The practice of ethics in the era of evidence-based radiology.

Abstract

Various methods to provide an ethical conscience in the modern practice of radiology are available, but they all require time and effort. Although this is part of a series dedicated to evidence-based radiology (EBR), this article cannot provide recommendations supported by evidence. However, the method we propose is inspired from the analytic process found in EBR. It emphasizes autonomous reflection; systematic identification of roles, motives, and consequences of current actions and organizations; clarification of aims and means; selection of principles and values; and equilibration, application, and validation. This personal process is followed by the search for common values shared by the group, in a rational, scientific context centered on preserving the patient-physician relationship. This method entails constant vigilance and repeated revisions, but the allowance of time to think about ethical matters can decrease confusion and moral perplexity. The result is a stronger moral personal identity and a brighter horizon for a satisfying professional life.