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1 results

  • 2 - Contributions of Ethical Theory to Pediatric Ethics: Pediatricians and Parents as Co-fiduciaries of Pediatric Patients

  • Edited by Geoffrey Miller , Yale University, Connecticut
  • Book:
    Pediatric Bioethics
    Published online:
    07 May 2010
    Print publication:
    23 November 2009, pp 11-21

  • Summary

    The core ethical concept of professional medical ethics is the ethical concept of the physician as fiduciary of the patient. This chapter shows that pediatricians have the fiduciary ethical obligation to protect and promote the health-related interests of children. It also shows that parents are in an ethically parallel relationship with their child when their child is a patient. Two giants of the modern period in the history of English-language medical ethics invented the ethical concept of the physician as fiduciary of the patient and invented medicine as a profession: the Scottish physician ethicist John Gregory and the English physician-ethicist Thomas Percival. As professional medical ethics, pediatric ethics rests on the conceptual foundations of three concepts: the pediatrician as fiduciary of the child who is a patient, parents as fiduciaries of the child who is a patient, and pediatricians and parents as co-fiduciaries of the child who is a patient.