli, MD, Lori D. Conklin, MD

The first 20% of the full text of this article appears below.

In recent years, a number of substantive changes have occurred in the training and practice of medicine and surgery. The pace of change is always accelerating. As surgeons, we initially believed that we were immune to many of the evolving issues and concerns regarding resident work hours and lifestyle debates. However, now that has all changed and we find ourselves in transition, trying to balance our professional lives with personal and professional responsibilities. This essay will provide opinions on the direction that our profession is heading and why we should remain concerned and engaged.

In his 1963 presidential address to the Thirteenth Annual Student American Medical Association Convention, Dr Michael E DeBakey [1] proclaimed that "the demands of a physician's practice are so rigorous, requiring such exclusiveness on the part of the doctor that he must forego almost all other aspects of life". Four decades later, this philosophy continues to exist within organizations such as the American College of Surgeons [2] whose members pledge "to pursue the practice of general surgery with honesty and to place the welfare and the rights of [the] patient above all else... ." However, healthcare within the United States has become a multibillion-dollar industry, and it is estimated that by the year 2007, American healthcare will cost more than 2 trillion dollars and will require 20% of the gross domestic product [3]. . . . [Full Text of this Article]






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