Ethics and Professionalism

Ethical Principles

PrincipleMeaning
AutonomyRespect the patient’s informed choice
BeneficenceAct in the patient’s best interest
Non-maleficenceAvoid harm
JusticeFair distribution of care and resources

Codes

  • Medical Board of Australia, Good Medical Practice code of conduct
  • AOA Code of Conduct and Ethical Framework
  • RACS Code of Conduct
  • Australian Charter of Healthcare Rights sets out patient rights
  • NHMRC guidelines govern research involving people

Professional Issues

  • Declare conflicts of interest with industry to patients and colleagues
  • Mandatory notification to Ahpra for impairment, intoxication, sexual misconduct or significant departure from accepted standards
  • Bullying, discrimination and sexual harassment are unacceptable. RACS Operating with Respect training
  • Look after personal health and have a general practitioner
  • Maintain CPD and audit outcomes
  • Respect confidentiality, with exceptions such as mandatory reporting
  • Billing must be accurate and transparent, see Australian Healthcare Funding
  • Work within the scope of practice and seek help early
  • Social media posts must follow Ahpra advertising rules
  • Treat colleagues and trainees with respect

Fellowship Examination

  • Ethics scenarios include a colleague who seems impaired, a request from industry, and a patient demanding inappropriate surgery
  • Apply the four principles, the codes of conduct and the law to reach a clear plan
  • Escalate concerns through the head of unit and document actions

Reviewed by Professor Phong Tran, Head of Orthopaedic Surgery, Western Health. Last updated 10 October 2026.