It is a question that is asked in the medical profession more often than not: should I opt for a top-rated paediatrician, or are there better options out there?
It is an argument that has seen both sides of the debate in the last few years, with some suggesting a paediatric specialist should not be relied on as a primary source of information for children.
But now the debate is moving from the medical to the ethical arena, as well as from a matter of ethical standards.
The latest debate was sparked by an article published in the prestigious medical journal, BMJ Open, which suggested that paediatricians are not immune to bias, and that some paediatric specialists are biased against paediatric patients.
Dr Peter C. Riggs, the chief executive of the American Pediatric Society, was quoted as saying the article was “a classic case of a doctor’s opinion being used as an argument in favour of paediatric surgery”.
“The fact that it was published in a respected medical journal is very worrying, and certainly not the place to be arguing about the ethical implications of a paediatrics profession,” he said.
“Pediatric surgeons have been criticised for their attitudes to the ethics of surgery, and have been accused of using unethical practices and medical techniques for decades.
It is therefore disappointing that the American Society of Pediatric Surgeons has been caught in a political crossfire over an article that does not represent the views of its members.”
Dr Richard DeBevoise, director of the University of Sydney’s Pediatric Centre of Excellence, told BBC News that “there is a lot of fear in the profession about the way it’s perceived and it’s a fear that is growing”.
Dr DeBdevoise said there was a fear among paediatric surgeons that their opinions would be taken by others as the word of their profession.
He said there were “a number of ethical concerns” raised about the article.
“[But] I think it is fair to say that the article itself was not necessarily a matter for debate.
It was a debate about the role of paediatrics in paediatric practice, and about whether it was a good place to conduct surgical procedures,” Dr DeBDevoise said.
There are also concerns that the ethical standards within paediatrics are being compromised. “
It does suggest that paediatrics has a certain amount of importance in the care of children.”
There are also concerns that the ethical standards within paediatrics are being compromised.
As well as Dr DeBlonde, Professor Paul D. Kukla, president of the British Pediatric Association, has previously been critical of the ethics and ethics standards in paediatrics.
In March this year, he told The Times that paedophilia was a “morally evil and unhealthy behaviour” and that it “must not be tolerated”.
He added that paedophile behaviour was not acceptable and said “some paedophiles are better than others”.
There have also been calls to change the ethical and ethical standards for paediatric surgeries in the UK.
However, Dr Crouch, the paediatric surgeon, said he was “unaware” of any discussions being held to change guidelines.
If there were to be any changes in the guidelines, he said, they would be for the “best interests of the patient”.
The British Pediatrics Society (BPS) has also issued a statement about the controversy, saying: “The BPS welcomes the debate on the ethical issues surrounding the paediatrics practices of the BPS and is grateful for the efforts of the medical community to address these issues.”
“There is no question that there is a growing awareness of paedophilic behaviour in paediatrists and paediatric surgical procedures in general.
We acknowledge the fact that some patients are not well served by paediatric procedures, and we are aware that some surgeons and surgeons-in-training are prejudiced against paedophiliacs.”
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