• J Bioethic Inq · Jun 2013

    Addressing within-role conflicts of interest in surgery.

    • Wendy A Rogers and Jane Johnson.
    • Philosophy Department and Australian School of Advanced Medicine, Macquarie University, Sydney, NSW 2109, Australia. wendy.rogers@mq.edu.au
    • J Bioethic Inq. 2013 Jun 1; 10 (2): 219-25.

    AbstractIn 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.

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