Books, Journals, New Media Section Editor: Harriet
S. Meyer, MD, Contributing Editor, JAMA; David H. Morse, MS, University
of Southern California, Norris Medical Library, Journal Review Editor.
Dual loyalty refers to the conflicting demands
on health professionals who have obligations to their patients and to states
or other parties. Such conflicts can give rise to an array of ethical and
human rights challenges, particularly in settings in which governments or
their agents are engaged in ongoing rights violations.
These conflicts include health professional participation in state interrogation,
torture, and capital punishment, the conflicting demands of patient care and
employer interests placed on occupational medicine practitioners, and the
special pressures on those working in prisons, the military, and health maintenance
Beyrer C. Dual Loyalty. JAMA. 2003;290(5):671-672. doi:10.1001/jama.290.5.671