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At the coalface--medical ethics in practice. First, do no harm.
  1. S Groudine,
  2. P D Lumb
  1. Albany Medical College, New York, USA.


    When a physician acts as both doctor and researcher conflicts can develop. When a doctor does not know whether a patient is taking active drug or placebo, any new medical problems can result in a dilemma. Is the patient's suffering a side effect of the medication or is this a new medical problem? Mrs W's case demonstrates the problem that can occur when the physician is blinded in the name of research.

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