You are an OB/GYN. A patient comes to you for an elective abortion (termination of pregnancy by choice, not medical necessity). You are committed to providing compassionate and respectful care for all patients. Your interpretation of the ethical principle to “do no harm” makes performing elective abortions incompatible with your practice. This stance is rooted in your understanding of professional integrity rather than your personal or religious beliefs.

Help the doctor navigate this scenario using the I CARE Model.

This physician has engaged in personal/professional introspection to determine they will not perform elective abortions. Which of the below questions should they ask themselves before communicating this to the patient? Select all that apply. *

Do I believe there are circumstances in which abortion is ethically justified? If so, what are they?

What does the principle of ‘do no harm’ mean to me in the context of elective abortions?

Am I willing to provide referrals to or collaborate with other physicians who perform this procedure, even if I object to performing it myself?

How do I communicate my stance to patients in a way that maintains their trust and dignity?

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Course: Navigating Conscience Objections in Health Care

Professional Integrity Case Study – INTROSPECTION