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Physicians as Citizens
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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To the Editor: Dr Gruen and colleagues1 encouraged physicians to take a more active role in public affairs relating to the health of their patients and the communities in which they live. This view is similar to other recent efforts to define the roles and responsibilities of epidemiologists and other public health professionals, some of whom are also physicians.2-3
In the authors' model, the physician's professional obligation is dependent upon the strength of causal evidence; health-related socioeconomic factors move from the realm of aspiration to obligation as evidence of their causal relevance mounts. This model would be strengthened by distinguishing physician obligation from physician action, with the former being independent of causality and the latter being dependent on the strength of causal evidence.
We suggest a more general framework for a medical professional's duty to patients and communities that better develops the relationship among obligations, actions, and scientific evidence . . . [Full Text of this Article]
Douglas L. Weed, MD, PhD;
Graça M. Dores, MD, MPH
National Cancer Institute
Rockville, Md
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