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While working in primary care this past year; I encountered areas of disagreement between my supervisor's expectations and mine. The conflict focused around my patient recommendations on issues related to prescribing preferences; and sexual health (including contraception). At one point during our discussions I essentially asked for an allowance to practice medicine in line with a more Hippocratic tradition; but this was not given serious consideration. In a similar manner; I requested reasonable accommodation for my beliefs. I proposed a practical solution to one particular area of contention (oral contraceptives); but to no avail. Subsequent conversations became more disturbing. Comments were placed on my annual performance evaluation by my supervisors that portrayed me in a negative light due to my medical; ethical; and religious beliefs. I was shocked to find that my beliefs would be used against me on this formal evaluation. From these comments; I was represented as an incompetent physician. Although pressured to sign my evaluation; I had no choice but to refuse. My evaluation did not rightfully represent my patient care and clinical competency. Over several months; the administrative interactions with me remained consistent and directed at one solution to the conflict: for me to find another job. It was clear that my right of conscience would not be tolerated. These events and violations of my right of conscience were factors in my eventual resignation from my medical staff position at a Federal facility in Massachusetts.
J. A.
Springfield, MA.
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