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Practicing Medicine and Ethics
Integrating Wisdom, Conscience, and Goals of Care

$113.00 (C)

  • Date Published: May 2014
  • availability: Available
  • format: Hardback
  • isbn: 9781107012165

$ 113.00 (C)

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About the Authors
  • To practice medicine and ethics, physicians need wisdom and integrity to integrate scientific knowledge, patient preferences, their own moral commitments, and society's expectations. This work of integration requires a physician to pursue certain goals of care, determine moral priorities, and understand that conscience or integrity require harmony among a person's beliefs, values, reasoning, actions, and identity. But the moral and religious pluralism of contemporary society makes this integration challenging and uncertain. How physicians treat patients will depend on the particular beliefs and values they and other health professionals bring to each instance of shared decision making. This book offers a framework for practical wisdom in medicine that addresses the need for integrity in the life of each health professional. In doing so, it acknowledges the challenge of moral pluralism and the need for moral dialogue and humility as professionals fulfill their obligations to patients, themselves, and society.

    • Interdisciplinary: written by a physician-ethicist with a PhD in Religious Ethics, this book integrates medicine and ethics, and incorporates both philosophical and theological perspectives
    • Innovative: this book borrows ancient insights about virtue and conscience to offer a framework of practical wisdom relevant to contemporary practice
    • Broad relevance: this book's focus on shared decision making in health care, medical ethics, wisdom, and conscientious practice make it relevant to persons interested in clinical practice, ethics education, the philosophy of medicine, and health policy
    • Reader-friendly: summaries at the end of each of the first nine chapters can be used as abbreviated stepping stones to chapter 10 by readers who prefer to proceed quickly to the framework for practical wisdom
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    Reviews & endorsements

    "Both our shared political discourse and the day-to-day encounters between physicians and their patients are characterized by complex questions about the place of conscience in medicine. Lauris Kaldjian, trained as both physician and ethicist, offers a way to think through these difficulties by focusing on medicine as a practice shaped by its goals and marked by important virtues. Both patients and physicians can find here help for thinking in moral terms about the encounters they share."
    Gilbert Meilaender, Valparaiso University

    "Lauris Kaldjian offers a rich exploration of the roles that conscience, integrity, and moral reasoning can play in promoting health care that is both medically and ethically sound. As physicians face ever-increasing challenges and pressures, Kaldjian provides an astute synthesis of the "practical wisdom" that doctors need to navigate those challenges and pressures."
    David Orentlicher, Indiana University Schools of Law and Medicine

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    Product details

    • Date Published: May 2014
    • format: Hardback
    • isbn: 9781107012165
    • length: 296 pages
    • dimensions: 229 x 152 x 21 mm
    • weight: 0.52kg
    • availability: Available
  • Table of Contents

    1. Medicine as a goal-directed, moral practice
    2. Virtue ethics
    3. Practical wisdom in medicine
    4. Conscience and its relation to practical wisdom
    5. The authority, fallibility, and normative reach of conscience
    6. Conscience as integrity
    7. The challenge and inescapability of religious pluralism
    8. Implications of moral pluralism for public dialogue and professional practice
    9. Conscientious objection and conscientious practice
    10. An integrity-centered framework for practical wisdom in medicine.

  • Author

    Lauris Christopher Kaldjian, University of Iowa
    Lauris Christopher Kaldjian is Director of the Program in Bioethics and Humanities at the University of Iowa Carver College of Medicine, where he holds the Richard M. Caplan Chair in Biomedical Ethics and Medical Humanities and is also a professor in the Department of Internal Medicine. His research interests have been directed toward end of life concerns, goals of care, disclosure of medical errors, ethics education, and the role of philosophical and religious beliefs in clinical decision making. He has received research grants from the Robert Wood Johnson Foundation and the John Templeton Foundation, and his publications can be found in a variety of medical and bioethics journals. At the University of Iowa Hospitals and Clinics, he practices outpatient General Internal Medicine, chairs the Ethics Committee, and serves as Medical Director for Clinical Ethics. In the College of Medicine, he teaches ethics to medical students and co-directs the Humanities Distinction Track. He has served on the Ethics Committee of the United Network for Organ Sharing, chaired the Ethics Committee of the Society of General Internal Medicine, and served as a Deputy Editor for the Journal of General Internal Medicine. He currently chairs the Committee on Law and Ethics of the Iowa Medical Society. He is a member of the American Society of Bioethics and Humanities and a Fellow in the American College of Physicians.

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