SciELO - Scientific Electronic Library Online

vol.40 issue4APOL1 risk variants and kidney disease: what we know so farA physiology-based approach to a patient with hyperkalemic renal tubular acidosis author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Brazilian Journal of Nephrology

Print version ISSN 0101-2800On-line version ISSN 2175-8239


OBREGON, José Miguel Viscarra  and  ANJOS, Marcio Fabri dos. Nephrologists between power and vulnerability in times of technology. J. Bras. Nefrol. [online]. 2018, vol.40, n.4, pp.403-409.  Epub Apr 24, 2018. ISSN 0101-2800.

The doctor-patient relationship is often discussed from the perspective of patient vulnerability. Little attention is given to the vulnerability of nephrologists in their professional practice, a reality often affected by profound cultural transformation arising from technological development. Nephrology is based on research and procedure instrumentalization, both permeated with technology. In addition, the relationship between nephrologists and institutions is governed by market rules. Recent data showed a shortage of new nephrologists and the need to improve the technical training of new professionals, foster the establishment of interventional nephrology, and attract more graduating physicians to this medical specialty. Bioethics offers a different perspective on the issue, since it takes the subjective concerns of medical doctors and the social environments they participate in into consideration in order to enhance their ethical autonomy. These ideas may be discussed as part of undergraduate or specialization programs, thus reinforcing the acknowledgement of vulnerability as a condition and of the relevance of adopting a reflective attitude toward the events of everyday life that interact with the morality of nephrologists, so that risks are adequately faced having bioethical parameters as a reference.

Keywords : Professional ethics; Vulnerability in health care; Bioethics; Conflicts of interest.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )