4.8 • 729 Ratings
🗓️ 20 August 2024
⏱️ 42 minutes
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Dr. Farr Curlin explores the debate over medical practitioners refusing patients' requests for morally contested interventions, comparing two conflicting models of medical practice. He critiques the "provider of services" model, which prioritizes patient autonomy and well-being, and advocates for the "way of medicine" approach, which focuses on preserving and restoring patient health. Curlin argues that conscience is an essential aspect of clinical judgment and that physicians must act according to their consciences to practice ethically.
This lecture was given on October 10th, 2023, at University of South Carolina.
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About the Speaker:
Farr Curlin, MD, is Josiah Trent Professor of Medical Humanities in the Trent Center for Bioethics, Humanities, & History of Medicine and Co-Director of the Theology, Medicine and Culture Initiative (TMC) at Duke University. Dr. Curlin has worked to bring attention to the intersection of medicine, ethics, and theology. In 2012 he helped to found both the University of Chicago’s Program on Medicine and Religion and the annual Conference on Medicine and Religion. Since 2015, through Duke Divinity School’s TMC Initiative, he and colleagues have brought graduate theological training to those with vocations to health care. Starting in 2023, Dr. Curlin also is working with colleagues across North America to develop the Hippocratic Society, an association whose mission is forming clinicians in the practice and pursuit of good medicine. He is co-author, with Chris Tollefsen, of The Way of Medicine: Ethics and the Healing Profession (Notre Dame University Press, 2021), as well as more than 150 articles and book chapters addressing the moral and spiritual dimensions of medical practice.
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0:00.0 | Welcome to the Thomistic Institute podcast. |
0:06.8 | Our mission is to promote the Catholic intellectual tradition in the university, the church, and the wider public square. |
0:13.1 | The lectures on this podcast are organized by university students at Temistic Institute chapters around the world. |
0:19.1 | To learn more and to attend these events, visit us at to mystic institute.org. |
0:25.1 | Let me ask you guys a question. |
0:26.5 | How many of you think you're going to work in the field of health care in some fashion? |
0:32.1 | Okay, good. |
0:33.8 | Many of you. |
0:35.7 | Well, I want to talk about a controversy that has drawn a lot of my attention, |
0:41.5 | and that has been a controversy over medical practitioners and physicians in particular, |
0:48.5 | refusing patients' requests for certain morally contested interventions. |
1:00.8 | Such as abortion, physician-assisted suicide, or the one probably most pressing today, |
1:06.4 | the surgical modification or even hormonal modification of secondary sex characteristics. |
1:08.5 | It's kind of be called gender affirmation. |
1:15.9 | When physicians refuse such interventions, many now argue they're basically letting their personal values interfere with their professional obligations. |
1:20.9 | An essay in the New England Journal of Medicine by Ronit Stahl and Ezekiel Emanuel in 2017 |
1:27.1 | illustrates the point. |
1:29.6 | They assert that patients have a right to choose the health care services they need for their own |
1:35.3 | well-being, and physicians have a corollary obligation to accommodate the patient's choices, |
1:43.1 | either by providing the requested intervention or by |
1:45.4 | referring the patient to someone who will. |
1:49.4 | It seems to me there's something right about this. |
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