AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. November 2004, Volume 6, Number 11.

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November 2004 Contents

Research Ethics

Ethics Poll

Physicians who have a professional relationship with a pharmaceutical company should disclose that information to all of their patients.
Agree
Disagree

Physicians are justified in prescribing medications for off-label use if, in their clinical judgment, doing so is in the best interest of a patient.
Always
Sometimes
Never

Physicians who are acting as clinician-investigators in medical research should not take part in the enrollment of patients in the trial.
Agree
Disagree

Can a patient with a terminal illness for which there is no effective treatment give truly uncoerced consent to participate in a clinical trial for an experimental therapy?
Yes
No

All data from clinical trials should be made public in a clinical research registry?
Agree
Disagree

From the Editor

Medicine in an Age of Science
Amanda Redig
Full Text

Educating for Professionalism

Clinical Cases

Clinical Trials and End-of-Life Decision Making
Commentary by Dave Alberts and Lucy Godley
Full Text

Heads or Tails: Randomized Placebo-Controlled Trials
Commentary by Charles Weijer and Karen Kreiner
Full Text

Who Is That? Expanding the Clinical Encounter
Commentary by Vijaya Arekapudi
Full Text

Journal Discussion

Determining Research through Underdetermined Treatment
Abraham P. Schwab
Full Text

Maintaining Integrity in Industry-Sponsored Research
Alison Bickford
Full Text

Medical Education

Research Ethics and Medical Education
Stephen Leapman and Sharon M. Moe
Full Text

Clinical Pearl

Chronic Myeloid Leukemia and the Application of Rational Drug Design
Richard M. Stone
Full Text

Law, Policy, and Society

Health Law

Wright v. Fred Hutchinson Cancer Center: Maintaining Patient and Public Trust in Clinical Research
Laura Lin and Bryan A. Liang
Full Text

Policy Forum

The Need for a Centralized Clinical Trials Registry
Christian J. Krautkramer and Shane K. Green
Full Text

Genetic Samples and Genetic Philanthropy
Michael E. Berens and Gary E. Marchant
Full Text

Medicine and Society

Gatekeeping and the FDA's Role in Human Subjects Protection
Daniel Carpenter
Full Text

Op-Ed and Correspondence

Op-Ed

Ethics, Education, and Integrative Medicine
Victoria Maizes and Randy Horwitz
Full Text

History, Art, and Narrative

Medical Humanities

Research Ethics in Literature
Helle Mathiasen
Full Text

My Story: Living with Narcolepsy
Tricia Higgins
Full Text

Resources

Suggested Readings and Resources
Full Text

Test Questions
Full Text

About the Contributors
Full Text