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The ethical controversies of office-based dispensing in academic health centers

机译:学术保健中心基于办公室的配药的伦理争议

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摘要

Office dispensing of cosmecuticals has become a widespread practice in private dermatology offices and even has begun to appear in academic dermatology settings. Proponents of the practice state that in-office dispensing is beneficial for the patient and the physician and can be ethically accomplished with the patient remaining the primary concern of the care provider. This requires the maintenance of professionalism and the sale of efficacious, reasonably priced products that are not misrepresented. Opponents believe that in-office dispensing undermines the physician- patient relationship and may produce an inherent conflict of interest. In academia, additional concerns include how students and residents perceive this activity. Does selling products negatively affect professionalism in an academic environment? In an academic teaching environment there is a paramount need to model ethical behavior to medical students and residents. We will discuss the opposition and rationalization for the practice of in-office dispensing in academic teaching settings.
机译:在私人皮肤病学诊所中,化妆品的办公室分配已成为一种普遍的做法,甚至已经开始出现在学术皮肤病学领域。实践的支持者指出,办公室内分配对患者和医生都是有益的,并且可以在伦理上实现,而患者仍然是护理提供者的主要关切。这就要求保持专业水平,并销售没有错误陈述的有效,价格合理的产品。反对者认为,办公室内分发会破坏医患关系,并可能产生内在的利益冲突。在学术界,其他问题包括学生和居民如何看待这项活动。销售产品是否会对学术环境中的专业性产生负面影响?在学术教学环境中,非常需要为医学生和住院医师建立道德行为模型。我们将讨论学术教学环境中办公室分配实践的对立和合理化。

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