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A Piece of My Mind |

Beliefs

M. John Rowe III, MD1
[+] Author Affiliations
1Medford, Oregon
JAMA. 2015;314(9):877-878. doi:10.1001/jama.2015.2146.
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Somehow, as a kid growing up in a nonreligious family, I developed a very strong sense of right and wrong, of what ethical and moral behavior should be. I have tried to follow this tenet throughout my life. When I became involved with medicine, I took to heart all the maxims we were taught, particularly “First, do no harm.” But for many years now I have realized that this concept is wrong, dead wrong.

I believe that our first duty as physicians is to relieve pain and suffering, whether it be physical or emotional. Only then, secondarily, are we to avoid harming the patient. I say this because, as a neurologist and clinical neurophysiologist, I spent a great part of my practice causing pain and suffering in my patients, on purpose.

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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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