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The Bander Center for Medical Business Ethics at Saint Louis University regularly compiles links to case studies useful for class discussion, legal resources, codes, guidelines and reports related to medical business ethics.

Bander Center Casebook

Exploring Integrity in Medicine

Codes and Reports

Legal Resources

Federal and local governments have generated laws and authoritative regulations to enforce the management of conflicts of interest and encourage ethical business practices in medicine.

Federal Regulations
Health Care Reform
  • H.R.3200 - America's Affordable Health Choices Act of 2009
     Signed into law on March 23, 2010.
  • Patient Physician Sunshine Act Provision (Requirements on financial relationships between manufacturers and distributors of covered drugs, devices, biologicals, or medical supplies under Medicare, Medicaid, or CHIP and physicians and other health care entities and between physicians and other health care entities, including disclosure). This component of the bill requires that starting in 2012, medical device and pharmaceutical companies will record physician payments over $10 and that all payments be publicly disclosed.

Case Studies 

AMA Journal of Ethics Clinical Case Studies

(All cases gathered from the AMA Journal of Ethics website)

American College of Physicians Case Study Series

American College of Physicians (All cases gathered from their website)

Stanford University Ethics Case Studies

Selected cases in medical business ethics are listed below. For a list of all cases and associated PDFs, go to their website.

  • Conflicting Allegiance - As a consultant for two different companies in addition to being a University employee, questions are raised about gifts, proper compensation and conflicts of commitment.
  • Invitation to Dinner - When you are given an offer to attend a pharmaceutical company sponsored dinner, you weigh the choice between attending and not attending.
  • Patient Recruitment - Your supervisor is in need of patients for an important clinical trial, and pushes you to recruit more patients from the clinic, however you have some doubts about your supervisor's involvement with the study sponsor.
  • The Clinical Specialist - An company-provided clinical specialist is often present in the operating room helping with implementation of a new device, however you wonder if her influence over the medical center's purchase decisions is appropriate.

More cases on topics in medical business ethics are currently being developed. For comments and suggestions, please contact us at 314-977-1070.