Ethical Considerations Arising From Surgeon Caseload Volume in Benign Gynecologic Surgery

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Ethical Considerations Arising From Surgeon Caseload Volume in Benign Gynecologic Surgery

https://www.jmig.org/article/S1553-4650(18)30162-6/pdf

Journal: J Minim Invasive Gynecol 2018

Authors: Gaby Moawad, Paul Tyan, Florina Corpodean, James Robinson

Modern medicine is becoming increasingly dissimilar to the practices of the past. The rate at which we double our acquisition of medical knowledge continues to accelerate. Advances in computing, microtechnology, and engineering have radically transformed our clinics and operating rooms.

Whether or not legal arguments favor volume transparency in our informed consent discussions, it is hard to argue that the ethical principle of patient autonomy is met when this information is withheld. As we struggle to afford the wide range of treatment options available to our patients, the principle of justice demands that we do everything possible to contain costs so the most good can be distributed to the most people. Initiatives that drive complex surgeries to high volume surgeons and incentivize low volume surgeons to either refer or further develop their skill set will be integral to improving the quality of women’s health care and containing health care costs. It is also an ethical imperative.

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