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1、CHAPTER2ETHICSANDPROFESSIONALISMINSURGERYCherylE.VaianiandHowardBrodydepthofthesurgeon-patientrelationship.Duringsurgerythetheimportanceofethicsinsurgerypatientisinatotallyvulnerablepositionandahighlevelofend-of-lifecaretrustisdemandedforthepatienttoplacehisorherlifeculturalsensitivitydir
2、ectlyinthesurgeon’shands.Suchtrust,inturn,requiresshareddecisionmakingthatthesurgeonstrivetoactalwaysinatrustworthymanner.professionalismFromtheHippocraticOathtothe1847AmericanMedicalconclusionAssociationstatementofmedicalprinciplesthroughthepresent,thetraditionalethicalpreceptsofthemedic
3、alprofessionhaveincludedtheprimacyofpatientwelfare.TheAmericanCollegeTHEIMPORTANCEOFETHICSINSURGERYofSurgeonswasfoundedin1913ontheprinciplesofhigh-Althoughtheethicalpreceptsofrespectforpersons,beneficence,qualitycareforthesurgicalpatientandtheethicalandcompe-nonmaleficence,andjusticehaveb
4、eenfundamentaltotheprac-tentpracticeofsurgery.ThepreambletoitsStatementon3ticeofmedicinesinceancienttimes,ethicshasassumedanPrinciplesstatesthefollowing:increasinglyvisibleandcodifiedpositioninhealthcareovertheTheAmericanCollegeofSurgeonshashadadeepandeffectivepast50years.TheJointCommissi
5、on,thecourts,presidentialconcernfortheimprovementofpatientcareandfortheethicalprac-commissions,medicalschoolandresidencycurriculumplan-ticeofmedicine.Theethicalpracticeofmedicineestablishesandners,professionalorganizations,themedia,andthepublichaveensuresanenvironmentinwhichallindividuals
6、aretreatedwithallgrappledwithdeterminingtherightcourseofactioninhealthrespectandtolerance;discriminationorharassmentonthebasisofcarematters.Theexplosionofmedicaltechnologyandknowl-age,sexualpreference,gender,race,disease,disability,orreligion,areedge,changesintheorganizationalarrangementa
7、ndfinancingproscribedasbeinginconsistentwiththeidealsandprinciplesoftheofthehealthcaresystem,andchallengestotraditionalpreceptsAmericanCollegeofSurgeons.posedbythecorporatizationofmedicinehaveallcreatednew4ethicalquestions.TheCodeofProfessionalConductcontinues:Thepr
