Autonomy, paternalism and understanding

Alex, a third-year medical student, is in the middle of his surgery rotation. He frequently finds himself rather shocked by some of the unseemly remarks that his attending, Dr. Tate, makes during surgery and between seeing patients on rounds. A highly respected surgeon, Dr. Tate is personable with patients and well liked by them, but…

Lance Armstrong will soon be competing again in bicycle races around the world, meaning that the casual biking fan will once again show interest in the sport. It also means that doping allegations against Armstrong are likely to resume. If Lance wins some big races — at his age and after so long away from…

Ever had a doctor present you with a contract, laying out what you need to do or else? Well, this is an increasingly common practice in medicine.
Michael Volk led a group of us who wrote about this topic recently in The Lancet. Click on this link to check it out.

Eighteen years out of training, and I still find myself struggling to understand the moral imperatives of medical practice. Not long ago, as part of my hospital duties, I cared for a man who could no longer swallow. This dysphagia was his only medical complaint, one that had sneaked up on him over the course…