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56 Medico-Legal J. 3 (1988)

handle is hein.journals/medlgjr56 and id is 1 raw text is: 







  THE MEDICO-LEGAL


                   JOURNAL
                          Founded 1901


1988                         Vol. 56                  Part One



   THE HIPPOCRACTIC OATH - ITS RELEVANCE
                             TODAY


  We understand that only one medical school in the United Kingdom requires
its students positively to affirm this oath or a form of it as part of their
graduation exercises. Yet, every medical graduate is imbued throughout his
course with the ethical principles emerging from it. We attempt to focus on
those portions of the oath which we believe to apply to modern medical
practice, some of which may be under increasing threat from quarters who
cannot accept the special position in which medical practitioners bound, albeit
informally, by the oath must conduct themselves.
  The Hippocractic oath as enunciated in the 1947 Geneva declaration contains
seven promises to be made solemnly, freely and upon the honour of the
subscriber. There is a degree of overlap between some of these which concern
the obvious duty of doctors to act always with the welfare of their patients
paramount, uninfluenced by considerations such as race, politics and the like.
We do not propose to expand upon these.
  We are however concerned with the requirement of doctors to respect the
secrets confided in them. To some, this requirement is possibly rightly taken
as being absolute and doctors have on more than one occasion refused to
divulge information about their patients even under subpoena and suffered
the consequences. Others have deemed it to be their duty to the body public
to divulge information gleaned professionally to a degree which is anathema
to their more conservative brethren. Where should the middle road lie, if lie
it should? Doctors may be required under the terms of the Road Traffic Act
of 1972 to assist in the identification of an alleged offender. Likewise, they,
like any other citizen are required to provide information which may lead to
the apprehension of a person or persons suspected of offences under the
Prevention of Terrorism Act(s) 1984. Many practitioners are content to limit
disclosure of information about patients to the circumstances stated above but

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