RT Journal A1 Schwartz A T1 EThics and medical practices JF JAMA JO JAMA YR 1969 FD July 28 VO 209 IS 4 SP 562 OP 562 DO 10.1001/jama.1969.03160170058023 UL http://dx.doi.org/10.1001/jama.1969.03160170058023 AB To the Editor:—  Special articles, such as "Theories of Ethics and Medical Practice" by Chauncey D. Leake (208:842, 1969), present the historical perspective and an overview of the significant problem of ethics in modern medicine. Specific issues, such as informed consent, have again been discussed in generalities and platitudes. These do not suggest the degree to which they must be followed so that we may be certain that we have obtained ethical goals. In talking of informed consent, Dr. Leake states:Fletcher says that a doctor owes patients the truth as fully and as honestly as owing skill and proper care. This responsibility goes further to the use of every aspect of tact and gentleness... every care to avoid hastiness, casualness, and unpleasantness... a duty of every physician is honest exposition to patients in terminology suited to their intelligence.In clinical research, tact, honesty and truthful dealings with patients