Desafíos contemporáneos a la ética y profesionalismo de los cirujanos orales y maxilofaciales en Colombia: una perspectiva desde los principios
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dic 30, 2022
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Resumen
Antecedentes: cambios continuos en nuestras condiciones económicas y en el entorno social durante las últimas décadas han contribuido a la aparición de comportamientos que impactan negativamente la práctica profesional y presupone desafíos éticos en cirugía oral y maxilofacial. Objetivo: fomentar la reflexión y recuperar la conciencia sobre los estándares éticos que se deben procurar y mantener en la práctica clínica. Métodos: se utilizaron los cuatro principios bioéticos como marco teórico y sistemático para describir dilemas éticos comunes que potencialmente pueden enfrentar los cirujanos orales y maxilofaciales. Resultados: dilemas éticos que incluyen el comprometimiento del consentimiento informado, daños potenciales a los pacientes y el trato injusto a las personas han sido descritos. Conclusiones: A medida que el panorama de práctica de la cirugía oral y maxilofacial cambia, nuevas circunstancias pueden erosionar los principios éticos incorporados en nuestro código de ética.
Keywords
autonomía personal, bioética, cirugía maxilofacial, consentimiento informado, estándares del cuidado, ética, ética basada en principios, odontología, profesionalismobioethics, dentistry, ethics, informed consent, maxillofacial surgery, personal autonomy, principle-based ethics, professionalism, standard of careautonomia pessoal, bioética, cirurgia maxilofacial, consentimento livre e esclarecido, ética, ética baseada em princípios, odontologia, padrões de cuidado, profissionalismo
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28. Curley AW, Peltier B. Standard of care: the legal view. J Am Coll Dent. 2014 Spring; 81(1): 53-58.
29. Selbst AG. Standard of care: so who decides? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Jun; 83(6): 637. https://dx.doi.org/10.1016/s1079-2104(97)90306-1
30. Jenson LE. Six common misconceptions about the standard of care in dentistry. J Am Coll Dent. 2014 Spring; 81(1): 59-63
31. Bhadauria US, Dasar PL, Sandesh N, Mishra P, Godha S. Medico-legal aspect of dental practice. Clujul Med. 2018 Jul; 91(3): 255-258. https://dx.doi.org/10.15386/cjmed-764
32. Morris C, Chawla G, Francis T. Clinical negligence: duty and breach. Br Dent J. 2019 May; 226(9): 647-648. https://dx.doi.org/10.1038/s41415-019-0312-9
33. Elledge R, Brennan PA, Mohamud A, Jones J. Phronesis and virtue ethics: the future of surgical training? Br J Oral Maxillofac Surg. 2020 Feb; 58(2): 125-128. https://dx.doi.org/10.1016/j.bjoms.2019.12.002
34. Beauchamp TL, Childress JF. Justice. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 240-242
35. Dator J, Pratt D, Seo Y. What Is fairness? In: fairness, Globalization, and Public Institutions: East Asia and Beyond. Honolulu: University of Hawai'i Press; 2006: 19-34. https://dx.doi.org/10.2307/j.ctv3zp081.6
36. Guilfoyle J, Kelly L, St Pierre-Hansen N. Prejudice in medicine: Our role in creating health care disparities. Can Fam Physician. 2008 Nov; 54(11): 1511-1520
37. Hermann J. The dynamics of moral progress. Ratio. 2019 Dec; 32(4): 300-311. https://dx.doi.org/10.1111/rati.12232
38. Guerrero Berrocal JS. Ética y responsabilidad clínica en cirugía oral y maxilofacial en Colombia. CES Odontol. 2021 Ene; 34(1): 145-152.
2. Castro-Núñez J. Waldemar Wilhelm: father of oral and maxillofacial surgery in Colombia. J Hist Dent. 2011 Winter; 59(3): 153-158.
3. Relman AS. Medical professionalism in a commercialized health care market. J Am Med Assoc. 2007; 298(22): 2668-2670. https://dx.doi.org/10.1001/jama.298.22.2668
4. República de Colombia. Ley estatutaria 35 de 1989, Sobre ética del odontólogo colombiano. Diario Oficial No. 38.733. Bogotá, Colombia: Congreso de la República; 1989.
5. Jaramillo JA, Pulido JH, Castro Núñez JA, Bird WF, Komabayashi T. Dental education in Colombia. J Oral Sci. 2010 Mar;52(1):137-43. https://dx.doi.org/10.2334/josnusd.52.137
6. Yavari N. Does medical education erode medical trainees' ethical attitude and behavior? J Med Ethics Hist Med. 2016 Nov 23; 9: 16.
7. Nash DA. On ethics in the profession of dentistry and dental education. Eur J Dent Educ. 2007 May;11(2):64-74. https://dx.doi.org/10.1111/j.1600-0579.2007.00448.x
8. Torres-Quintana MA, Romo OF. Bioética y ejercicio profesional de la odontología. Acta Bioeth. 2006 Ene; 12(1): 65-74.
9. Beauchamp TL, Childress JF. Moral norms. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 1-29.
10. Ferro M, Molina Rodríguez L, Rodríguez GWA. La bioética y sus principios. Acta Odontol Venez. 2009 Jun; 47(2): 481-487.
11. Garcés Giraldo LF, Giraldo Zuluaga C. Virtudes éticas en Aristóteles: razón de los deseos y sus acciones para lograrlas. Rev Virt Univ Catól del Norte. 2014; 41: 70-78.
12. Beauchamp TL, Childress JF. Moral Character. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 30-63.
13. Churchill LR. The American Association for Thoracic Surgery 2016 ethics forum: Working virtues in surgical practice. J Thorac Cardiovasc Surg. 2017 May; 153(5): 1214-1217. https://dx.doi.org/10.1016/j.jtcvs.2016.09.015
14. Beauchamp TL, Childress JF. Respect for Autonomy. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 99-148.
15. Varkey B. Principles of Clinical Ethics and Their Application to Practice. Med Princ Pract. 2021; 30(1): 17-28. https://dx.doi.org/10.1159/000509119
16. Booth S. A philosophical analysis of informed consent. Nurs Stand. 2002 Jun 12-18; 16(39): 43-46. https://dx.doi.org/10.7748/ns2002.06.16.39.43.c3211
17. Wisk TM. Informed consent. Plast Surg Nurs. 2007 Oct-Dec; 27(4): 206-209. https://dx.doi.org/10.1097/01.PSN.0000306187.80565.0e
18. Cañete Villafranca R, Guilhem D, Brito Pérez K. Paternalismo médico. Rev Med Electrón. 2013 Abr; 35(2): 144-152.
19. Drane JF, Fuenzalida HL. Medical ethics in Latin America: a new interest and commitment. Kennedy Inst Ethics J. 1991 Dec; 1(4): 325-338. https://dx.doi.org/10.1353/ken.0.0179
20. Weiss GB. Paternalism modernised. J Med Ethics. 1985 Dec; 11(4): 184-187. https://dx.doi.org/10.1136/jme.11.4.184
21. Beauchamp TL, Childress JF. Beneficence. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 197-239.
22. Rodriguez-Osorio CA, Dominguez-Cherit G. Medical decision making: paternalism versus patient-centered (autonomous) care. Curr Opin Crit Care. 2008 Dec; 14(6): 708-713. https://dx.doi.org/10.1097/MCC.0b013e328315a611
23. Kinsinger FS. Beneficence and the professional's moral imperative. J Chiropr Humanit. 2009 Dec; 16(1): 44-46. https://dx.doi.org/10.1016/j.echu.2010.02.006
24. IOM. Medicare: A Strategy for Quality Assurance: Volume 1. Washington (DC), US: National Academies Press; 1990.
25. Beauchamp TL, Childress JF. Nonmaleficence. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 149-196.
26. Gillon R. "Primum non nocere" and the principle of non-maleficence. Br Med J (Clin Res Ed). 1985 Jul 13; 291(6488): 130-131. https://dx.doi.org/10.1136/bmj.291.6488.130
27. Curley AW. The law and dentoalveolar complications: trends and controversies. Oral Maxillofac Surg Clin North Am. 2011 Aug; 23(3): 475-484. https://dx.doi.org/10.1016/j.coms.2011.04.003
28. Curley AW, Peltier B. Standard of care: the legal view. J Am Coll Dent. 2014 Spring; 81(1): 53-58.
29. Selbst AG. Standard of care: so who decides? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Jun; 83(6): 637. https://dx.doi.org/10.1016/s1079-2104(97)90306-1
30. Jenson LE. Six common misconceptions about the standard of care in dentistry. J Am Coll Dent. 2014 Spring; 81(1): 59-63
31. Bhadauria US, Dasar PL, Sandesh N, Mishra P, Godha S. Medico-legal aspect of dental practice. Clujul Med. 2018 Jul; 91(3): 255-258. https://dx.doi.org/10.15386/cjmed-764
32. Morris C, Chawla G, Francis T. Clinical negligence: duty and breach. Br Dent J. 2019 May; 226(9): 647-648. https://dx.doi.org/10.1038/s41415-019-0312-9
33. Elledge R, Brennan PA, Mohamud A, Jones J. Phronesis and virtue ethics: the future of surgical training? Br J Oral Maxillofac Surg. 2020 Feb; 58(2): 125-128. https://dx.doi.org/10.1016/j.bjoms.2019.12.002
34. Beauchamp TL, Childress JF. Justice. In: Principles of biomedical ethics. 5th ed. Oxford (UK): Oxford University Press; 2009: 240-242
35. Dator J, Pratt D, Seo Y. What Is fairness? In: fairness, Globalization, and Public Institutions: East Asia and Beyond. Honolulu: University of Hawai'i Press; 2006: 19-34. https://dx.doi.org/10.2307/j.ctv3zp081.6
36. Guilfoyle J, Kelly L, St Pierre-Hansen N. Prejudice in medicine: Our role in creating health care disparities. Can Fam Physician. 2008 Nov; 54(11): 1511-1520
37. Hermann J. The dynamics of moral progress. Ratio. 2019 Dec; 32(4): 300-311. https://dx.doi.org/10.1111/rati.12232
38. Guerrero Berrocal JS. Ética y responsabilidad clínica en cirugía oral y maxilofacial en Colombia. CES Odontol. 2021 Ene; 34(1): 145-152.
Cómo citar
Guerrero Berrocal, J. S., & Bustillo Rojas, J. A. (2022). Desafíos contemporáneos a la ética y profesionalismo de los cirujanos orales y maxilofaciales en Colombia: una perspectiva desde los principios. Universitas Odontologica, 41. https://doi.org/10.11144/Javeriana.uo41.ccom
Número
Sección
Bioética
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