Part I: Theory -- Introduction -- Foundations -- Deontological ethics in a postfoundational world -- Beneficence versus egoism -- Hedonism -- Autonomy: concepts -- Distributive justice: concepts -- Distributive justice: proximity -- Autonomy: the good death -- Distributive justice: changed expectations -- Epistemology -- The surgeon-patient covenant -- Part II: Practice -- Ethical decision making in neurologic surgery -- Ethics in congenital heart surgery -- The spectrum of pediatric surgical ethics -- Clinical research: conflict of personal and systemic ethics -- Ethical considerations on the trauma service -- Ethical decision making in vascular surgery -- Ethics of surgery in the elderly -- The frail elderly surgical candidate -- Ethical issues for global surgical engagement: the case of obstetric surgery -- Evidence-based surgery and decision analysis -- The millennial surgeon -- The surgeon-chaplain relationship -- Palliative care for the surgeon -- Fee-splitting and modern look-alikes -- Delivering bad news—challenges and opportunities -- Fundamental principles of leadership training in surgery and the moral imperative -- Ethical considerations for surgeons: financial conflicts of interest -- The unspoken surgical curriculum -- Resident supervision -- Team building and the role of the team in surgery -- The relationship to the nursing profession -- The surgeon as consultant -- Regret and apology -- End-of-life decisions in the perioperative period -- Medical litigation -- E-mail: the EMR -- Social media -- Ethical obligations to the patient versus the profession -- Ethics of introducing innovative procedures -- Health care disparities -- Gender inclusion and equity in surgery -- Autonomy in excess -- The ethical obligations and opportunities to participate in peer review -- Burnout, substance abuse, and suicide: a surgical perspective

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