Pros and cons: the eye of the beholder.ACPE ACPE Accreditation Council for Pharmacy Education ACPE American Council on Pharmaceutical Education ACPE American College of Physician Executives ACPE Association for Clinical Pastoral Education, Inc. survey respondents share their comments on ethical and unethical unethical said of conduct not conforming with professional ethics. behaviors. Ethical behavior "Ethics" is a bit like "beauty" ... defined by the individual. What might be clearly unethical in my opinion would be dismissed by others as normal business practice. Conflicts of interest are everywhere and cannot be completely avoided. Disclosure is the crucial antidote antidote Remedy to counteract the effects of a poison or toxin. Administered by mouth, intravenously, or sometimes on the skin, it may work by directly neutralizing the poison; causing an opposite effect in the body; binding to the poison to prevent its absorption, . These behaviors are often not black or white. The problem is what to do about the shades of Noun 1. shades of - something that reminds you of someone or something; "aren't there shades of 1948 here?" reminder - an experience that causes you to remember something gray. (An ethical concern is) physicians lying in order to get a service or procedure approved by an HMO/insurance company. (An ethical concern is) physicians being caught in the middle of providing good (necessary) care, but only able to do so if they "break the law" with coding or insurance to make the care affordable. Lawyers The legal profession ... rewards unethical behavior. We need to develop model rules of ethical behavior in health care and the business of health care as did the legal community with the model disciplinary rules Precepts, such as the Code of Professional Responsibility, that proscribe an attorney from taking certain actions in the Practice of Law. Proceedings can be instituted to disbar an attorney who violates the disciplinary rules. . Drug detailing Pharmaceutical representatives have become pushy push·y adj. push·i·er, push·i·est Disagreeably aggressive or forward. push  i·ly adv. to an unseemly
degree. They think their role is to educate us, which I find offensive.
They are promoting products, everyone knows that and we should drop the
education charade charade (shərād`), verbal, written, or acted representation of a word, its syllables, or a number of words. The object is to guess the idea being conveyed. Winthrop M. .
Vendor-sponsored medical education, if balanced, can be highly informative and beneficial.... Of course I don't want promotional pitches but as someone who does vendor-sponsored medical education, I work very hard to maintain balance. All vendor-sponsored education is not promotional. Compensation and perks perk 1 v. perked, perk·ing, perks v.intr. 1. To stick up or jut out: dogs' ears that perk. 2. To carry oneself in a lively and jaunty manner. from vendors I do not find having lunch a problem. I don't think getting paid for having a discussion about a new medication is inappropriate. That may be just me, but I am not swayed by any of this. I prescribe pre·scribe v. To give directions, either orally or in writing, for the preparation and administration of a remedy to be used in the treatment of a disease. almost all generics, unless they have failed. I do not give out free samples of any medication in my office unless a patient has no insurance. This may occur once a month at most. Heavy detailing by pharmaceutical companies and device manufacturers at national medical meetings (is unethical). The attitude of physicians that pens, pencils, notepads, etc. are free (is unethical)! I observe my colleagues leaving exhibit halls with bags stuffed. This costs someone and it eventually costs our patients. Call (An unethical practice that concerns me is) on-call specialists refusing to cover ER requests for assistance with poor patients. Some business decisions ... may raise question of physicians as healers in the community, but are nonetheless based on reasonable financial considerations (e.g. declining call for patients that lack insurance). Although it is unfortunate that some individuals are denied care because of their financial and insurance status, I disagree with Verb 1. disagree with - not be very easily digestible; "Spicy food disagrees with some people" hurt - give trouble or pain to; "This exercise will hurt your back" labeling such decisions as "unethical business practices" because there is no clear point when refusal to provide care becomes unethical. Is it unethical in an emergency? Is it unethical in a non-emergency? There is too much gray zone in this matter. Regulation Business ethics business ethics, the study and evaluation of decision making by businesses according to moral concepts and judgments. Ethical questions range from practical, narrowly defined issues, such as a company's obligation to be honest with its customers, to broader social is not generally taught to doctors, we do not generally spend much time talking about it in our professional organizations, many doctors do not understand it, and we do not enforce it. With those flaws, I see a lot of tendency toward conflicts of interest, undue influence, and outright fraud and abuse. I don't know Don't know (DK, DKed) "Don't know the trade." A Street expression used whenever one party lacks knowledge of a trade or receives conflicting instructions from the other party. if it can be curbed without state and federal intervention Federal intervention (Spanish: Intervención federal) is an attribution of the federal government of Argentina, by which it takes control of a province in certain extreme cases. Intervention is declared by the President with the assent of the National Congress. , as we have seen in the accounting and financial professions in recent years. If we physicians do not do something about unethical practices by physicians and non-physicians alike, we will deserve the government to step in. Instruction in ethics Perhaps the medical schools should point this (ethics) out in their curriculum and practice. Teaching ethics is a waste of time, since there is no proven correlation between knowledge of certain morals and behavior. Health care Health care is probably the least unethical industry/profession compared to other professions! Physicians are held to a standard unparalleled in any business or political endeavor. This survey The abuse AGAINST doctors is much greater than the abuse that doctors do. You are focusing on the WRONG SIDE of the equation. Thank you for taking the initiative in looking at this issue. I am most concerned that the ACPE is joining the cacophony of restrictions on physician behavior. Please stop. I'm glad to see some concern about this ... If we won't act as professionals, we can't expect the public to treat us as professionals.... Thanks for the opportunity to vent. |
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