The authors examine whether healthcare whistleblowing should be considered central to any medical ethics emphasising professional virtues and conscience. They consider possible causes for the paucity of professional or academic interest in this area and examine the counterinfluence of a continuing historical tradition of guild mentality professionalism that routinely places relationships with colleagues ahead of patient safety.
Finally, it is proposed that a virtue based ethos of medical professionalism, exhibiting transparency and sincerity with regard to achieving uniform quality and safety of health care, may be facilitated by introducing a technological imperative using portable computing devices. Their use by trainees, focused on ethical competence, provides the practical face of virtue ethics in medical education and practice. Indeed, it assists in transforming the professional conscience of whistleblowing into a practical, virtue based culture of self reporting and personal development.
Since the fifth century bc, physicians have sworn to uphold the Hippocratic Oath that includes the statement, "Whatever, in connection with my professional service, . . . I see or hear, in the life of men, which ought not be spoken abroad, I will not divulge, as reckoning that all such should be kept secret." However, health care and provider responsibility have evolved so as to make this more difficult for physicians to uphold. We discuss