Random reflections on medical professionalism: Ethical concerns for the contemporary ophthalmologist in Nigeria

Abstract

Ophthalmic practice is facing a multitude of challenges globally. A cursory analysis may lead one to presume erroneously that these challenges are only encountered in direct doctor–patient encounters. On the contrary, there are concerns in the dynamics of the relationships between ophthalmologists and their colleagues/co-workers, as well as society, which have the potential of impacting negatively on the quality of eyecare delivery and the image of the ophthalmology profession. There is an increasing realization that many ophthalmologists may even be oblivious of the considerations, which permeate the decisions they take in their daily interactions. There is, thus, a pressing need to encourage thought, reflection, and dialogue among ophthalmologists on these concerns. This paper, as our contribution to the discourse on medical professionalism in Nigeria, explores some ethical concerns, which border on the relationship of contemporary ophthalmologists with their colleagues, co-workers, and society; all with the view of enhancing their potentials for improving the quality of eye care service and image of the ophthalmology profession in Nigeria. These concerns include, but are not limited to subspecialization in ophthalmology, ‘brain drain’ phenomenon, inter-professional rivalry, working with impaired colleagues, advertising, involvement in social/conventional media, involvement with the law court, relationship with industry, and the conduct of free community vision screening programs. By taking these concerns and suggested measures into cognizance, contemporary ophthalmologists are expected to be better prepared in their daily interactions as they provide quality eye care. Education and training in medical professionalism and ethics should remain top priority among the educational needs of ophthalmologists.