The importance of the Catholic obstetrician-gynaecologist for the presence of the Church in the world of health and health care.
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Ethics consultants or committees are often called into situations of conflict. What is their role in conflict resolution? What process should they use? What standards should they apply? The methods of alternative dispute resolution (negotiation, mediation and arbitration) provide a useful model for analysis of procedure, though they may not adequately describe all ethics consultations. Boundaries of acceptable standards may be gleaned from the precepts of medical ethics as well as from statutory and case law. In addition, the believer may obtain guidance from Scripture and prayer.
Physicians are independent moral agents whose values, like those of nonphysicians, are shaped by personal experience, religious beliefs, family, and lifetime mentors. Most individuals are free to exercise their moral values in the ways that they see fit within the boundaries of legality. Physicians' moral values take on special significance, however, when considering services patients may request but that contradict that physician's moral beliefs, such as termination of pregnancy. In this article I analyze the competing obligations to self and to patient that a conscientiously objecting physician must consider when his or her personal morality affects his or her relationship with the patient. Despite each physician's freedom to choose his or her mode of practice and which services to provide, a physician with a moral viewpoint that would prevent even counseling on certain options should consider practicing in an area of medicine in which the patient's right to full disclosure of options and informed consent is not compromised by the physician's personal moral stance.
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Lord Joffe's Patient (Assisted Dying) Bill (see Bulletin 187) had its Second Reading on 6 June. The debate was lively, informed and inevitably somewhat polarised. However, some common themes emerged and are outlined below.
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