The document presents a dilemma regarding a physician's duty of confidentiality towards their patient, Shelby, who is wanted by the FBI for explosives-related crimes. If the physician cooperates with the FBI by disclosing Shelby's medical information, Shelby could be apprehended along with any associated criminals, improving public safety. However, doing so would breach the physician's duty of confidentiality towards their patient. Most ethical principles support maintaining confidentiality, but in this case reporting Shelby may be justified given the threat to public safety from explosives.

1. Confidentiality: Ethical Disclosure of Medical Information Medicine in the Service of the FBI By: Shamieka Lewis Courtney Jones Loukisha Johnson

3. Shelby is known to be afflicted with a skin condition known as acne vulgaris, which has been described as acute and recurrent. The recurrent aspect of this skin condition could necessitate treatment by a health care practitioner, especially a dermatologist. Shelby is also known to frequently wear prescription eyeglasses or contact lenses, which are required for her to operate an automobile. NOTIFY THE FBI Any person having information which may assist in locating this fugitive is requested to immediately notify the nearest FBI field office, the telephone number of which appears on the first page of most local telephone directories .

5. Important Terms: Autonomy - the right of patients to make decisions about their medical care without their healthcare provider trying to influence their decision. Confidentiality- the principle in medical ethics that the information a patient reveals to a health care provider is private and has limits on how and when it can be disclosed to a third party. Beneficence- a principle of medical ethics according to which a person should do good to others especially when one has a professional duty to do so. Non-maleficence- the ethical principle of doing no harm.