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ETHICS AND THE DOCTOR - Brown University

1 ETHICS AND THE DOCTOR PATIENT RELATIONSHIP Claire Zilber The regimen I adopt shall be for the benefit of my patients according to my ability and judgment, and not for their hurt or any Whatsoever house I enter, there will I go for the benefit of the sick, refraining from all wrongdoing or corruption, and especially from any act of seduction, male or female . Oath of Hippocrates 1. What is a fiduciary relationship? The Hippocratic oath expresses the essence of the fiduciary relationship between a physician and each of his patients. The physician has a duty to act in the patient s best interest and to refrain from exploiting the patient. Respecting the fiduciary relationship and the trust of the patient is a cornerstone of the ethical physician s practice. 2. What is a boundary violation?

physicians. At present, the proscription against sexual activity with a former patient is unique to psychiatry, but sexual activity with a current patient is generally considered unethical in all fields of medicine. Sexual activity with a patient damages the healing capacity of psychiatric treatment. One survey of psychiatrists found

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