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ARTICLE |

Professional Ethics and Primary Care Medicine: Beyond Dilemmas and Decorum

John Mihalevich Jr, MD
JAMA. 1986;256(4):531-532. doi:10.1001/jama.1986.03380040105040.
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ABSTRACT

"Medical-ethical problem-solving is not a generalizable and repeatable exercise in logic; it is an examination of the moral motivations and sensibilities which constitute us as a 'doctor' or a 'patient.' " This statement contained in the introduction promises a close examination of the day-by-day ethical considerations involved in the physician-patient relationship. In the subsequent five chapters, the authors present, in a generally readable and cohesive fashion, the concept of the primary care physician's role in a "new" form of ethics involving a sense of collaboration and mutual interdependence between the physician and patient.

Initially, the reader is introduced to a character or virtue-based ethic termed the moral imagination. The moral imagination is defined as the character, ideals, integrity, and virtues of physicians that provide them with the background for moral problem solving. Primary care medicine is viewed as a unique area of medicine best suited to incorporate this system of ethics

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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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