Abstract
Membership in academic medicine carries with it special challenges and responsibilities in such matters as patient-physician relations, physician conduct and practice, and conflict of interest. This chapter addresses a limited selection of ethical issues in academic medicine that particularly apply to women’s healthcare.
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References
World Health Organization. 2009. Women and health: Today’s evidence, tomorrow’s agenda. Geneva, Switzerland: World Health Organization. Available at http://whqlibdoc.who.int/publications/2009/9789241563857_eng.pdf.
Jonsen, A.R. 1998. The birth of bioethics. New York, NY: Oxford University Press.
American College of Obstetricians and Gynecologists Committee on Ethics. 2007. Committee Opinion #390: Ethical decision making in obstetrics and gynecology. Obstetrics & Gynecology 110(6):1479–87.
Beauchamp, T., and J. Childress. 2001. Principles of biomedical ethics. New York, NY: Oxford University Press.
Little, M. 1996. Why a Feminist approach to bioethics? Kennedy Institute of Ethics Journal 6(1):1–18.
Rayburn, W.F., B.L. Anderson, J.V. Johnson, M.A. McReynolds, and J. Schulkin. 2010. Trends in the academic workforce in obstetrics and gynecology. Obstetrics & Gynecology 115(1):141–146.
Accreditation Council for Graduate Medical Education. 2003. Common program requirements for duty hours. Chicago, IL: ACGME.
Faden, R.R., and T.L. Beauchamp. 1986. A history and theory of informed consent. New York, NY: Oxford University Press.
American College of Obstetricians and Gynecologists Committee on Ethics. 2007. Committee opinion 385: The limits of conscientious refusal in reproductive medicine. Obstetrics & Gynecology 110:1203–1208.
Tang, T.S., and E.P. Skye. 2009. When patients decline medical student participation: the preceptor’s perspective. Advances in Health Sciences Education 14:645–653.
American College of Obstetricians and Gynecologists Committee on Ethics. 2009. Committee opinion number 439: Informed consent, August 2009.
Studdert, D.M., M.M. Mello, and T.A. Brennan. 2004. Financial conflicts of interest in physicians’ relationships with the pharmaceutical industry—self-regulation in the shadow of federal prosecution. New England Journal of Medicine 351:1891–1900.
Katz, D., A.L. Caplan, and J.F. Merz. 2003. All gifts large and small: Toward an understanding of the ethics of pharmaceutical industry gift-giving. American Journal of Bioethics 3(3):39–46.
Wazana, A. 2000. Physicians and the pharmaceutical industry: Is a gift ever just a gift? Journal of the American Medical Association 283:373–380.
Brennan, T.A., D.J. Rothman, L. Blank, D. Blumenthal, S.C. Chimonas, J.J. Cohen, J. Goldman, J.P. Kassirer, H. Kimball, J. Naughton, and N. Smelser. 2006. Health industry practices that create conflicts of interest: A policy proposal for academic medical centers. Journal of the American Medical Association 295(4):429–433
Rothman, D.J., and S. Chimonas. 2008. New developments in managing physician-industry relationships. Journal of the American Medical Association 300(9):1067–1069.
American College of Obstetricians and Gynecologists Committee on Ethics. 2008. Committee opinion #401: Relationships with industry. Obstetrics & Gynecology 111(3):799–804.
Singer, N. 2010. Stanford Medical School to expand ethics rules. New York Times, 21 Mar 2010.
Lyerly, A.D. 2009. Review of test tube families: Why the fertility market needs regulation, by Naomi Kahn. New England Journal of Medicine 310:429–430.
Lyerly, A.D. 2010. Marking the fine line: Ethics and the regulation of innovative technologies in human reproduction. Minnesota Journal of Law, Science and Technology 11(2):685–712.
Wall, L. 2010. The perils of commercially driven surgical innovation. American Journal of Obstetrics and Gynecology 202:30.e1–4.
Knowles, L., and G. Kaebnick, eds. 2007. Reprogenetics: Law, policy and ethical issues. Baltimore, MD: Johns Hopkins University Press.
Mastroianni, A.C., R.R. Faden, and D. Federman, eds. 1994. Women and health research: Ethical and legal issues of including women in clinical studies. Washington, DC: National Academy Press.
Lyerly, A.D., L.M. Mitchell, E.M. Armstrong, L.H. Harris, R. Kukla, M. Kuppermann, and M. Little. 2009. Risk and the pregnant body. Hastings Center Report 39(6):34–42.
Lyerly, A.D., M.O. Little, and R. Faden. 2008. Pregnancy and clinical research. Hastings Center Report 38(6):53.
American College of Obstetricians and Gynecologists Committee on Ethics. 2006. Committee opinion #352: Innovative practice: Ethical guidelines. Obstetrics & Gynecology 108(6):1589–1595.
DeBruin, D. 1994. Justice and the inclusion of women in clinical studies: A conceptual framework. In Women and health research: Ethical and legal issues of including women in clinical studies, vol 2, eds. A. Mastroianni, R. Faden, and D. Federman D. Workshop and Commissioned Papers, Institute of Medicine. Washington, DC: National Academies Press, pp. 127–150.
Rosenwaks, Z., and K. Bedikson. 2007. Further evidence of the safety of assisted reproductive technologies. Proceedings of the National Academy of Sciences 104:5709–5710.
Manipalviratn, S., A. DeCherney, and J. Segars. 2009. Imprinting disorders and assisted reproductive technology. Fertility and Sterility 91:305–315.
Reefhuis, J., M.A. Honein, L.A. Schieve, A. Correa, C.A. Hobbs, S.A. Rasmusses, and the National Birth Defects Prevention Study. 2008. Assisted reproductive technology and major structural birth defects in the United States. Human Reproduction 24:360–366.
Kolata, G. 2009. Picture emerging on genetic risks of IVF. New York Times, 17 Feb 2009.
Myers, E.R., D.C. McCrory, A.A. Mills, T.M. Price, G.K. Swamy, J. Tantibhedhyangkul, J.M. Wu, and D.B. Matchar. 2008. Effectiveness of assisted reproductive technology. Evidence Report Technology Assessment May(167):1–195.
Lyerly, A.D., M.O. Little, and R. Faden. 2008. The second wave: Responsible inclusion of pregnant women in clinical research. International Journal of Feminist Approaches to Bioethics 1(2):5–22.
Chambers, C.D., J.E. Polifka, and J.M. Friedman. 2008. Drug safety in pregnant women and their babies: Ignorance not bliss. Clinical Pharmacology & Therapeutics 83(1):181–183.
Little, M., A.D. Lyerly, and R. Faden. 2009. Pregnant women and medical research: A moral imperative. Bioethics Forum 2:60–65.
Lyerly, A.D., M.O. Little, and R. Faden. 2009. The national children’s study: A golden opportunity to advance the health of Pregnant women. American Journal of Public Health 99:1742–1745.
Heilman, M. 2001. Description and prescription: How gender stereotypes prevent women’s ascent up the organizational ladder. Journal of Social Issues 57:657–674.
Valian, V. 2000. Why so slow? The advancement of women. Cambridge, MA: The MIT Press.
Carnes, M., and C. Bland. 2007. A challenge to academic health centers in the National Institutes of Health to prevent unintended gender bias in the selection of Clinical and Translational Science Award leaders. Academic Medicine 82(2):202–206.
Stone, P. 2007. Opting out? Why women really quit careers and head home. Berkeley, CA: University of California Press.
Carnes, M., G. Vandenbosche, P. Agatisa, A. Hirschfeld, A. Dan, J.L.F. Shaver, D. Murasco, and M. McLaughlin. 2001. Using women’s health research to develop women leaders in academic health sciences: The national centers of excellence in women’s health. Journal of Women’s Health and Gender-Based Medicine 10(1):39–46.
Fels, A. 2004. Necessary dreams: Ambition in women’s changing lives. New York, NY: Random House, 9.
Conrad, P., P. Carr, S. Knight, M.R. Renfrew, M.B. Dunn, and L. Pololi. 2010. Hierarchy as a barrier to advancement for women in academic medicine. Journal of Womens Health 19(4):799–805.
Goodin, R.E. 1985. Protecting the vulnerable: A reanalysis of our social responsibilities. Chicago: University of Chicago Press.
Fernandez Lynch, H. 2008. Conflicts of conscience in health care: An institutional compromise. Cambridge, MA: The MIT Press.
Charo, A. 2005. The celestial fire of conscience – refusing to deliver medical care. New England Journal of Medicine 352:2471–2473.
American College of Obstetricians and Gynecologists Committee on Ethics. 2007. Committee Opinion 385: The limits of conscientious refusal in reproductive medicine. Obstetrics & Gynecology 110(5):1203–1208.
Savulescu, J. 2006. Conscientious objection in medicine. British Medical Journal 332(7536):294–297.
Curlin, F.A. 2008. Patient Rights vs. doctor conscience. Grand Rapids, MI: DeVos Medical Ethics Colloquy.
Ensuring That Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory Policies or Practices in Violation of Federal Law, 73 Fed. Reg. 78,072, 78,073 (Dec. 19, 2008) (to be codified at 45 C.F.R. pt. 88).
Walker, J. 2009. The Bush administration’s midnight provider refusal rule: Upsetting the emerging balance in state pharmacist refusal laws. Houston Law Review (46):939–974.
National Women’s Law Center. 2008. What are some key organizations saying about the proposed HHS rule? Available at http://www.nwlc.org/pdf/keyorgsonhhsrule.pdf.
American Medical Association, Council on Ethical and Judicial Affairs. 2007. Report 6-A-07: Physician objection to treatment and individual patient discrimination (Resolution 5, A-06).
UK General Medical Council. 2008, Mar. Personal beliefs and medical practice: Guidance for doctors. Available at http://www.gmc-uk.org/guidance/ethical_guidance/personal_beliefs.asp#1.
American Academy of Pediatrics Committee on Bioethics. 2009. Policy statement – Physician refusal to provide information or treatment on the basis of claims of conscience. Pediatrics 124(6):1689–1693.
Stout, D. 2009. Obama set to undo “conscience” rule for health workers. New York Times, 27 Feb 2009.
National Women’s Law Center. 2011. HHS Rescinds Portions of HHS Rule that Threatened Women’s Health. Available at http://www.nwlc.org/resource/hhs-rescinds-portions-health-care-denial-rule-threatened-women%E2%80%99s-health#HHS%20PDF.
Dresser, R.S. 1994. Freedom of conscience, professional responsibility, and access to abortion. Freedom of conscience, professional responsibility, and access to abortion. Journal of Law Medicine and Ethics. 22(3):280–285.
Rooks, J. 1997. Midwifery and childbirth in America. Philadelphia, PA: Temple University Press.
American College of Obstetricians and Gynecologists Executive Board. 2007, May. Statement of Policy: Home births in the United States.
American Medical Association House of Delegates. 2008. Resolution A-05, 208. Statement on home deliveries. Available at http://www.ama-assn.org/ama1/pub/upload/mm/471/205.doc
American College of Obstetricians and Gynecologists Committee on Obstetric Practice. 2011. Committee opinion #476: Planned home birth. Obstetrics and Gynecology 117(2):425–8.
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Lyerly, A.D. (2011). Ethics in Academic Medicine. In: Rayburn, W., Schulkin, J. (eds) Changing Landscape of Academic Women's Health Care in the United States. International Library of Ethics, Law, and the New Medicine, vol 48. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0931-7_9
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DOI: https://doi.org/10.1007/978-94-007-0931-7_9
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