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This is "must" reading for all graduating residents and practitioners who need guidance with the many issues of managing a practice. It is appropriate that chapter 1 deals with the ethical concerns of medical practice: The autonomy afforded to the medical profession by society is a vulnerable one that can be maintained only by an ever-increasing vigilance to the principles of ethics. Dr Kamenetzky states that "medical organizations have the obligation to report to appropriate governmental agencies 'credible evidence' of criminal conduct..." However, the membership of the American Academy of Ophthalmology recently voted against mandating its committees to do so, and a major agenda item of the American Medical Association (Report BBB[I-91]) is self-regulation of the profession. The unresolved issue is how to retain autonomy while responsibly dealing with society.
The author gently handles the ethical differences between business and medicine, while not being so blunt as to say business