The moral foundation of medical leadership: The professional virtues of the physician as fiduciary of the patient
Chervenak, F. A., & McCullough, L. B. (2001). The moral foundation of medical leadership: The professional virtues of the physician as fiduciary of the patient. American Journal of Obstetrics and Gynecology, 184 (5): 875-80.
Abstract: Leadership in medicine, as in other settings, should be based on values
that provide appropriate direction for the use of institutional power
and authority. Leadership also requires managerial competence.
Managerial knowledge and skills can be used for worthy and unworthy
goals and therefore require a moral foundation. Using the methods of
ethics, we argue that the concept of the physician as the moral
fiduciary of the patient should be the moral foundation of management
decisions by physician-leaders. We take this concept from the history
of eighteenth century medical ethics and develop it in terms of four
professional virtues-self-effacement, self-sacrifice, compassion, and
integrity. We apply these four virtues to show how physician-leaders
should create a moral culture of professionalism in health care
organizations. We then identify four vices-unwarranted bias, primacy of
self-interest, hard-heartedness, and corruption-that undermine this
moral culture of professionalism. Because health care organizations now
play a central role in patient care, their moral culture and therefore
physician-leaders have become vital elements in physicians being able
to maintain their professionalism. Physician-leaders bear major
responsibility to shape organizational cultures that support the
fiduciary professionalism of physicians.
Source: American Journal of Obstetrics & Gynecology
(Something interesting I found)Posted: Sunday, April 1, 2001