Primum non tacere: An Ethics of Speaking Up


  • James Dwyer

    Adjunct Assistant Professor of Philosophy and Clinical Assistant Professor of Psychiatry
    1. New York University, New York, N.Y.
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    • James Dwyer, “Primum non tacere: An Ethics of Speaking Up,” Hastings Center Report 24, no. 1 (1994): 13–18.


Many medical students are fearful of voicing their concerns about ethically troubling medical practice. Yet they must speak up if they are to meet their responsibilities to patients, colleagues, and the profession of medicine.