Once a month, or the secret to raising the status of medical ethics.

Ethics was a key theme at the Royal Australasian College of Surgeons’ Scientific Congress in Perth this May. The topics ranged from the ethics of innovative surgery to the ethics of medicolegal work. In my speech to the delegates, I applauded the selection of the theme and gently criticised the situation “up north.” I referred to the lack of an ethics course on the vast menu of courses offered by the Royal College of Surgeons of England and recounted a failed attempt to publish an article on neurosurgical ethics in a leading surgical journal for lack of a category allowing articles on ethics. I argued that the 21st century surgeon is a clinician who is both technically proficient and ethically astute, shedding the old reputation as a “doer” with little time for reflection. Between sessions, I asked delegates from several countries if ethics formed part of their national medical school curriculum. It did, but all my interviewees added that the subject had a poor reputation among students. It seems, sadly, that this is a widespread view. The possible explanations for this apparent distaste ranged from poor teaching to wrong content, premature delivery in the preclinical years, incompatibility with the scientific temperament, and institutional indifference to the subject. Whatever the reasons, it is a shame. Ethics should be both interesting and useful. This low esteem raises an obvious question: what can be done to raise the status of medical ethics? A simple solution