Is There a Doctor in the House?  An Analysis of the Practice of Physicians' Treating Their Own Families

John La Puma, MD; E. Rush Priest, MD
JAMA. 1992;267(13):1810-1812. doi:10.1001/jama.1992.03480130126037.
Text Size: A A A
Published online

THE PRACTICE of physicians' caring medically for their families is not new and appears to be common. In the only published empirical data on this subject,1 83% of 465 practicing physicians in a community teaching hospital had prescribed medications for family members; 80% had diagnosed illnesses; 72% had examined family members; 17% had attended family members in the hospital; and 11% had operated on family members. Most (59%) had previously refused a family member's request for medical care; 48% had referred the patient for whom they had made their "most important diagnosis."1 Incidence, quality effects, process and outcome of care, and the utility and effectiveness of the physician-patient relationship when physician and patient are family remain unknown.

The practice of physicians' treating their own families raises ethical concerns, including when to breach confidentiality or obtain advance directives; how to secure informed consent, assess decisionmaking capacity, or give end-of-life care;


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.