Duties of a Physician Working in Different Roles as Described by Dialectical Principlism
| Forensic Role | Treatment Role | Research Role | Managed Care Role | |
|---|---|---|---|---|
| Primary duties | Advancing justice via: Truth-telling Respect for persons | Advancing patient welfare via: Respecting autonomy Beneficence Nonmaleficence | Advancing scientific knowledge | Appropriate allocation of resources |
| Secondary duties | Consideration of the evaluee’s welfare | Consideration of societal welfare via: | Safety and health of research subjects | Welfare of the patient receiving care |
| Consideration of the retaining attorney’s case Consideration of societal expectations for physicians Consideration of personal values | Protecting vulnerable third parties Distributive justice |