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• Columbia: On complaint of Sumter police authorities, W.S. Penn was arrested for representing himself as a physician and for selling influenza "cure" he said the government authorized him to sell; it is alleged he sold his "physic" to negroes in Sumter Co. ; Newspaper article ; 1

We present a model of hypothesized relationships between physician satisfaction, physician well-being and the quality of care, in addition to a review of relevant literature. The model suggests that physicians who are stressed, burned out, depressed, and/or have poor self-care are more likely to be dissatisfied, and vice-versa. Both poor physician well-being and physician dissatisfaction are hypothesized to lead to diminished physician concentration, effort, empathy, and professionalism. This results in misdiagnoses and other medical errors, a higher rate of inappropriate referrals and prescriptions, lower patient satisfaction and adherence to physician recommendations, and worse physician performance in areas not observed by others. Research to date largely supports the model, but high quality studies are few. Research should include studies that are prospective, larger, and have a stronger analytic design, ideally including difference in differences analyses comparing quality of care for patients of physicians who become dissatisfied to those who remain satisfied, and vice versa.
Keywords: physician satisfaction, physician dissatisfaction, quality of care, physician well-being, physician burnout

This Article briefly summarizes the history of the euthanasia debate in the United States, describes the classical arguments for and against euthanasia, examines the terms of the current debate, and concludes that while society may want to recognize a competent patient's right to escape the suffering of a terminal illness, it should do so with humility—and with caution.

Malpractice insurance premiums for physicians have increased at an average rate of over 30 percent per year. This rate is significantly higher than health care cost inflation and the increase in physician costs. Trends indicate that malpractice related costs, both liability insurance and defensive medicine costs, will continue to increase for the near future. Pressures to limit physician costs under Medicare raise a concern about how malpractice costs can be controlled. This paper presents an overview of the problem, reviews options that are available to policymakers, and discusses State and legislative efforts to address the issue.

Den OPs mangelt es an Nachwuchs. Der Anteil junger Ärzte ist seit 1991 um etwa
40 Prozent gesunken. Der Bachelor-Studiengang Physician Assistent soll Abhilfe schaffen.
Noch ist er eine Rarität. Doch das wird sich ändern, denn die Nachfrage steigt – zum
Unmut der Pflegeverbände und der Gesellschaft für Chirurgie.

В данной работе рассматриваются различные аспекты неразглашения врачебной тайны.Physician–patient privilege is a medical and legal concept. It prohibits a physician from divulging to anybody some information about his patients (diagnosis, results of examination and so on). Each physician must obey this ban if he or she treats a patient.In fact, the concept of physician–patient privilege appeared in Ancient India. It voiced that you could fear your brother, mother or friend but never – a doctor. Since those days, doctors have been vowing to keep all patient's secrets and always do it. Physician–patient privilege is one of the basic postulates of the Hippocratic Oath. In fact, each state guarantees to its citizens keeping of the privilege. Although there are situations when it is allowed to provide patient's data without his or her consent, for instance: in order to examine and treat a person who cannot express his or her will due to a bad state; if there is a danger of spreading any infection or provoking an epidemic; if the information is requested by judiciary or law enforcement agency; if a patient is not an adult and physicians must inform parents or legal representatives about his or her state of health; in case of injuries received due to any incorrect procedures; the necessity to do military medical examination.According to legal systems of some countries all people having any information about a sick person are hold disciplinary, administrative or criminal responsibility in case of divulging.When somebody is admitted to a hospital, his relatives and friends want to know about his state of health. Physicians have to resolve conflict situations. On the one hand, it is clear they worry about his or her life. However, on the other hand all these data are included into the concept «physician–patient privilege». In fact, a good physician never says his patient's diagnosis to anybody. In our opinion, physicians can break physician–patient privilege only in case when it is said whether the person will live or not. In other cases, only a patient can decide whom to say this or that information about his or her health. Physicians should look after the sick people; care about their physical, mental and moral health. In return, patients should talk about their problems and trust their physicians. Any offense against the «physician–patient privilege» makes a person feel humiliated. In this case, the patient has a right to apply to a judiciary because of the non-pecuniary damage that was harmed by physicians. To sum up, the most important commandment for every physician is to remember about these ethical postulates!

Since 1957 the courts in most states have moved rapidly toward imposing vicarious liability on a hospital for the torts of employee-physicians. In 1965 the Illinois Supreme Court held that a hospital could be liable for the malpractice of a nonemployee-physician. This comment attempts to describe these trends, to delineate the new rules the courts are applying and to determine the rationale for adopting these new rules. The comment assumes the patient has established that the physician committed malpractice; the only issue addressed is whether the patient can recover from the hospital for his or her injuries. The scope is further limited to the liability of a private hospital; thus governmental immunity, peculiar to state or federally owned hospitals, is not discussed.

The physician analogy in politics is not inherently elitist or antithetical to constitutional government, as modern critics have claimed. On the contrary, in its original development among the orators of fourth-century Athens, it epitomized the aims of conservative democrats, offering both a perspective that reinforced the ideal of a prescriptive constitution grounded in tradition and a conception of leadership compatible with the egalitarian animus of the restored democracy. Moreover, this conception of the political physician enjoyed the full sanction of Greek medicine. The norms, concepts, and techniques adduced in the Hippocratic writings closely parallel those of conservative democrats.

In dem Beitrag wird die Arzt-Patient-Beziehung angesichts des gesundheitspolitischen Wandels und der zunehmenden Verstaatlichung ärztlicher Tätigkeit diskutiert. Zudem wird die ärztliche Tätigkeit im Gesundheitssystem verortet. Es wird deutlich, daß sie verfassungsrechtlich, arzt- und organisationsgesetzlich, leistungsberuflich und sozialorganisatorisch im bundesdeutschen Sozialstaat verankert ist. (ICA)