The Hippocratic Oath and the Ethics of Medicine

by
Format: Hardcover
Pub. Date: 2003-10-09
Publisher(s): Oxford University Press
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Summary

This short, engaging book examines what the Hippocratic Oath meant toGreek physicians 2400 years ago and reflects on its relevance to medical ethicstoday. Drawing on the writings of ancient physicians, Greek playwrights, andmodern scholars, each chapter explores one of its passages and concludes with amodern case discussion. The Oath proposes principles governing the relationshipbetween the physician and society and patients. It rules out the use of poisonand a hazardous abortive technique. It defines integrity and discretion inphysicians' speech. The ancient Greek medical works written during the sameperiod as the Oath reveal that Greek physicians understood that they had a dutyto avoid medical errors and learn from bad outcomes. These works showed how andwhy to tell patients about their diseases and dire prognoses in order to developa partnership for healing and to build the credibility of the profession. Milesuses these writings to illuminate the meaning of the Oath in its day and in sodoing shows how and why it remains a valuable guide to the ethical practice ofmedicine. This is a book for anyone who loves medicine and is concerned aboutthe ethics and history of this profession.

Author Biography

Steven H. Miles is Professor of Medicine and Bioethics at the University of Minnesota.

Table of Contents

The Oath xiii
Map of Ancient Greece xv
1. Grand Rounds
1(14)
I PHYSICIAN, WHO ARE YOU?
2. Creators
15(11)
3. Teachers
26(9)
4. Learners
35(20)
II TO WHAT ARE PHYSICIANS COMMITTED?
5. The Health of the Public
55(11)
6. Deadly Drugs
66(15)
7. Abortion
81(14)
8. Integrity
95(10)
9. Errors
105(19)
10. Consent and Truth-Telling
124(15)
11. Exploiting Patients
139(10)
12. Discretion in Speech
149(12)
III IN WHAT WAY ARE PHYSICIANS ACCOUNTABLE?
13. A Trustworthy Profession
161(10)
Afterword: The Oath for Our Time 171(16)
Appendix A: Timeline 187(2)
Appendix B: The Oath as a Curricular Outline for Medical Ethics 189(4)
Bibliography 193(12)
Index 205

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