The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
A medical student’s desire to practice the specialty that he or she finds most interesting should not outweigh the right of patients in a pluralistic society to receive a full range of legal medical services.
In one study, nurses who called for ethics consultations experienced physician anger, strained relationships with other team members, and even threats to their continued employment.
Asymmetry in knowledge and power between (1) physicians and patients and (2) physician educators and their students creates a climate for possible abuse in both sets of relationships.
There are many elements and much coordination involved in the design and implementation of an effective resident training program in systems-based practice.