When to refer to another surgeon

Jones, Jeffrey M.; MCCULLOUGH, Laurence

doi:10.1016/s0741-5214(02)41274-8

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Declining to treat is valid and ethically necessary when the therapy sought is unnecessary, futile, or contraindicated, 10 when poor patient compliance will severely limit therapeutic effectiveness, 11 or when another available physician can provide better care. 12 Refusing a consultation request may also be ethically acceptable when there is a history of personal animus or other conflict of interest sufficiently negative to harm the physician's relationship with a patient.…”

Section: What Should You Do?mentioning

confidence: 99%

What to do when a patient’s international medical care goes south

Jones

McCullough

2007

Journal of Vascular Surgery

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Section: What Should You Do?mentioning

confidence: 99%

What to do when a patient’s international medical care goes south

Jones

McCullough

2007

Journal of Vascular Surgery

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Ethics of refusal to treat patients as a social statement

Jones

McCullough

Richman

2004

Journal of Vascular Surgery

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Fiduciary disparity clarity: Ethics of divided allegiances

Jones

McCullough

2016

Journal of Vascular Surgery

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An experienced senior vascular surgeon, Dr H. O. Nest, at a university medical center is asked to evaluate a patient with a rare complex vascular problem. The patient is a high-ranking university official, Mr N. Otable, well known to all in the university setting. Dr Nest has had very limited experience with the condition. He has viewed presentations about it but is aware of a world expert at another institution. He discusses transfer with the patient, who agrees on that approach. Later that day, when Dr Nest receives a visit from the Chief-of-Staff and the hospital CEO asking about Mr Otable, they are very concerned that transfer will reflect badly on the medical center's reputation. Dr Nest is strongly requested to reconsider his recommendation--almost at gunpoint. What should he do? A. If he believes that the outcome will be satisfactory, he should schedule the operation. B. He should explain the situation to the patient and let him choose where he wishes to have his surgery. C. He should continue with the plan to refer the patient to another center. D. He must understand his limits and base his decision accordingly. E. He should arrange a conference with the surgeons in the vascular division and the administrators.

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When to refer to another surgeon

Cited by 3 publications

References 2 publications

What to do when a patient’s international medical care goes south

What to do when a patient’s international medical care goes south

Ethics of refusal to treat patients as a social statement

Fiduciary disparity clarity: Ethics of divided allegiances

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