Table 3: A suggested approach for healthcare providers when facing conscience dilemmas.

(i) Be an excellent MD in competence, knowledge, compassion, and relationship with patients.
(ii) Avoid emotional manipulation; always provide the complete truth and comprehensive information.
(iii) Always do what you believe to be right and best for the patient.
(iv) Prepare patients early on in the relationship for any perspectives that may be at odds with the patient’s values.
(v) Consider referral to appropriate regulatory bodies for patients needing further direction.
(vi) With sincerity, respectfully explain your perspectives when in disagreement with patients.
(vii) Respect individual values and ethics but never compromise your personal honor and integrity.
(viii) Expect that some people will not appreciate you; most will.
(ix) Continually examine your actions and motivations with humility and secure a means to maintain continued accountability. Respectfully discuss concerns with regulatory bodies as appropriate.
(x) Always approach medical authorities with respect and avoid insubordination. Refusing to perform an action that is sincerely perceived to be unethical, however, is not insubordination.
(xi) Obtain advice, and share ideas and concerns with trusted colleagues.
(xii) Confirm for patients that they have the right to see another health provider.