PubMed · 9669172
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J K Brody. Ethics in context.. https://pubmed.ncbi.nlm.nih.gov/9669172/
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Because Of Increasing Concern With The Ethical Challenges To Physicians In Recent Years, A Committee Of The Council Of Medical Specialty Societies (CMSS), Under The Chairmanship Of Sara C. Charles, Md, Organized A 2-DAY Symposium On The Ethic Of Medicine In April 1997. During This Conference 6 Workgroup Sessions Were Held For The Purpose Of Developing A Consensus Among The 17 Represented Medical And Surgical Specialties On Whether The Traditional Medical Ethic Remains Applicable Or Is In Need Of Adaptation Or Change To Guide Physician Behavior In The 21ST Century. An Initial Statement Was Developed At The Time Of The Meeting, Then Modified By Mail And Finally Presented To All 17 Member Societies For Further Comment. The Following Is The Result Of That Extended And In-DEPTH Review.
OBJECTIVE: To explore general practitioners' perceptions of their role in implementing genetic technology. DESIGN: Grounded theory interview study. SETTING: Primary care. SUBJECTS: Purposive sample of 30 general practitioners with a further theoretical sample of 14. RESULTS: Inconsistencies were identified between policy makers' and general practitioners' definitions of general practitioners' role in implementing the new genetics. General practitioners emphasised the need to build on current practice, whereas policy makers focused on transforming practice to include the new specialised roles and skills. Two core themes were identified: genetics in a generalist context, which included appropriate generalist intervention, the ethical dilemmas implicit in the "therapeutic gap," the familial-hereditary distinction in primary care, and the implications for generalist identity, including the potential marginalisation of generalism. CONCLUSION: New technologies such as genetics that require implementation in general practice should be integrated within existing generalist frameworks.
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