The Battle of Two Oaths: Finding Peace Between Two Conflicting Careers

ABSTRACT On the surface, the Commissioning Oath and modernized Hippocratic Oath can contradict one another. This piece aims to provide a foundation upon which trainees and providers can grapple with dueling obligations as they stand in the crosshairs of the intersection between medicine and the military.

The Hippocratic Oath and deontology in modern medicine

The article deals with the history of the origin of Hippocratic Oath, the main issues of professional medical (medical) ethics (bioethics) from the standpoint of modern trends in the development of medicine: euthanasia, induced abortion, gender relations and transgender transition.

Establishing a risk assessment framework for point-of-care ultrasound

Point-of-care ultrasound (POCUS) refers to the use of portable ultrasound (US) applications at the bedside, performed directly by the treating physician, for either diagnostic or procedure guidance purposes. It is being rapidly adopted by traditionally non-imaging medical specialties across the globe. Recent international evidence-based guidelines on POCUS for critically ill neonates and children were issued by the POCUS Working Group of the European Society of Pediatric and Neonatal Intensive Care (ESPNIC). Currently there are no standardized national or international guidelines for its implementation into clinical practice or even the training curriculum to monitor quality assurance. Further, there are no definitions or methods of POCUS competency measurement across its varied clinical applications.Conclusion: The Hippocratic Oath suggests medical providers do no harm to their patients. In our continued quest to uphold this value, providers seeking solutions to clinical problems must often weigh the benefit of an intervention with the risk of harm to the patient. Technologies to guide diagnosis and medical management present unique considerations when assessing possible risk to the patient. Frequently risk extends beyond the patient and impacts providers and the institutions in which they practice. POCUS is an emerging technology increasingly incorporated in the care of children across varied clinical specialties. Concerns have been raised by clinical colleagues and regulatory agencies regarding appropriate POCUS use and oversight. We present a framework for assessing the risk of POCUS use in pediatrics and suggest methods of mitigating risk to optimize safety and outcomes for patients, providers, and institutions. What is Known: • The use POCUS by traditionally non-imaging pediatric specialty physicians for both diagnostic and procedural guidance is rapidly increasing. • Although there are international guidelines for its indications, currently there is no standardized guidance on its implementation in clinical practice. What is New: • Although standards for pediatric specialty-specific POCUS curriculum and training to competency have not been defined, POCUS is likely to be most successfully incorporated in clinical care when programmatic infrastructural elements are present. • Risk assessment is a forward-thinking process and requires an imprecise calculus that integrates considerations of the technology, the provider, and the context in which medical care is delivered. Medicolegal considerations vary across countries and frequently change, requiring providers and institutions to understand local regulatory requirements and legal frameworks to mitigate the potential risks of POCUS.

CONTENT ANALYSIS OF TYPES OF RATIONALITY IN THE CONCEPTS OF MEDICINE OF THE FUTURE

In this article content analysis is used to examine medical students' views on the standards of rationality in medicine of the past, present, and future. The study involved 229 residents of 32 specialties. A quantitative analysis of keywords in views of the future of medicine revealed indicators of all types of rationality. Postmodern ideals of superhealth and immortality became trends in medical futurology even though a tenth of respondents considered them illusory. Young doctors placed the basic tenet of the Hippocratic Oath, "Healing," back among the top keywords for medicine of the future. Faith, authority, dialogue, consent, and self-treatment have lost much of their appeal.

Establishing a Risk Assessment Framework for Point-of-Care Ultrasound

Point of Care Ultrasound (POCUS) refers to the use of portable ultrasound (US) applications at the bedside, performed directly by the treating physician, for either diagnostic or procedure guidance purposes. It is being rapidly adopted by traditionally non-imaging medical specialties across the globe. Recent international evidence-based guidelines on POCUS for critically ill neonates and children were issued by the POCUS Working Group of the European Society of Pediatric and Neonatal Intensive Care (ESPNIC). Currently there are no standardized national or international guidelines for its implementation into clinical practice or even the training curriculum to monitor quality assurance. Further, there are no definitions or methods of POCUS competency measurement across its varied clinical applications.The Hippocratic Oath suggests medical providers do no harm to their patients. In our continued quest to uphold this value, providers seeking solutions to clinical problems must often weigh the benefit of an intervention with the risk of harm to the patient. Technologies to guide diagnosis and medical management present unique considerations when assessing possible risk to the patient. Frequently risk extends beyond the patient and impacts providers and the institutions in which they practice. Point-of-care ultrasound (POCUS) is an emerging technology increasingly incorporated in the care of children across varied clinical specialties. Concerns have been raised by clinical colleagues and regulatory agencies regarding appropriate POCUS use and oversight. We present a framework for assessing the risk of POCUS use in pediatrics and suggest methods of mitigating risk to optimize safety and outcomes for patients, providers and institutions.

Introduction to ethics

This chapter introduces the concept of medical ethics. It describes how the ancient Hippocratic Oath and its more modern formulations have provided a basis for ethical practice. It emphasises the importance of critical thinking, requiring reasons for acting in a particular way

The fortuitous

When he entered school, covered with a cloud of promises, there was talk of commitment, devotion, and disinterest in the practice of medicine was emphasized. Rites of passage and endurance tests aside, the Hippocratic oath crowned such an effort and foretold a life of affective rewards and prestige.