Journal of Bioethical Inquiry 10 (2):219-225 (2013)

Authors
Wendy A. Rogers
Macquarie University
Jane Johnson
Macquarie University
Abstract
In this paper we argue that surgeons face a particular kind of within-role conflict of interests, related to innovation. Within-role conflicts occur when the conflicting interests are both legitimate goals of professional activity. Innovation is an integral part of surgical practice but can create within-role conflicts of interest when innovation compromises patient care in various ways, such as by extending indications for innovative procedures or by failures of informed consent. The standard remedies for conflicts of interest are transparency and recusal, which are unlikely to address this conflict, in part because of unconscious bias. Alternative systemic measures may be more effective, but these require changes in the culture of surgery and accurate identification of surgical innovation
Keywords Conflicts of interest  Surgery  Ethics  Surgical innovation
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DOI 10.1007/s11673-013-9431-1
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The Clinician-Investigator: Unavoidable but Manageable Tension.Howard Brody & Franklin G. Miller - 2003 - Kennedy Institute of Ethics Journal 13 (4):329-346.
Interactions of Doctors with the Pharmaceutical Industry.M. A. Morgan - 2006 - Journal of Medical Ethics 32 (10):559-563.

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