Sports Medicine and Ethics

Testoni, Daniela; Hornik, Christoph P.; Smith, P. Brian; Benjamin, Daniel K.; McKinney, Ross E.

doi:10.1080/15265161.2013.828114

Cited by 65 publications

(63 citation statements)

References 43 publications

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“…20 Physicians are required to report cases of sexually transmitted diseases, rape, and genetically linked diseases. 5 Mandatory reporting for cases of tuberculosis and child abuse are also common.…”

Section: Patient-physician Relationshipmentioning

confidence: 99%

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Woodrow Wilson’s hidden stroke of 1919: the impact of patient-physician confidentiality on United States foreign policy

Menger

Storey

Guthikonda

et al. 2015

FOC

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World War I catapulted the United States from traditional isolationism to international involvement in a major European conflict. Woodrow Wilson envisaged a permanent American imprint on democracy in world affairs through participation in the League of Nations. Amid these defining events, Wilson suffered a major ischemic stroke on October 2, 1919, which left him incapacitated. What was probably his fourth and most devastating stroke was diagnosed and treated by his friend and personal physician, Admiral Cary Grayson. Grayson, who had tremendous personal and professional loyalty to Wilson, kept the severity of the stroke hidden from Congress, the American people, and even the president himself. During a cabinet briefing, Grayson formally refused to sign a document of disability and was reluctant to address the subject of presidential succession. Wilson was essentially incapacitated and hemiplegic, yet he remained an active president and all messages were relayed directly through his wife, Edith. Patient-physician confidentiality superseded national security amid the backdrop of friendship and political power on the eve of a pivotal juncture in the history of American foreign policy. It was in part because of the absence of Woodrow Wilson’s vocal and unwavering support that the United States did not join the League of Nations and distanced itself from the international stage. The League of Nations would later prove powerless without American support and was unable to thwart the rise and advance of Adolf Hitler. Only after World War II did the United States assume its global leadership role and realize Wilson’s visionary, yet contentious, groundwork for a Pax Americana. The authors describe Woodrow Wilson’s stroke, the historical implications of his health decline, and its impact on United States foreign policy.

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Section: Patient-physician Relationshipmentioning

confidence: 99%

“…5 Mandatory reporting for cases of tuberculosis and child abuse are also common. 20 Patient-doctor confidentiality is at times abandoned for the sake of the public good. In 1976, the California Supreme Court reached this conclusion in the case of Tarasoff vs. Regents of University of California.…”

Section: Patient-physician Relationshipmentioning

confidence: 99%

Woodrow Wilson’s hidden stroke of 1919: the impact of patient-physician confidentiality on United States foreign policy

Menger

Storey

Guthikonda

et al. 2015

FOC

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“…The principle of beneficence, however, mandates that Dr. Gupta act in the best interest of Jesse's health. This is a classic conflict that arises frequently in the field of sports medicine [5][6][7][8][9].…”

Section: Commentarymentioning

confidence: 99%

“…In this case, as is common in sports medicine [5][6][7][8][9], we have two ethical principles that are in conflict with one another. The principle of respect for autonomy acknowledges a person's right to make choices and to take actions based on personal values and beliefs [41].…”

Section: Commentarymentioning

confidence: 99%

Evaluating the Risks and Benefits of Participation in High-School Football

O’Brien

Meehan

2014

Virtual Mentor

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“…Confidentiality has been identified as both one of the most important ethical issues in sports medicine [4,6], and empirically demonstrated to be amongst the ethical dilemmas most frequently encountered by sports doctors [7].…”

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confidence: 99%

Confidentiality in Sports Medicine

Malcolm

2016

Clinics in Sports Medicine

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Key Points:While ethical principles identify ideal practice, ethics are always operationalized in a social context and understanding that context is necessary for facilitating best practice.Sports clinicians work in a context which, if not unique, is distinct from many other areas of medical practice.The maintenance of confidentiality is shaped by the multiple obligations, physical environment, and practice and policy context of sports medicine.Empirical research shows that there is considerable diversity of practice in relation to maintaining patient-confidentiality in sports medicine.A variety of policy recommendations have been made that could enable greater conformity to medical ethical best practice. SynopsisThis article synthesizes existing literature to provide a comprehensive summary of the ethical issues related to patient confidentiality in sport. It consists of four parts. The first outlines the medical ethical principle of confidentiality and identifies cross-cultural ethico-legal variations which shape its implementation. The second explores four factors specific to the context of sport which shape the application of patient confidentiality, namely: clinicians multiple obligations, physical environment and practice and policy context. The third reviews research detailing real life experiences of maintaining patient confidentiality in sport, and the fourth summarizes the many policy recommendations that have been made for enabling and enhancing compliance with this ethical principle. It is argued that the context of sport exacerbates pressures on clinicians to break patient confidentiality, breaches therefore occur relatively regularly, and interventions are required to enhance ethical compliance in sports medicine.

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Sports Medicine and Ethics

Cited by 65 publications

References 43 publications

Woodrow Wilson’s hidden stroke of 1919: the impact of patient-physician confidentiality on United States foreign policy

Woodrow Wilson’s hidden stroke of 1919: the impact of patient-physician confidentiality on United States foreign policy

Evaluating the Risks and Benefits of Participation in High-School Football

Confidentiality in Sports Medicine

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