What place could this concept have in the ethical reflection of physicians in perinatal care?
The DRMG was identified as an optimally positioned body for promoting critical reflection among physicians, facilitating the adoption and utilization of evidence-based guidelines, and developing quality improvement initiatives grounded in clinical practice needs.
However, some physicians' reflection of their experiences revealed overreliance on limited information or observation of the patient in identifying and believing whether financial burden was truly a barrier to carrying out treatment recommendations.
Also on the basis of current uncertainty, the Diabetes Care Editors Expert Forumm delivered their reflections to help physicians personalize diabetes care (1).
This reinforced the observation that contact with a trans patient provides an instigating event for physician reflection and education on the healthcare needs of this patient group.
As Hamaker et al (2013), point out this latter approach is flawed because 'what is stated to be the patient's preference could in fact be a reflection of the physician's preference' (p550).
Similarly, attending physicians initiated reflection on their own role modeling of communication or clinical reasoning.
To begin with, the data is not a full representative reflection of what hospital physicians generally do.
Additional notes were made about the office environment, physician's attitude during the appointment, such as expressions of reflection or concern, and physician's notes in the medical chart that could provide additional insight about the clinical reasoning process.
For instance, a study by Udén et al. [ 2] on the reflections of nurses and physicians in their narratives about ethically difficult care episodes concludes that the ethical thinking of nurses appears to be related to the ethics of care, whereas the ethical thinking of physicians is related to the ethics of justice.
Examples of individual GP's transition from one view of the commission to another and from conflict to less or no conflict are also presented here, as are reflections on the physician's role as a medical expert.
