AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. May 2008, Volume 10, Number 5: 263-354

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May 2008 Contents

System Constraints on Optimal Care

Ethics Poll

Everyone claims that the U.S. health care system is broken. Which one of the following do you think contributes most to making health care delivery so frustrating and difficult for patients to navigate?
Some hospitals and clinics employ "secret shoppers" to report to management on the quality of the clinical encounter they observed while pretending to be patients. Which one of the following best describes your response to this practice?

From the Editor

Optimizing Medical Care with the Support and Limitations of Health Care Systems
Laura Sigman
Full Text | PDF
Virtual Mentor. 2008; 10:265-266.

Educating for Professionalism

Clinical Cases

Physician's Accountability for System Failure
Commentary by David Lovinger
Full Text | PDF
Virtual Mentor. 2008; 10:267-270.

Transplant Tourism: Treating Patients when They Return to the U.S.
Commentary by Sally Satel, and Andrew J. Aronson
Full Text | PDF
Virtual Mentor. 2008; 10:271-277.

Securing Diagnostic Services within System Constraints
Commentary by Bruce Patsner
Full Text | PDF
Virtual Mentor. 2008; 10:278-281.

Medical Culture and Error Disclosure
Commentary by Amy G. Lehman
Full Text | PDF
Virtual Mentor. 2008; 10:282-287.

Do Secret Shoppers Have a Place in Medicine?
Commentary by James C. Loden, and Richard C. Frederick
Full Text | PDF
Virtual Mentor. 2008; 10:288-294.

Medical Education

The Ambulatory Long Block: A Systems-Based Practice Innovation
Eric J. Warm
Full Text | PDF
Virtual Mentor. 2008; 10:295-299.

Journal Discussion

Keeping Patients Safe: The Ethics of Quality Improvement
Sara Platte
Full Text | PDF
Virtual Mentor. 2008; 10:300-303.

Clinical Pearl

Amniocentesis: Indications and Risks
Maura Parker Quinlan
Full Text | PDF
Virtual Mentor. 2008; 10:304-306.

Law, Policy, and Society

Health Law

ERISA: A Close Look at Misguided Legislation
Lee Black
Full Text | PDF
Virtual Mentor. 2008; 10:307-311.

Policy Forum

Medicare's “Never-Event” Initiative
Jared Hossack
Full Text | PDF
Virtual Mentor. 2008; 10:312-316.

Medicine and Society

Can Health Care Engineering Fix Health Care?
Peter J. Fabri
Full Text | PDF
Virtual Mentor. 2008; 10:317-319.

History, Art, and Narrative

Medical Humanities

Equity in Medical Care: An Aristotelian Defense of Imperfect Rules—and Bending Them
Geoffrey Rees
Full Text | PDF
Virtual Mentor. 2008; 10:320-323.

History of Medicine

The U.S. Health Care Non-System, 1908-2008
George B. Moseley III
Full Text | PDF
Virtual Mentor. 2008; 10:324-331.

Op-Ed and Correspondence

Op-Ed

The Teaching of Law in Medical Education
Nirav D. Shah
Full Text | PDF
Virtual Mentor. 2008; 10:332-337.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2008; 10:338-351.

About the Contributors
Full Text | PDF
Virtual Mentor. 2008; 10:352-354.