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The Ethics of Live Surgery

Morekar, Sunil
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Abstract
"There is a constant tussle between the “autonomy” of two groups-- physicians and society at large. The former will hold that the aim of treatment is to do good to patients and also benefit from the knowledge disseminated by various teaching methods (in addition to financial and career advancement). Society presumes that physicians should work for the benefit of patients and society. The struggle of most ethicists is to find a balance between the welfare of the physician and that of society. Live surgery is definitely beneficial to the profession. Attending surgeons learn at first hand, “seeing” the difficulties and mistakes as they occur and learning how to tackle them. It also serves as an advertising portal for the operating surgeon and the organising institute or society, and increases the attendance at any meeting, making it lucrative for organisers and advertisers. Part of the excitement of live surgery is witnessing the real life management of complications. Live surgery satisfies a basic instinct, like watching gladiators fighting, with an audience watching in awe and cheering in the garb of learning. Are we actually waiting for something to go wrong in order to learn what to do in a crisis? It would be better for the procedure to be recorded and replayed frame by frame. The surgeon will be in a better position to explain the procedure after it has been completed."(pg 244)
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2011-10
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With permission of the license/copyright holder
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