Curricular priorities for business ethics in medical practice and research: recommendations from Delphi consensus panels.

BACKGROUND: No published curricula in the area of medical business ethics exist. This is surprising given that physicians wrestle daily with business decisions and that professional associations, the Institute of Medicine, Health and Human Services, Congress, and industry have issued related guidelines over the past 5 years. To fill this gap, the authors aimed (1) to identify the full range of medical business ethics topics that experts consider important to teach, and (2) to establish curricular priorities through expert consensus. METHODS: In spring 2012, the authors conducted an online Delphi survey with two heterogeneous panels of experts recruited in the United States. One panel focused on business ethics in medical practice (n = 14), and 1 focused on business ethics in medical research (n = 12). RESULTS: Panel 1 generated an initial list of 14 major topics related to business ethics in medical practice, and subsequently rated 6 topics as very important or essential to teach. Panel 2 generated an initial list of 10 major topics related to business ethics in medical research, and subsequently rated 5 as very important or essential. In both domains, the panel strongly recommended addressing problems that conflicts of interest can cause, legal guidelines, and the goals or ideals of the profession. CONCLUSIONS: The Bander Center for Medical Business Ethics at Saint Louis University will use the results of the Delphi panel to develop online curricular resources for each of the highest rated topics.

Comparison of engagement with ethics between an engineering and a business program.

Increasing university students' engagement with ethics is becoming a prominent call to action for higher education institutions, particularly professional schools like business and engineering. This paper provides an examination of student attitudes regarding ethics and their perceptions of ethics coverage in the curriculum at one institution. A particular focus is the comparison between results in the business college, which has incorporated ethics in the curriculum and has been involved in ethics education for a longer period, with the engineering college, which is in the nascent stages of developing ethics education in its courses. Results show that student attitudes and perceptions are related to the curriculum. In addition, results indicate that it might be useful for engineering faculty to use business faculty as resources in the development of their ethics curricula.

Practitioners need corporate compliance education: AAO-HNS survey results.

The environment in which otolaryngologists coexist with device and drug development has become increasingly complex. There are broad implications for both the academic and the private practitioner, with neither group being more or less insulated than the other. From the medical, ethical, and resource-oriented standpoints, otolaryngologists must consider this evolving area very carefully. A survey of the American Association of Otolaryngology-Head and Neck Surgery membership identified areas of education to improve the awareness and knowledge base of these complex considerations. In particular, knowledge of legal proceedings, Food and Drug Administration processes, relevant hospital resources, and conflict of interest considerations were areas in which the membership would benefit from further instruction.

The historical development of business philanthropy: social responsibility in the new corporate economy.

According to neo-liberal economists such as Friedman and Hayek, the prime function of any business enterprise is to generate profits; its central responsibility is to shareholders. The idea that business owners should also seek to perform social tasks is regarded as completely erroneous. Historical evidence suggests that not all business leaders have been content simply to perform a commercial role in society. Numerous industrialists and entrepreneurs throughout the nineteenth century made significant contributions to their local communities. The early efforts of socially responsible business leaders are well documented. This paper aims to build on existing historical analysis of business philanthropy and social involvement by analysing developments in post-war Britain. Three main historical developments are outlined. Firstly, the early post-war years, despite the formation of the welfare state, witnessed some notable efforts to engage business in society. These were mainly inspired by church-led organisations and Christian entrepreneurs. Second, the expansion of the corporate economy throughout the 1940s and 1950s placed increasing constraints on the social aspirations of businesses. Finally, from the mid-1970s onwards there grew a more general interest in corporate responsibility. This was consolidated in the 1980s. As part of the general redefinition of state functions in this period, the role of business in addressing social problems became more prominent. Such political and policy developments, it is argued, have made a significant contribution towards enhancing the social role of business.