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ARTICLE |

Witness to War: An American Doctor in El Salvador

Joseph P. Frolkis, MD, PhD
JAMA. 1985;254(1):122. doi:10.1001/jama.1985.03360010132043.
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ABSTRACT

It is unusual for a physician— merely by discharging his daily duties—to be able to practice his morality as well as his medicine, to live the ancient injunction to "first, do no harm." Most of us, despite our protestations of humane intent early in the process of medical education, gradually succumb to more tangible rewards. For physicians with more than a superficial commitment to concepts like altruism, compassion, social justice, and equality, this disengagement from important personal beliefs—at least on a daily basis—is an acutely painful process. The system of medical status and success makes it easy to justify inactivity on issues of broader social or moral concern, since medicine usurps—if permitted—ever increasing amounts of time, energy, and effort. As students, we can attempt to placate a guilty conscience by insisting that the time spent in study may make us more able to help others in the future. As practicing

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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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