1. THE NATURE OF THE CLINICAL ENCOUNTER
AN OVERVIEW

2. CLINICAL DECISION MAKING
EVERY CLINICAL DECISION INVOLVES A MORAL DECISION
CHOICES OF ENDS AND MEANS
MULTIPLE VIEWS OF “THE GOOD LIFE” IN A PLURALISTIC SOCIETY
VALUES; INDIVIDUAL, COMMUNITY, INSTITUTION
MEDICAL GOODS AS ONE FACET OF DECISIONS
STRATEGIES FOR IMPLEMENTING DECISIONS

3. THE CLINICAL ENCOUNTER VALUE ENCOUNTER + MEDICAL COMPLAINT COLLABORATION IN COMMON ENTERPRISE
PATIENT WEAKNESS [VULNERABILITY]
DISEASED STATE
IGNORANCE
FEAR
PATIENT STRENGTH
KNOWLEDGE OF, AND COMMITMENT TO, MORAL GOODS FOR SELF
CAREGIVER STRENGTH MEDICAL EXPERTISE
COMMITMENT TO HEALTH AND HEALING POWER
DIAGNOSTIC, PROGNOSTIC, AND THERAPEUTIC KNOWLEDGE, SKILL, AND AUTHORITY
FAMILIARITY AND COMFORT
CAREGIVER WEAKNESS
KNOWLEDGE OF FULL RANGE OF MORAL GOODS FOR PATIENT
[KNOWLEDGE OF, AND COMMITMENT TO, MORAL GOODS FOR SELF EITHER AS PROFESSIONAL GOODS OR PERSONAL GOODS]

4. THE GOALS OF MEDICINE THE HASTINGS CENTER (1996)
THE PREVENTION OF DISEASE AND INJURY AND PROMOTION AND MAINTENANCE OF HEALTH
THE RELIEF OF PAIN AND SUFFERING CAUSED BY MALADIES
THE CARE AND CURE OF THOSE WITH A MALADY, AND THE CARE OF THOSE WHO CANNOT BE CURED
THE AVOIDANCE OF PREMATURE DEATH AND THE PURSUIT OF A PEACEFUL DEATH

5. ASPIRATIONS OF MEDICINE THE HASTINGS CENTER (1996)
TO BE HONORABLE AND TO DIRECT ITS OWN PROFESSIONAL LIFE
TO BE TEMPERATE AND PRUDENT
TO BE AFFORDABLE AND ECONOMICALLY SUSTAINABLE
TO BE JUST AND EQUITABLE
TO BE RESPECTFUL OF HUMAN CHOICE AND DIGNITY

6. THE GOALS OF MEDICINE AMERICAN COLLEGE OF PHYSICIANS (1984)
PROMOTE HEALTH
RELIEVE SUFFERING
PREVENT UNTIMELY DEATH
MAINTAIN THE DIGNITY OF THE PATIENT
NOTE THE EMPHASIS ON THE PATIENT AS THE FOCUS OF HEALTHCARE

7. HIPPOCRATES THE ART OF MEDICINE
FIRST OF ALL I WOULD DEFINE MEDICINE AS THE COMPLETE REMOVAL OF THE DISTRESS OF THE SICK, THE ALLEVIATION OF THE MORE VIOLENT DISEASES, AND THE REFUSAL TO UNDERTAKE TO CURE CASES IN WHICH THE DISEASE HAS ALREADY WON THE MASTERY, KNOWING THAT EVERYTHING IS NOT POSSIBLE TO MEDICINE.

8. HIPPOCRATES THE ART OF MEDICINE
A MAN WHO THINKS THAT A SCIENCE CAN PERFORM WHAT IS OUTSIDE ITS PROVINCE, OR THAT NATURE CAN ACCOMPLISH UNNATURAL THINGS, IS GUILTY OF IGNORANCE MORE AKIN TO MADNESS THAN TO LACK OF LEARNING.
WHEN A MAN IS ATTACKED BY A DISEASE MORE POWERFUL THAN THE INSTRUMENTS OF MEDICINE, IT MUST NOT BE EXPECTED THAT MEDICINE SHOULD PROVE VICTORIOUS.

9. HIPPOCRATES THE ART OF MEDICINE
I ASSERT THAT, WHEN THE PHYSICIANS FAIL, IT IS THE POWER OF THE DISEASE WHICH IS RESPONSIBLE AND NOT DEFICIENCIES IN THE SCIENCE OF MEDICINE.