Hippocratic Oath

From Free net encyclopedia

For other uses, see Hippocratic Oath (disambiguation).

The Hippocratic Oath is an oath traditionally taken by physicians pertaining to the ethical practice of medicine. It's widely believed that the oath was written by Hippocrates or one of his students Template:Rf, but recently it has been proposed that the oath was written by Pythagoreans [1]. Although mostly of historical and traditional value, the oath is considered a rite of passage for practitioners of medicine. The Hippocratic Oath (Original, translated from Greek. The oath is reportedly that of Hippocrates, the parent of medicine, written in the 4th Century B.C.)

I swear by Apollo the physician, by Æsculapius, Hygeia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgement, the following Oath.

To consider dear to me as my parents him who taught me this art; to live in common with him and if necessary to share my goods with him; To look upon his children as my own brothers, to teach them this art if they so desire without fee or written promise; to impart to my sons and the sons of the master who taught me and the disciples who have enrolled themselves and have agreed to the rules of the profession, but to these alone the precepts and the instruction.

I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.

To please no one will I prescribe a deadly drug nor give advice which may cause his death.

Nor will I give a woman a pessary to procure abortion.

But I will preserve the purity of my life and my art.

I will not cut for stone, even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art.

In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasures of love with women or with men, be they free or slaves.

All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal.

If I keep this oath faithfully, may I enjoy my life and practice my art, respected by all men and in all times; but if I swerve from it or violate it, may the reverse be my lot."

Contents

[edit]

Modern relevance

Several parts of the Oath have been removed or re-worded over the years in various countries, schools, and societies as the social, religious, and political importance of medicine has changed. Most schools administer some form of oath, but the great majority no longer use the ancient version, which praised pagan gods, advocated teaching of men but not women, and forbade general practitioners from surgery, abortion, euthanasia, or abuse of the prescription pad. Also missing from the ancient Oath and from many modern versions are the complex ethical issues associated with HMOs, living wills, and whether morning-after pills are technically closer to prophylactics or an abortion.

Changed portions of the Oath:

  1. To teach medicine to the sons of my teacher. In the past, medical schools would give preferential consideration to the children of physicians. This too has largely disappeared.
     
  2. Not to teach medicine to other people. A physician who has a hand in half-educating quacks or other people not enrolled in an approved medical school would likely lose his or her license even today.
     
  3. To practice and prescribe to the best of my ability for the good of my patients, and to try to avoid harming them. This beneficial intention is the purpose of the physician. However, this item is still invoked in discussions of euthanasia.
     
  4. To never deliberately do harm to anyone for anyone else's interest. Physician organizations in the U.S. and most other countries have strongly denounced physician participation in legal executions.
     
  5. To never attempt to induce an abortion. The wide availability of abortions in much of the world suggests that many physicians no longer feel bound by this.
     
  6. To avoid violating the morals of my community. Many licensing agencies will revoke a physician's license for offending the morals of the community ("moral turpitude").
     
  7. To avoid attempting to do things that other specialists can do better. The "stones" referred to are kidney stones or bladder stones, removal of which was judged too difficult for physicians, and therefore was left for surgeons (specialists). It is interesting how early the value of specialization was recognized. The range of knowledge and skills needed for the range of human problems has always made it impossible for any single physician to maintain expertise in all areas.
     
  8. To keep the good of the patient as the highest priority. There may be other conflicting "good purposes," such as community welfare, conserving economic resources, supporting the criminal justice system, or simply making money for the physician or his employer that provide recurring challenges to physicians.
     
  9. To avoid sexual relationships or other inappropriate entanglements with patients and families. The value of avoiding conflicts of interest has never been questioned.
     
  10. To keep confidential all private patient information. Confidentiality between physician and patient continues to be valued and protected, but governments and third-parties have occasionally encroached upon it.
[edit]

Modern versions and alternatives

A widely used modern version of the traditional oath was penned by Louis Lasagna, former Dean of Tufts Medical School. [2]

In the 1970s cultural and social forces induced many American medical schools to abandon the Hippocratic Oath as part of graduation ceremonies, usually substituting a version modified to something considered more politically up to date, or an alternate pledge like the Oath or Prayer of Maimonides.

The Hippocratic Oath has been updated by the Declaration of Geneva. In the United Kingdom, the General Medical Council provides clear modern guidance in the form of its 'duties of a doctor' and 'Good Medical Practice' statements.

[edit]

Primum non nocere

  • It is a common misconception that the phrase primum non nocere, "First, do no harm" is included in the Hippocratic Oath. It is not, but seems to have been derived indirectly from his Epidemics, in which he wrote, "Declare the past, diagnose the present, foretell the future; practice these acts. As to diseases, make a habit of two things—to help, or at least to do no harm."
[edit]

See also

[edit]

Footnotes

  • Template:Ent cf. L.R. Farnell, Greek Hero Cults and Ideas of Immortality, Chapter 10, "The Cult of Asklepios" (pp.234-279), p.269: "The famous Hippocratean oath may not be an authentic deliverance of the great master, but is an ancient formula current in his school."
[edit]

References

[edit]

External links

ca:Jurament Hipocràtic cs:Hippokratova přísaha de:Eid des Hippokrates et:Hippokratese vanne es:Juramento Hipocrático fr:Serment d'Hippocrate he:שבועת הרופאים nl:Eed van Hippocrates ja:ヒポクラテスの誓い no:Den hippokratiske ed pl:Przysięga Hipokratesa ro:Jurământul lui Hippocrate ru:Клятва Гиппократа sk:Hippokratova prísaha fi:Hippokrateen vala vi:Lời thề Hippocrates tr:Hipokrat yemini zh:希波克拉底誓詞

Retrieved from "http://www.netipedia.com/index.php/Hippocratic_Oath"