Case and Commentary
Jan 2005
Option C—continuing to see patients—is the preferred option because the Code urges physicians not to use strikes as bargaining tactics. Option A—choosing to provide emergency care—is acceptable because it maintains the integrity of the physician who disagrees with the tactic. On the other hand, Dr. Nelson's disagreement with his colleagues' tactics does not necessarily imply disagreement with their cause. Maintaining on-going discussions about tactics and appropriate actions, as in option D, is always acceptable. Option B—being coerced to engage in these actions—especially by senior partners—should be avoided. Opinion 9.025, "Collective Action and Patient Advocacy" emphasizes that "physician participation should be voluntary and free from undue pressure by colleagues." Physicians are not only expected to respect patients, but are to offer the same respect to other physicians and health care providers.
Preferable: Option C
Acceptable: Options A and D
Avoided: Option B
Additional discussion and information
