Open AccessThe Fiduciary Relationship Model for Managing Clinical Genomic “Incidental” Findings
Author(s) -
LázaroMuñoz Gabriel
Publication year - 2014
Publication title -
the journal of law, medicine & ethics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 57
eISSN - 1748-720X
pISSN - 1073-1105
DOI - 10.1111/jlme.12177
Subject(s) - fiduciary , duty of loyalty , duty , context (archaeology) , autonomy , duty of care , loyalty , scope (computer science) , political science , law , medicine , public relations , computer science , paleontology , biology , programming language
This paper examines how the application of legal fiduciary principles (e.g., physicians' duty of loyalty and care, duty to inform, and duty act within the scope of authority), can serve as a framework to promote management of clinical genomic “incidental” or secondary target findings that is patient‐centered and consistent with recognized patient autonomy rights. The application of fiduciary principles to the clinical genomic testing context gives rise to at least four physician fiduciary duties in conflict with recent recommendations by the American College of Medical Genetics and Genomics (ACMG). These recommendations have generated much debate among lawyers, clinicians, and bioethicists hence I believe this publication will be of value and interest to your readership.