Curricular priorities for business ethics in medical practice and research: Recommendations from Delphi consensus panels

Background: No published curricula in the area of medical business ethics exist. This is surprising given tha physicians wrestle daily with business decisions and that professional associations, the Institute of Medicine, Healt and Human Services, Congress, and industry have issued related guidelines over the past 5 years. To fill this gap the authors aimed (1) to identify the full range of medical business ethics topics that experts consider important t teach, and (2) to establish curricular priorities through expert consensus Methods: In spring 2012, the authors conducted an online Delphi survey with two heterogeneous panels o experts recruited in the United States. One panel focused on business ethics in medical practice (n = 14), and focused on business ethics in medical research (n = 12) Results: Panel 1 generated an initial list of 14 major topics related to business ethics in medical practice, an subsequently rated 6 topics as very important or essential to teach. Panel 2 generated an initial list of 10 majo topics related to business ethics in medical research, and subsequently rated 5 as very important or essential. I both domains, the panel strongly recommended addressing problems that conflicts of interest can cause, lega guidelines, and the goals or ideals of the profession Conclusions: The Bander Center for Medical Business Ethics at Saint Louis University will use the results of th Delphi panel to develop online curricular resources for each of the highest rated topics.