Ethical medical practice is often described as the cornerstone of being a “good” physician. Yet we seldom reflect on the number of ethical dilemmas clinicians encounter while trying to uphold these principles. This article highlights some of the major ethical conflicts physicians may face at different points in their careers. Reporting an Incompetent or Impaired Colleague What should you do if a colleague appears impaired, whether due to illness, alcohol or drug dependence, or declining clinical competence, and refuses assistance?
Should you report the concern to an employer or the medical council? The decision tests a doctor’s responsibility to patients, peers, and the profession. Patient Confidentiality vs Clinical Conscience Consider a scenario where one partner in a couple is HIV-positive and the other is unaware. Should the physician protect patient confidentiality or disclose the…
