AMA Journal of Ethics May 2015
This month in Journal of Ethics
Observing Professional Boundaries
A physician’s personal interest in his or her patients has a recognized therapeutic effect on those patients’ sense of well-being and return to health. At the same time, physicians’ actions in patients’ behalf must comply with professional boundary guidelines. How far may a doctor go to assist a patient with nonclinical matters—joblessness, lack of transportation, fear of doctors’ offices—that impede the patient’s medical treatment? Contributors to the May issue of the AMA Journal of Ethics help distinguish boundary crossings—benevolent acts outside the scope of clinical interventions—from boundary violations—breaches of practice that may place patients’ bodily or psychological well-being at risk.
Professional Boundaries and Meaningful Care Nadi N. Kaonga Does helping a patient overcome systemic barriers to health by satisfying basic needs for food, clothing, shelter, and employment violate professional boundaries?
Professional Codes, Public Regulations and the Rebuilding of Judgment Following Physicians’ Boundary Violations Joseph C. d’Oronzio, PhD, MPH Physician behavior that generates a patient complaint and ultimately leads to disciplinary action is both legally and ethically problematic—violating both regulatory rules and professional codes.
Necessary Boundary Crossing in Pediatrics Emily Thompson To help a seriously ill young patient whose normal childhood has been disrupted, pediatricians must be more than sympathetic professionals in white coats—they must know how to motivate each patient and then go the extra mile to do so.
June Ethics in Rehabilitation Medicine
July Patient Care in the ACA Era
August The Bottom Line: Profit Motive in American Medicine
September Ethical Issues in Gynecologic Oncology
October Physicians, Human Rights, and Civil Liberties
November High Value Care
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