Virtual Mentor. January 2015
This month in Virtual Mentor
Intervening in the Brain: Ethics and Neurosurgery
The wonder evoked by the term “brain surgery” is well-deserved. Neurosurgeons can clip an aneurysm and save a life; deep brain stimulation can alleviate disabling muscle tone disorders, control the tremors of Parkinson, and relieve intractable psychiatric symptoms. At the frontiers of neurosurgery lie interventions for treatment of cognitive and behavioral disorders and technological advances that will expand the scope and reach of neurosurgery and challenge the line between treatment and enhancement. Contributors to the January issue of Virtual Mentor explore current and possible neurosurgical interventions and offer guidance for decision making under conditions of clinical and ethical uncertainty.
Neurosurgery Ethics: Perspectives from the Field, Circa 2015 Jordan P. Amadio, MD, MBA Rather than a scholarly exercise, we have sought to create a living showcase of the most important ethical issues in neurosurgery circa 2015.
Risk Perception, Bias, and the Role of the Patient-Doctor Relationship in Decision Making about Cerebral Aneurysm Surgery Commentary by Michael L. Kelly, MD, MA Treatment decisions in high-risk situations require a dynamic relationship between doctor and patient in which patient preferences and clinician recommendations contribute equally in shaping a final treatment decision.
A Preparatory Neuroethical Approach to Assessing Developments in Neurotechnology James Giordano, PhD, MPhil The pace at which neurotechnological developments are being translated into clinical applications calls for a preparatory neuroethical model that can plot the benefits, burdens, and risks of neurosurgery as a step toward minimizing risks and maximizing benefits.
Applying Guidelines to Individual Patients: Deep Brain Stimulation for Early-Stage Parkinson Disease Commentary by Bryn Esplin, JD, Andre G. Machado, MD, PhD, Paul J. Ford, PhD, and Kara Beasley, DO, MBe Surgery is appropriate when the needs and expected benefits outweigh the risks for a well-informed patient.
February The Culture of Medicine
March Ethical Questions in Anesthesiology
April Ethics in the Diagnosis and Treatment of Autism
May Observing Professional Boundaries
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