Tuesday 30 March 2010

Grey's Unethical Anatomy

The moral to this story is: never trust your TV! But I'm sure you knew that.


A medical student and faculty directors from the Johns Hopkins Berman Institute of Bioethics analyzed depictions of bioethical issues and professionalism over a full season of two popular medical dramas -- "Grey's Anatomy" and "House, M.D." -- and found that the shows were "rife" with ethical dilemmas and actions that often ran afoul of professional codes of conduct.

The authors of the review, available in the April issue of the Journal of Medical Ethics, say they were well aware that their findings would end up stating the obvious. But they nonetheless wanted to provide data that would shed light on the relationship of these depictions on the perceptions of viewers, both health professionals and the general public.
... 
Informed consent was the most frequently observed bioethical issue. Of 49 total incidents, 43 percent involved "exemplary" consent discussions, while the remaining instances were "inadequate." In general, exemplary depictions portrayed "compassionate, knowledgeable physicians participating in a balanced discussion with a patient about possible treatment options."

Conversely, inadequate depictions were "marked by hurried and one-sided discussions, refusal by physicians to answer questions" and "even an entire lack of informed consent for risky procedures," the authors state.

They also tallied 22 incidents of "ethically questionable departures from standard practice," most of them depicting doctors endangering patients unnecessarily in their pursuit of a favorable outcome. "In almost all of these incidents (18 out of 22), the implicated physician is not penalized," the authors note.

1 comment: