The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care.

Abstract

Although the field of surgical ethics focuses primarily on informed consent, surgical decision-making, and research ethics, some surgeons have started to consider ethical questions regarding justice and solidarity with poor and minoritized populations. To date, those calling for social justice in surgical care have emphasized increased diversity within the ranks of the surgical profession. This article, in contrast, foregrounds the agency of those most affected by injustice by bringing to bear an ethic of accompaniment. The ethic of accompaniment is born from a theological tradition that has motivated work to improve health outcomes in those at the margins through its emphasis on listening, solidarity against systemic drivers of disease, and proximity to individuals and communities. Through a review of surgical ethics and exploration of a central patient case, we argue for applying an ethic of accompaniment to the care of surgical patients and their communities.

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Provenance

Citation

Published Version (Please cite this version)

10.1002/hast.1575

Publication Info

Nicholson, C Phifer, Monica H Bodd, Ellery Sarosi, Martha C Carlough, M Therese Lysaught and Farr A Curlin (2024). The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care. The Hastings Center report, 54(2). pp. 12–21. 10.1002/hast.1575 Retrieved from https://hdl.handle.net/10161/31249.

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Scholars@Duke

Carlough

Martha Carlough

Visiting Professor in the Divinity School

Martha Carlough, MD MPH is family physician and Ignatian trained spiritual director and is the Director of Spiritual Formation for the Theology, Medicine and Culture Initiative. Dr. Carlough is also affiliate faculty in the Duke Global Health Initiative (DGHI) and has more than 30 years of experience in clinical and public aspects of maternal and child health, including a decade of work in Nepal. She is Professor Emeritus at UNC-Chapel Hill where she was on clinical faculty for many years and founded and directed the Office of Global Health Education. Dr. Carlough continues to care for patients and work in community health through Samaritan Health Center in Durham.

Curlin

Farr A Curlin

Professor of Medicine

Farr Curlin, MD, is Josiah Trent Professor of Medical Humanities in the Trent Center for Bioethics, Humanities, & History of Medicine and Co-Director of the Theology, Medicine and Culture Initiative (TMC) at Duke University. Dr. Curlin has worked to bring attention to the intersection of medicine, ethics, and theology. In 2012 he helped to found both the University of Chicago’s Program on Medicine and Religion and the annual Conference on Medicine and Religion. Since 2015, through Duke Divinity School’s TMC Initiative, he and colleagues have brought graduate theological training to those with vocations to health care. Starting in 2023, Dr. Curlin also is working with colleagues across North America to develop the Hippocratic Society, an association of students and practitioners dedicated to fulfilling the profession to heal. He is co-author, with Chris Tollefsen, of The Way of Medicine: Ethics and the Healing Profession (Notre Dame University Press, 2021), as well as more than 150 articles and book chapters addressing the moral and spiritual dimensions of medical practice.


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