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Book © 1988

The Physician as Captain of the Ship

A Critical Reappraisal

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Editors: Nancy M. P. King, Larry R. Churchill, Alan W.

Cross

Part of the book series: Philosophy and Medicine

(PHME, volume 29)

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21 Citations

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 Table of contents (12
chapters)
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1. Front Matter
Pages i-xv
PDF
2. TheCaptain’s Authority:
Sources and Scope
1. Front Matter
Pages 1-1
PDF
2. The Physician and Authority: A
Historical Appraisal
Russell C. Maulitz
Pages 3-21
3. Narrow Passageways: Nurses and
Physicians in Conflict and Concert
Since 1875
Joan E. Lynaugh
Pages 23-37
4. Legal Intrusions on Physician
Independence
Judith Areen
Pages 39-65
5. The Authority of the Captain:
Reflections on a Nautical Theme
Your privacy, H. Tristram
your Engelhardt Jr.
choice
Pages 67-73
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1. Front Matter
Pages 75-75
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PDF
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2. Team
varying standards Medicine
of data in The NICU: Ship or
protection.
Flotilla of Lifeboats?
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N. Kraybill
Pages 77-88
3. “Ship? for
Whatfurther information and to change your choices.
Ship? I Thought I was
Going to the Doctor!”: Patient-
 Centered Perspectives on the Health
Care Team
David Barnard
Pages 89-111
4. Who Chartered This Ship?
Peter J. Morris
Pages 113-122
4. Technology and Financing:
Changing the Course
1. Front Matter
Pages 123-123
PDF
2. The Physician And Technological
Change
Robert M. Cook-Deegan
Pages 125-158
3. Marketing Health Care: Ethical
Challenge to Physicians
Stuart F. Spicker
Pages 159-176
4. Social Goals and Doctors’ Roles:
Commentary on the Essays of
Robert M. Cook-Deegan and Stuart
F. Spicker
Wendy K. Mariner
Pages 177-187
5. Captains,
Committees, and
Communities
1. Front Matter
Your privacy, Pagesyour189-189choice
PDF
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Helplessness
and Healing
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Raymond S. Duff
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3. Ethics Committees: Talking the
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Nancy M. P. King
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Pages 223-241
6. Back Matter
Pages 243-256
 PDF
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About this book

"The fixed person for fixed duties, who in older
societies was such a godsend, in the future ill
be a public danger." Twenty years ago, a single
legal metaphor accurately captured the role
that American society accorded to physicians.
The physician was "c- tain of the ship."
Physicians were in charge of the clinic, the
Operating room, and the health care team,
responsible - and held accountabl- for all that
happened within the scope of their supervision.
This grant of responsibility carried with it a
corresponding grant of authority; like the ship's
captain, the physician was answerable to no
one regarding the practice of his art. However
compelling the metaphor, few would disagree
that the mandate accorded to the medical
profession by society is changing. As a result
of pressures from a number of diverse
directions - including technological advances,
the development of new health professionals,
changes in health care financing and delivery,
the recent emphasis on consumer choice and
patients' rights - what our society expects phy-
cians to do and to be is different now. The
purpose of this volume is to examine and
Your privacy,
evaluate your choice
the conceptual foundations and the
moral imp- cations of that difference. Each of
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ship" metaphor from a different perspective.
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The essays are grouped into four sections. In
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Section
varying I, Russell
standards Maulitz
of data explores the
protection.
physician's role historically.
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Keywords
 clinic
ethics
health
health care
morality
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Editors and Affiliations

University of North
Carolina School of
Medicine, Chapel Hill, USA
Nancy M. P. King, Larry R. Churchill, Alan
W. Cross
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Bibliographic Information
Book TitleThe Physician as Captain of the
Ship
Book SubtitleA Critical Reappraisal
EditorsNancy M. P. King, Larry R. Churchill,
Alan W. Cross
Series Title Philosophy and Medicine
DOIhttps://doi.org/10.1007/978-0-585-
27589-5
PublisherSpringer Dordrecht
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eBook Packages Springer Book Archive
Copyright InformationSpringer
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Dordrecht function. We also use optional cookies for
1988
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Hardcover ISBN978-1-55608-044-
9Published:
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optional cookies, 1988 consent to the processing of your personal data - including
Softcover ISBN978-94-017-3736-
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4Published:
varying standards 13 November
of data protection. 2013
eBook ISBN978-0-585-27589-5Published:
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19 Augustpolicy for more information on the use of your personal data.
2007
Series ISSN 0376-7418
Series E-ISSN for 2215-0080
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Edition Number1
Number of PagesXV, 256
 Topics Philosophy of Medicine, Public
Health, Theory of Medicine/Bioethics
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