Sunday, May 28, 2023
This article is intended for internists, family practitioners, public health officials, and other clinicians caring for patients who smoke.
Describe the ethical issues involved in and appropriate physician response to institutional policies banning smokers from being hired, based on an American College of Physicians (ACP) ethics case history and commentary.
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CME Released: 8/12/2015; Reviewed and Renewed: 8/22/2018
Valid for credit through: 8/22/2019
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Update: Tobacco use is responsible for more than 480,000 deaths per year in the United States alone, making it the leading cause of preventable death.[7] Smoking creates more than $300 billion in healthcare expenditure annually because of increased medical costs and lost productivity as a result of sickness absences from work.[7]
This case study is one in a series of case histories with commentaries by the American College of Physicians (ACP) Ethics, Professionalism, and Human Rights Committee and the Center for Ethics and Professionalism. The series uses hypothetical examples to elaborate on controversial or subtle aspects of issues not addressed in detail in the College's Ethics Manual, the Physician Charter on Professionalism, or other College position statements. The sixth edition of the ACP's Ethics Manual, the Physician Charter, and additional College policies on ethics, professionalism, and human rights issues are available at http://www.acponline.org/running_practice/ethics/ or by contacting the Center for Ethics and Professionalism at 215/351-2839.
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