University of Michigan Medical and Nursing School - Aequanimitas Yearbook (Ann Arbor, MI)

Page 22 text:

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Musings on the Oath Ralph Sawyer The art and practice of medicine has matured in depth as sci- entific knowledge has expanded in breadth imposing greater re- sponsibilities for the health of mankind on the individual and collective physician. Accompanying the growth of the physician from ancient times have been numerous proposals for idealistic aims to be held before him as a guide to his practice. With each generation new problems and concerns are the stimuli for revisions in one of the oldest and most revered of oaths, the Hippocratic Oath. But in spite of the challenging appeals, it remains intact in its content, and rightfully so. Its author unknown, its ideas at times controversial, it, regardless, expresses the philosophy and ideals of men and a culture which have formed and continue to influence the thoughts of Western man. The admonitions contained within the oath were never intended as laws to be held inviolate but as a petition for the physician's involvement in human concerns, retaining as most sacred the individuals decision based on his own experience, philosophy, ethical judgment and wisdom. The fulfillment follows not when men ascribe to a particular practice but when they set before them ideals which are born out of their own efforts and intellectual pursuits and are commensurate with their understanding and ability. lt is the ideal of the oath that merits immortality and not the words that clothe it. The mea- sure of excellence, in ancient Greece, was not the practice of an ethical principle itselfbut the individuals own interpretations and self-realizations of that principle. Fulfillment is achieved with ad- herence to ideas, by personal involvement in the anxieties, the problems and the principles confronting men in our time and by acting upon these according to my ability and judgment. Indeed, it is enough for well-intentioned men to establish ideals rather than tethering pronounciations that change from year to year and generation to generation with each alteration ofexperience or impression in the physicians life. THE HIPPQCRATIC CATH Cversion used for medical school graduationl 'I do solemnly swear by that which I hold most sacred: 'That I will be loyal to the profession ofmedicine and just andgenerous to its members, 'That I will lead my life andpractice my art in uprightness and honor,' 'That into whatsoever house Ishall enter, it shall befor the good ofthe sick to the utmost ofmy power, I holding myselfalooffrom wrong, from corruption, from the tempting ofothers to vice,' 'That I will exercise my art solelyfor the good ofmy patients, and will give no drug, perform no operation fora criminalpurpose, even ifsolicited,farless suggest it,' 'That whatsoever Ishall see or hear ofthe lives ofmen which is notjitting to be spoken, I will keep irzviolably secret. 'These things I do promise and in proportion as I am faithful to this my oath may happiness andgood repute be ever mine-the opposite ifl shall be forsworn. .

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