Ethical Conduct for the Physician Assistant


The Hippocratic Oath, although a foundation of present medical ethics, has largely been replaced by more modern versions and more specific oaths and ethical standards held by medical organizations, including ethical standards specific to the Physician Assistant profession.

  Click here to read the AAPA's Guidelines for

  Ethical Conduct for the Physician Assistant Profession

Below you can read the original Hippocratic Oath - and a more Modern Version that attempts to bring the Oath to more current standards and practices - and the widely accepted PA Professional Oath.

HIPPOCRATIC OATH: CLASSICAL VERSION

  • I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all the gods and goddesses, making them my witnesses, that I will fulfill according to my ability and judgment this oath and this covenant:

  • To hold him who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art—if they desire to learn it—without fee and covenant; to give a share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has instructed me and to pupils who have signed the covenant and have taken an oath according to the medical law, but no one else.

  • I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.

  • I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect. Similarly I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art.

  • I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work.

  • Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.

  • What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.

  • If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot.

—Translation from the Greek by Ludwig Edelstein. From, The Hippocratic Oath: Text, Translation, and Interpretation by Ludwig Edelstein. Baltimore: Johns Hopikins Press, 1943
Tyson, P. (2001). The Hippocratic Oath Today. NOVA Online:
http://www.pbs.org/wgbh/nova/body/hippocratic-oath-today.html.

HIPPOCRATIC OATH: MODERN VERSION

  • I swear to fulfill, to the best of my ability and judgment, this covenant:
  • I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.
  • I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism.
  • I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.
  • I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.
  • I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.
  • I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.
  • I will prevent disease whenever I can, for prevention is preferable to cure.
  • I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.
  • If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

—Written in 1964 by Louis Lasagna, Academic Dean of the School of Medicine at Tufts University
Tyson, P. (2001). The Hippocratic Oath Today. NOVA Online:
http://www.pbs.org/wgbh/nova/body/hippocratic-oath-today.html.

PHYSICIAN ASSISTANT PROFESSIONAL OATH

  • I pledge to perform the following duties with honesty and dedication:

  • I will hold as my primary responsibility the health, safety, welfare and dignity of all human beings.

  • I will uphold the tenets of patient autonomy, beneficence, nonmaleficence and justice.

  • I will recognize and promote the value of diversity.

  • I will treat equally all persons who seek my care.

  • I will hold in confidence the information shared in the course of practicing medicine.

  • I will assess my personal capabilities and limitations, striving always to improve my medical practice.

  • I will actively seek to expand my knowledge and skills, keeping abreast of advances in medicine.

  • I will work with other members of the health care team to provide compassionate and effective care of patients.

  • I will use my knowledge and experience to contribute to an improved community.

  • I will respect my professional relationship with the physician.

  • I will share and expand knowledge within the profession.

  • These duties are pledged with sincerity and upon my honor.

—Developed by the Student Academy of Physician Assistants (SAAAPA) and Adopted by Their Assembly of Representatives

Want to learn more about Health Ethics?

Our Program has a particularly heavy emphasis on health ethics and global health care, emphasizing mindfulness practices in medicine, cultural awareness, and a global perspective to healthcare. Although students will receive in-depth training on these topics, you, too, can learn more.... We recommend reading the following:


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