Ethical philanthropy in academic psychiatry

The American Journal of Psychiatry
Laura Weiss Roberts

Abstract

From an ethical perspective, psychiatrists cannot accept gifts of significant monetary value from their patients. This guideline raises important questions regarding institutional practices related to gift-giving in academic psychiatry. The first aim of this article is to explain the ethical tensions and shared ethical commitments of the professions of psychiatry and philanthropy. The second aim is to outline a series of steps that may be undertaken to assure ethical philanthropic practices within an institution, including the establishment of a committed advisory workgroup and the creation of ground rules and safeguards for gift-giving. Each situation should be evaluated for "ethical risk," and specific measures to safeguard donors should be considered. The author outlines methods to manage, minimize, or eliminate conflict of interest issues, including identification and disclosure of conflicting interests, role separation, goal clarification, confidentiality protections, proper timing, and ongoing oversight. Three case illustrations are provided and discussed. The process of institutional engagement, dialogue, and shared problem-solving is especially important. A shared, constructive ethic will be attained only if leaders and...Continue Reading

Citations

Dec 12, 2012·Journal of General Internal Medicine·Scott M WrightJoseph Carrese
Feb 21, 2013·Journal of General Internal Medicine·Jesse Roach, Elizabeth A Jacobs
Nov 23, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Steven Rum, Scott M Wright
Nov 3, 2015·The American Journal of Medicine·David AlfandreLisa Soleymani Lehmann
Apr 25, 2007·Harvard Review of Psychiatry·David H BrendelJ Alexander Bodkin
Oct 21, 2016·Journal of the American Podiatric Medical Association·Daniel López LópezRicardo Becerro de Bengoa Vallejo
Oct 25, 2017·Healthcare Management Forum·Lynette Reid
Nov 1, 2017·Healthcare Management Forum·Lynette Reid
Jul 20, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Megan E CollinsUNKNOWN Participants in the Summit on the Ethics of Grateful Patient Fundraising
Oct 28, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Laura Weiss Roberts

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