Seven Sins of Medicine
The Seven Sins of Medicine, by
Richard Asher, are a perspective on Medical Ethicsfirst published in The Lancetin 1949. [Lancet 1949 Aug 27;2(6574):358-60]
Considered as poor personal conduct by Doctors (or more typically, medical students) The Seven Sins describes behavior that in itself might not be grounds for professional complaint or discipline but would be considered discourteous, especially in any situation outside of the pompous doctor - sick patient scenario.
Still very relevant in medical study and practice, they are::1. Obscurity: Asher endorses the use of clear communication and plain language whether writing or speaking. Obscurity may be used to cloak one's own ignorance, or due to an inability to communicate with those outside of the medical profession. "If you don't know, don't admit it. Instead, try to confuse your listeners." is not uncommon, unfortunately this behavior is common in medical schools and teaching hospitals. Regardless of the intention, whether to misdirect from incompetence or to foster a feeling of superiority, the patient and those surrounding them are often left confused and uncertain.
:2. Cruelty: This sin is perhaps one of the most common perpetrations committed by doctors and medical students. Whether it be the physical thoughtlessness of a half-dozen students palpating a painful tumor mass, or loudly taking (or presenting) a patient's history in a crowded room, one of the first things that is unlearnt by a medical professional is to treat the patient as they themselves would like to be treated.
:3. Bad Manners: Often overlooked, rudeness or poor taste in humour is condoned or even encouraged within the hospital setting. At the end of the day, many Doctors and students are simply rude to patients that do not suit them. Whether it is a snapping at an uncooperative patient or making a cruel joke about them after leaving the room, the impact of these "coping mechanisms" (as they are considered to be by many) must be taken into account.
:4. Over Specialisation: In a growing trend by the medical establishment, over-specialisation and under-generalisation is a growing problem in the wider medical community. Ignoring aspects of one's education in favor of more interesting aspects is a behaviour that is pathological and outright negligent in a student. Failure to diagnose or to treat a patient because "their signs and differential fall outside of my field, let's turf them to another service" ought be considered criminal.
:5. Love of the Rare: (aka "If you hear hoof-beats, think horses. Not zebras") The desire for rare and interesting diseases causes many medical students and young doctors to seek the bizarre rather than seeing a mundane diagnosis.
:6. Common Stupidity: As well as the standard definition for this sin, the specific example of "using empirical procedures rather than tailoring for the patient" or the young doctor "flying on autopilot" must be mentioned. Ordering another test that is redundant, and for which the results may already be interpreted from the history, before starting treatment is such a situation. For example: requesting a haemoglobin count before beginning transfusion, despite the fact that the patient appears obviously anaemic.
:7. Sloth: Laziness. Also includes ordering excessive numbers of tests, rather than simply taking the time to take an adequate history.
For further information see Dr Bruce Rowat's essay.cite web
last = Rowat
first = Bruce M.T.
title = Richard Asher and the Seven Sins of Medicine
work = Humane Health Care (Volume 1, Number 2)
date = 2001
url = http://www.humanehealthcare.com/Article.asp?art_id=126
accessdate = 2008-03-20]
Wikimedia Foundation. 2010.
Look at other dictionaries:
medicine, history of — Introduction the development of the prevention and treatment of disease from prehistoric and ancient times to the 20th century. Medicine and surgery before 1800 Primitive (primitive culture) medicine and folklore Unwritten history is not… … Universalium
The Magnificent Seven (TV series) — The Magnificent Seven Format Western Country of origin … Wikipedia
Richard Asher — Born Richard Alan John Asher 3 April 1912(1912 04 03) Brighton, Sussex [1 … Wikipedia
Richard Asher — Pour les articles homonymes, voir Asher (homonymie). Richard Asher (1912 1969) Richard Alan John Asher, FRCP, né le 3 avril … Wikipédia en Français
Medical ethics — is a system of moral principles that apply values and judgments to the practice of medicine. As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology … Wikipedia
Richard Asher — Sir Richard Alan John Asher, MD, FRCP (* 3. April 1912 in Brighton, Großbritannien; † 25. April 1969 in Marylebone, Großbritannien) war ein Mediziner am Central Middlesex Hospital. Der Internist benannte in einem Artikel zur B … Deutsch Wikipedia
List of Marvel Family enemies — Through his adventures, Fawcett Comics/DC Comics superhero Captain Marvel and his Marvel Family gained a host of enemies, including the following: Contents 1 Acrobat 2 Adolf Hitler 3 Amoeba Family … Wikipedia
Afterlife (video game) — Infobox VG| title = Afterlife developer = LucasArts publisher = LucasArts designer = engine = released = 1996 genre = God game modes = Single player ratings = ESRB: T (13+) platforms = Windows 95 (PC), DOS (PC), Macintosh (PC) media = CD ROM… … Wikipedia
Strangeland — Theatrical release poster Directed by John Pieplow Produced by Larry Meistrich David L. Bush … Wikipedia
Roger Bacon — • Philosopher, born at Ilchester, Somersetshire, about 1214; died at Oxford, perhaps 11 June, 1294 Catholic Encyclopedia. Kevin Knight. 2006. Roger Bacon Roger Bacon … Catholic encyclopedia