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Read the Case-Based Curriculum for Neurology Residents.

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Many companies have health plans, disability insurance and orher benefirs that apply ro<br />

all employees. In some instances, new employees musr fill in an application and may be rejected<br />

on <strong>the</strong> basis of<strong>the</strong>ir health. Ii is incumbent on applicants to fill <strong>the</strong> <strong>for</strong>ms our honestly.<br />

Applicants may have to sign a waiver allowing <strong>the</strong> company ro ask <strong>for</strong> medical reports from<br />

treating physicians. It is expected that physicians will provide rrurhful in<strong>for</strong>marion. Physicians<br />

may feel an obligation to <strong>the</strong>ir patienrs to couch <strong>the</strong> in<strong>for</strong>mation in favorable terms.<br />

Professiona.lism demands that <strong>the</strong> <strong>for</strong>ms be filled in honestly. some physicians may sense a<br />

conflict between <strong>the</strong>ir duty to <strong>the</strong> patient and tbeir duty to society as rcpresented by <strong>the</strong> company.<br />

However, truthfulness is an important principle thar underlies all social inreractions.<br />

IV.<br />

References<br />

l. Elian M, Dean G- To terr or not to te <strong>the</strong> diagnosis of multiple sclerosis. lancet.<br />

1985:2:27-28.<br />

2- Ford HL, Johnson MH. Telling your patient he/she has muldpre screrosis. postgraduate<br />

Med J. 1995:71:449452.<br />

3. Multiple sclerosis. A working party repon of rhe British Sociery of Rehabilitation<br />

Medicine. April, 1993.<br />

4' Mushlin AL, Mooney C, Grow v, and pherps cE. The value of diagnostic in<strong>for</strong>madon<br />

to parients with suspected muttiple sclerosis. Arch Neurol. 1994:,5l:67 _72.<br />

5. O'Connor P, Detsky AS, Tansey, and Kucharczyk W. Effecr of diagnostic testing <strong>for</strong><br />

multiple sclerosis on patient health perceptions. Arch Neurol. 1994;51:46_51.<br />

6. Pelligrino ED and rhomasma DC- For <strong>the</strong> patient's Good: The Resroration of<br />

Beneficence in Health Care. New york, Ox<strong>for</strong>d. l9gg.<br />

'7 . Poser CM, Paty DW, scheinberg L, et al. New diagnostic crireria <strong>for</strong> multiole sclerosis:<br />

guidelines <strong>for</strong> rcsearch protocols. Ann Neurol. 19g3;13:227-231

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