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Commentary |

Justifying Patient Risks Associated With Medical Education

Winston Chiong, MD, PhD
JAMA. 2007;298(9):1046-1048. doi:10.1001/jama.298.9.1046.
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In the traditional view of the patient-physician relationship, physicians are obligated to act in the best medical interests of their individual patients and should not compromise their patients' care for the sake of third parties (persons outside this relationship). In truth, it is doubtful that physicians have ever fully upheld this uncompromising standard, and more recently some have advocated a balance between concern for the individual patient and concern for the greater good in contexts such as clinical research and cost containment.13 But the traditional, exclusively patient-centered ethic continues to exert a powerful hold on physicians' self-conceptions and patients' expectations, perhaps in part because the medical profession so far has failed to articulate an alternative principle to guide how physicians should weigh the claims of patients and third parties.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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