Does In-Office Dispensing Subvert Medical Professionalism?
The first point of controversy surrounds the issue of professionalism. Ideally, physicians are perceived as professionals in that they give advice and make decisions from a selfless perspective. The patient seeks this advice because he or she feels that the physician will put aside personal financial gain and treat the patient in the best manner possible. The sale of products dispensed in the office tests this premise. The dispensing podiatrist may argue that the best product to improve the patient’s foot health can only be found in a product sold from his or her office. This means that the opportunity to purchase such a product can provide the patient with enhanced care and allows the physician to offer a valuable service. In addition, some proponents suggest that on-site purchases can save time and allow the patient to get a recommendation and product simultaneously. Accordingly, this would enhance both convenience and adherence. However, other physicians contend that the practice ma
