In this issue of The Journal, MacIntyre and Appel have reviewed state laws and medical boards' policies to ascertain which states require reporting of sexually exploitive psychiatrists, specifically when the patient reveals the exploitation during treatment. They highlight the competing ethics duties faced by physicians who are in a position to report such conduct and provide guidance for future development of reporting laws to help balance the conflicting ethics principles at stake. In this commentary, I discuss the pros and cons of mandatory reporting laws and underscore the importance of physicians' ethics duty to report the sexual misconduct of other physicians even in the absence of a legal mandate. In light of recent high-profile cases that demonstrate a failure of medicine to self-regulate, I make the case for a cultural shift in our profession so that the subject of reporting physician sexual misconduct is viewed not from the lens of a duty to report, but that of a duty to protect.

中文翻译：

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保护我们的患者免受医师性行为不端的责任。

在本期《华尔街日报》中，MacIntyre 和 Appel 审查了州法律和医疗委员会的政策，以确定哪些州需要报告性剥削精神科医生，特别是当患者在治疗期间揭露性剥削时。它们强调了能够报告此类行为的医生所面临的相互竞争的道德责任，并为报告法律的未来发展提供指导，以帮助平衡相关的相互冲突的道德原则。在这篇评论中，我讨论了强制报告法律的利弊，并强调了医生在没有法律授权的情况下报告其他医生的不当性行为的道德责任的重要性。鉴于最近备受瞩目的案例表明药物无法自我调节，