In this edition, we refer the reader to that overview ( 3, 4) and to other sources ( 5, 6) that more fully explore this rich heritage. Because ethics and professionalism must be understood within a historical and cultural context, the second edition of the Manual included a brief overview of the cultural, philosophical, and religious underpinnings of medical ethics in Western cultures. The Manual is intended to facilitate the process of making ethical decisions in clinical practice, teaching, and medical research and to describe and explain underlying principles of ethics, as well as the physician's role in society and with colleagues. Major changes to the Manual since the 2012 (sixth) edition ( 2) include new or expanded sections on electronic communications telemedicine ethics electronic health record ethics precision medicine and genetics social media and online professionalism the changing practice environment population health physician volunteerism research and protection of human subjects and a revised case method for ethics decision making ( Appendix).Ĭhanges to the Manual from the sixth edition are noted in Box 1. This seventh edition of the Ethics Manual examines emerging issues in medical ethics and professionalism and revisits older issues that are still very pertinent. Physicians must be prepared to deal with relevant changes and reaffirm what is fundamental. Medicine, however, does not stand still-it evolves. Some aspects of medicine, such as the patient–physician relationship, are fundamental and timeless. The secret of the care of the patient is in caring for the patient.
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