Dermatoethics Contemporary Ethics and Professionalism in Dermatology ppt

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[...]... consumerism and the business of medicine, cosmetic dermatology and medical spas, and advances in genetic technology, all give rise to new ethical concerns These developments combined with the frailties of human nature, to which physicians are not exempt, underscore the need for ongoing teaching and dialogue on contemporary issues in ethics and professionalism for dermatology trainees and practitioners From... 119 Irèn Kossintseva and Benjamin Barankin 21 Teaching Ethics in Clinic: Keeping You Smart and Honest 125 Nely Z Aldrich and Eliot N Mostow Part IV Dermatologist as Businessperson 22 Boutiques, Botox®, and Basal Cells: Can Dermatology Set Its Priorities? 131 Jeffrey J Meffert and Maria Villegas 23 The Price Is Right: Office Dispensing and Product Pricing ... articles on ethics in dermatology were published By contrast, there were only 98 articles published over the prior 20 years The American Academy of Dermatology offered four forums and discussion groups on ethics at its 2011 meeting There has clearly been increasing interest in ethical issues in dermatology It is our hope that this book will serve as a resource to stimulate discussion and teaching in ethics. .. Contents 37 Ghost Busting in Dermatology Publications: Providing Byline Integrity 227 Andrea L Suárez, Jeffrey D Bernhard, and Robert P Dellavalle 38 Telling the Same Tale Twice: Déjà vu and the Shades of Grey in Self-Plagiarism 233 Andrea L Suárez, Jeffrey D Bernhard, and Robert P Dellavalle 39 Cutting Edge or Cutting Corners? Innovative Care ... Wiland IV, Barry D Kels, and Jane Grant-Kels 31 No Strings Attached? Managing Conflicts of Interest in Medicine 185 Noah D Shannon and Clifford Perlis Part V Dermatologist as Scholar 32 Respecting Human Subjects: Responsibilities of the Clinical Investigator 193 Kenneth Katz and Samual Garner 33 Hope, Hype, and Genotype: Genetic Testing in. .. Bercovitch 14 The Dermatologist and Social Media: The Challenges of Friending and Tweeting 77 Jennifer A Sbicca and Stanton K Wesson 15 Respecting Differences: Dermatology in a Diverse Society 83 Vimal Prajapati and Benjamin Barankin 16 Dermatologists Within, Beyond and Struggling with Borders: The Global Dermatologist 91 Jennifer L Weinberg 17 Feet of Clay:... as “don’t invade someone’s privacy”) may clash with professional morality (the obligation to heal the sick and relieve suffering) One’s personal morals and ethics may conflict with one’s professional duty and ethics [3] 5 Table 1.1 The bystander phenomenon 1 The bystander must notice that something is happening 2 Bystander recognizes it as an emergency or crisis demanding a response 3 Bystander attributes... end-of-life care is replete with writings on unreasonable demands for medical intervention, usually referred to as futile care In most ambulatory specialties, including dermatology, futile does not adequately describe clinically inappropriate demands These are more aptly classified in Table 2.1 L Bercovitch and C Perlis (eds.), Dermatoethics, DOI 10.1007/978-1-4471-2191-6_2, © Springer-Verlag London Limited... had the legal standing to give informed consent, for example, as an “emancipated minor”, the physician is not obligated to suspend professional judgment to satisfy the patient’s demands By validating the patient’s concerns in a nonjudgmental way, thoroughly detailing the risks and benefits of the surgical procedure, involving both the patient and parents (while focusing on the patient) in the decision,... countries (the other being New Zealand) to allow televised DTCDA [4] In the ensuing decade, spending on broadcast DTCDA increased more than threefold [5], while generating considerable debate regarding DTCDA effects on patient care and the patient-physician relationship FDA guidelines stipulate that printed advertisements must disclose each side effect, warning, precaution and contraindication from the . y0 w0 h1" alt="" Dermatoethics Lionel Bercovitch • Clifford Perlis Editors Dermatoethics Contemporary Ethics and Professionalism in Dermatology Editors Lionel. faced in everyday clinics, in business management, and in scholarly pursuits. Apparently Drs. Bercovitch, Perlis, and co-authors in the book Dermatoethics

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  • Cover

  • Front-matter

    • Dermatoethics: Contemporary Ethics and Professionalism in Dermatology

      • Copyright

      • Dedication

      • Foreword

      • Preface

      • What Do We Mean by Ethical?

        • Definition of Ethics

        • Characteristics of Ethics

        • Ethics Is Not Objectively Provable

        • Where Does This Leave Us?

        • Acknowledgment

        • References

      • Contents

  • Part I: Dermatologist as Clinician

    • 1: “Excuse Me…”: Unsolicited Dermatologic Opinions: Ethical, Moral, and Legal Issues

      • Case Scenarios

      • Discussion

      • Legal Issues*

      • Analysis of Case Scenarios

      • How to Offer Unsolicited Advice or Diagnosis [ 3 ]

      • Conclusion

      • References

    • 2: “Give Me Enbrel™ or Give Me Death”: Confronting the Limits of Autonomy

      • Case 1

      • Case 2

      • Case 3

      • Unreasonable Demands for Care

      • Analysis of Cases

      • Conclusion

      • References

    • 3: Direct-to-Consumer Advertising of Prescription Medications: Misguided “Autonomy” in the Information Age

      • Case 1

      • Case 2

      • Case 3

      • Discussion

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 4: Autonomy, Isotretinoin and iPLEDGE: The Ethics of Burdensome Regulation and Use of Teratogenic Medication

      • Case 1

      • Case 2

      • Case 3

      • Case 4

      • Discussion

      • Case Analysis

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Conclusion

      • References

    • 5: “Who Speaks for the Child?” Consent, Assent, and Confidentiality in Pediatric Dermatology

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3a

        • Case 3b

        • Case 3c

        • Case 3d

      • Discussion

        • Informed Permission

        • Assent

        • Minors’ Rights: Exemptions to Parental Consent

        • Privacy and Confidentiality for Minors

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 6: Therapeutic Privilege: If, When, and How to Lie to Patients

      • Case 1

      • Case 2

      • Discussion

      • Case Analysis

        • Case 1

        • Case 2

      • Conclusion

      • References

    • 7: Communicating with Patients About Adverse Medical Events: If, When, and How to Say “I’m Sorry”

      • Case 1

      • Case 2

      • Discussion

        • Adverse Medical Events

        • Disclosure

        • When Is Disclosure Necessary?

        • Timing of Disclosure

        • What Do Patients Want Disclosed?

        • What Do Our Professional Standards Dictate?

        • What Does Risk Management Ask of the Medical Professional?

        • The Process of Disclosure (adapted from (3))

        • Is the Physician More Likely to Be Sued After Disclosure?

        • Are There Circumstances in Which Full Disclosure Might Not Be Appropriate?

        • Are There Special Circumstances That Might Affect How and When Disclosure Occurs?

        • What About the Caregiver?

      • Analysis of Case 1

      • Analysis of Case 2

      • Conclusion

      • References

    • 8: The Computer Will See You Now: Ethics of Teledermatology

      • Cases

      • Background

      • Ethical Issues and Case Discussions

      • Conclusion

      • References

    • 9: Hospital Consultations: Embracing Professionalism Even When It Hurts

      • Introduction

      • Case 1

      • Case 2

      • Case 3

      • Case 4

      • Discussion

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 10: The Extender Is In: Delegating Ethically—Ethical and Professional Issues Relating to Physician Extenders in Dermatology

      • Case 1

      • Case 2

      • Case 3

      • Discussion

      • Analysis of Case Scenarios

        • Case 1

        • Case 2

        • Case 3

      • Conclusions

      • References

  • Part II: Dermatologist as Professional

    • 11: Professional Boundaries: Safeguarding the Physician–Patient Relationship

      • Case 1

      • Case 2

      • Case 3

      • Discussion

        • Framing the Issue

        • Boundaries

      • Analysis of Cases

        • Case 1

        • Case 2

        • Case 3

      • Conclusion

      • References

    • 12: Taking Care of Uncle Bob’s Rash: Should One Treat Family Members?

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Discussion

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 13: Peering into the Gift Horse: Is It Ethical to Accept Gifts from Patients?

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Discussion

        • Analysis of Case Scenarios

      • Conclusion

      • References

    • 14: The Dermatologist and Social Media: The Challenges of Friending and Tweeting

      • Case 1

      • Case 2

      • References

    • 15: Respecting Differences: Dermatology in a Diverse Society

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

        • Case 5

      • Discussion

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 16: Dermatologists Within, Beyond and Struggling with Borders: The Global Dermatologist

      • Cases

        • Case 1

        • Case 2

        • Case 3

        • Case 4

        • Case 5

      • Discussion

      • Ethical Issues and Case Analysis

      • Conclusion

      • References

    • 17: Feet of Clay: The Impaired Dermatologist

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

      • Introduction

      • Discussion

        • Professionalism

        • The Scope of the Problem

        • Intervention

        • Assessing the Physician

        • Returning to Work

      • Analysis of Case Scenarios

      • Conclusion

      • References

  • Part III: Dermatologist as Teacher and Trainee

    • 18: The Mentor-Mentee Relationship: The Devil Is in the Details

      • Introduction

        • Case 1

        • Case 2

        • Case 3

      • Conclusion

      • References

    • 19: Tales from the Residency Interview Trail

      • Case 1

      • Case 2

      • References

    • 20: Ethics Education for Residents: Growing Pains and Learning Crises

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Discussion

        • Who Is “the Doctor”?

        • Personal Identity

        • Discomfort of Inexperience

        • Implicit Consent to Care by Medical Learners

        • Withholding Disclosure of First-Time Procedures

        • What Constitutes Informed Consent?

        • Who Obtains Informed Consent When the Operator Is Inexperienced?

        • Forms of Influence in Decision Making

        • Clinical Teaching and Medical Ethics

        • Medicolegal Consequences of Omitting Lack of Experience

        • Will Patients Consent to a First-Time Procedure?

      • Case Analysis

      • Conclusion

      • Epilogue

      • References

    • 21: Teaching Ethics in Clinic: Keeping You Smart and Honest

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Discussion

      • Conclusion

      • References

  • Part IV: Dermatologist as Businessperson

    • 22: Boutiques, Botox ® , and Basal Cells: Can Dermatology Set Its Priorities?

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

      • Discussion

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 23: The Price Is Right: Office Dispensing and Product Pricing

      • Case Scenario

        • Case 1

        • Case 2

      • Office Dispensing in Dermatolgy

      • General Arguments for and Against Office Dispensing

        • Proponents

        • Opponents

        • Case Analysis

          • Case 1

      • Product Pricing in Office Dispensing

        • Primary Considerations

      • Financial Relationships in the Pharmaceutical Supply Chain

        • Unique Supply Chain Features in Dermatology Office Dispensing

        • An Approach to Product Pricing for Office Dispensing in Dermatology

        • Case Analysis

          • Case 2

      • Conclusions

      • References

    • 24: My Elixir, MD: Morphing a Medical Degree into a Skincare Brand

      • Case Scenarios

        • Case 1

        • Case 2

      • Discussion: General Principles

      • Case Analysis

      • Conclusion

      • References

    • 25: Marketing the Physician: From Antitrust to Distrust

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

      • Discussion

      • Analysis of Case Scenarios

        • Case 1: Unsubstantiated Advertising

        • Case 2: Deceptive Advertising

        • Case 3: Patient Autonomy versus Paternalism

      • Conclusion

      • References

    • 26: What the Market Will Bear? Ethical and Professional Issues in Medical Fees

      • Case 1

      • Case 2

      • Case 3

      • Discussion

      • Analysis of Cases

      • Conclusion

      • References

    • 27: Spa, MD: When Dermatology Meets Aromatherapy

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

      • Discussion

        • Medical Spas

        • Legal and Ethical Considerations

          • Legal Considerations

          • Ethical Considerations

      • Case Analysis

        • Case 1

        • Case 2

        • Case 3

      • Conclusion

      • References

    • 28: Gatekeepers, Dermatologists, and Their Patients: Mixed Messages in Managed Care

      • Case 1

      • Case 2

      • Case 3

      • Discussion

        • The Gatekeeper System

        • Analysis of Case Scenarios

      • Conclusion

      • References

    • 29: Ethical Adventures in 21st Century Dermatopathology

      • Introduction

        • Case 1

        • Discussion

        • Case 2

        • Discussion

        • Case 3

        • Discussion

        • Case 4

        • Discussion

      • Conclusion

      • References

    • 30: Defining the Gray Zone: Client Billing and Contractual Joint Ventures

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Discussion

        • The Ethical Case Against Client Billing

        • The Ethical Case for Client Billing

        • Additional Considerations

        • Legal Issues

        • Contractual Joint Ventures

      • Case Resolution

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Conclusions

      • References

    • 31: No Strings Attached? Managing Conflicts of Interest in Medicine

      • Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Discussion

      • Ethical Considerations

      • Common Conflicts of Interest

      • Remedies

      • Analysis of Case Scenarios

        • Case 1

        • Case 2

        • Case 3

        • Case 4

      • Conclusion

      • References

  • Part V: Dermatologist as Scholar

    • 32: Respecting Human Subjects: Responsibilities of the Clinical Investigator

      • Introduction

      • Case Vignettes

        • Another Look at an Effective Therapy for Psoriasis

        • Comparison of Two FDA-Approved Therapies for Psoriasis

        • The Ethics of Clinical Research

      • Analysis of Vignettes

      • Conclusion

      • References

    • 33: Hope, Hype, and Genotype: Genetic Testing in Dermatological Diseases

      • Case 1

      • Case 2

      • Case 3

      • Case 4

      • Discussion

      • Analysis of Case Scenarios

      • Conclusion

      • References

    • 34: Desperate Measures for Desperate Patients: Translational Research in Epidermolysis Bullosa

      • Case Report

      • Introduction

      • Epidermolysis Bullosa

      • Research Oversight

      • The Research Physician

      • Ethical Research

      • Respect for Persons

      • Beneficence

      • Justice

      • Guidelines for EB Research

      • References

    • 35: Reading Between the Lines: Can Peer Reviewers Be Expected to Detect Fraud?

      • Case Scenarios

        • Case 1

        • Case 1a

        • Case 1b

        • Case 1c

        • Case 2

      • Discussion

      • Conclusion

      • References

    • 36: Hiding Behind the Curtain: Anonomyous Versus Open Peer Review

      • Case Scenarios

        • Case 1

        • Case 2

      • Discussion

        • Author Anonymity

        • Reviewer Anonymity

        • Post-publication Criticism

      • Analysis of Cases

      • References

    • 37: Ghost Busting in Dermatology Publications: Providing Byline Integrity

      • Case Scenarios

        • Case 1

        • Case 2

      • Discussion

        • Ghosts in the Literature

        • Motivating Factors in Ghost Management

      • Analysis of Cases

      • References

    • 38: Telling the Same Tale Twice: Déjà vu and the Shades of Grey in Self-Plagiarism

      • Case Scenarios

        • Case 1

        • Case 2

          • Duplicate Publication

          • Salami-Slicing

          • Copyright Infringement

          • Text Recycling

          • Solutions

      • References

    • 39: Cutting Edge or Cutting Corners? Innovative Care

      • Case 1

      • Case 2

      • Discussion

      • Analysis: Case 1

      • Analysis: Case 2

      • Conclusion

      • References

  • Index

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