We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Ethical Behavior and the Practice of Medicine

G. Richard Holt, MD, MSE, MPH, MABE
Arch Facial Plast Surg. 2011;13(3):214. doi:10.1001/archfacial.2011.21.
Text Size: A A A
Published online


In his article, Dayan1 nicely addresses the shifting of ethical guidelines for the medical profession, primarily due to the influence of dynamic societal viewpoints and intrusion from external entities, namely, US regulatory agencies. He also rightfully points out that the medical profession is trained to apply credible judgment in patient care, which has developed over years of didactic education, clinical experience, and collegial interaction. Indeed, physician judgment and clinical decision making are being compromised in several arenas, including the placement of limits on patient access to a wide range of diagnostic and therapeutic options and the disallowing of certain procedures that the physician may recommend based on the diagnosis and needs of the patient. It is certainly discouraging for many physicians to see the erosion of the unfettered application of physician judgment to the therapeutic milieu. Dayan is correct in making that point. However, I believe that physicians who have exhibited questionable or downright poor judgment over the years have contributed to the intrusion of regulatory agencies into the practice of medicine. Our profession has not been as effective at self-regulation as it should have been, and we must acknowledge our complicity in what is happening. Even so, for the vast majority of physicians, excessive external regulation is unwarranted.



Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
PubMed Articles

Care at the Close of Life: Evidence and Experience
Moral and Legal Framework

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
Ethical Considerations