Hi guys, was wondering if anyone could have a quick look over my essay:
BMAT 2009, QUESTION 1: You must be honest, open, and act with integrity. Explain what is meant by the above statement. Why might honesty, openness and integrity be important in a good doctor? Under what circumstances might a good doctor be justified in being less than perfectly honest or open in the course of their professional practice?
ESSAY:
For success in healthcare as a doctor, and, more crucially, the well-being of the patient the GMC regards acting with honesty, openness, and intergrity of the utmost importance. This involves telling the complete, uncompromised truth to both patients and colleagues.
Fundamentally, the importance of these qualities is for the production and preservation of a bond of trust between doctor and patient. This bond would lead to the fruition of more accurate diagnoses and therefore more effective treatments . This would be as a result of the increased likelihood the patient giving the doctor all the information necessary for proper diagnosis, no matter how private, if they believe the doctor will not breach their confidentiality. Therefore, this honesty would help the patient by producing the most effective treatment, and similarly would help the cash-strained NHS by saving it money on drugs. Moreover, honesty is an important criterion to satisfy a patient's informed consent. If a doctor was to be dishonest or withhold information about the risks and benefits of a particular treatment this would constitute disrespecting the patient's autonomy as their right to be completely involved in their own treatment has been compromised.
However, in some cases it is inappropriate to be honest. This may apply if it is in the best interest of the patient not to be told the whole truth regarding their illness. For example, the morale of a child with a terminal illness might be lowered upon the knowledge of this. This may lead the child to refuse painkillers and palliative care, which would not be in their best interest. A doctor must act according to beneficence, that is, doing what is best for their patient. Honesty is also inappropriate in cases where another patient's confidentiality may be breached, for example if a woman was pregnant as the result of an affair, it would not be right to tell her partner without her consent.
Ultimately, being honest, open, and acting with integrity are vital. Nonetheless, times when it is inappropriate to be completely honest should be subject to case-by-case analysis and warrants an individualistic outlook on patient care.
Please let me know what you think - many thanks in advance.