addition, there is a collegial and a medical responsibility to assist the impaired colleague in obtaining
care, even if the individual must be reported to the
appropriate authority to begin the steps toward adequate care.
G. Incompetent Surgeons
When incompetent patient management is recognized, the surgeon’s responsibility is to assist the
regular institutional peer review mechanism in
remedying the situation. Physical, moral, or mental
impairment that renders a colleague incompetent
to care for patients, or that is associated with fraud
or other malfeasance, should be disclosed to protect patients and society. On the other hand, it is
indefensible to disparage the actions, knowledge,
or skills of another physician for malicious reasons.
H. Maintenance of Fellowship
Maintenance of Fellowship is jeopardized by infractions of College principles as specified in the Bylaws
of the American College of Surgeons. Fellows are
expected to report knowledge of violations of
these principles or of the Bylaws. When a Fellow
is convinced that another Fellow is violating the
Fellowship Pledge, the Bylaws of the College, or
its principles, a confidential written communication should be sent to the Executive Director of the
College. The information so submitted will then
be further investigated and processed according to
the provisions in the Bylaws.
1. Accreditation Council for Graduate Medical Education
(ACGME). General Competencies Vers. 1. 3 (Approved
September 1999). Accreditation Council for Graduate Medical
Education website. Available at: www.acgme.org/outcome/
comp/ compFull.asp. Accessed June 2016.
2. National Commission for the Protection of Human Subjects of
Biomedical and Behavioral Research. The Belmont Report: Ethical
Principles and Guidelines for the Protection of Human Subjects of
Research. Washington, DC: U.S. Government Printing Office;
3. World Medical Association. Declaration of Helsinki. Adopted
by the 18th World Medical Assembly, Helsinki, Finland, June
1964, and amended by the 29th World Medical Assembly,
Tokyo, Japan, October 1975; 35th World Medical Assembly,
Venice, Italy, October 1983; and the 41st World Medical
Assembly, Hong Kong, September 1989.
4. The Nuremburg Code (from Trials of War Criminals before
the Nuremburg Military Tribunals under Control Council Law
No. 10). Washington, DC: U.S. Government Printing Office;
5. Patient Safety and Professional Liability Committee,
American College of Surgeons. Statement on the physician
acting as an expert witness. Available at: facs.org/about-acs/
statements/8-expert-witness. Accessed August 9, 2016.