AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. January 2011, Volume 13, Number 1: 1-73.

  • Print
  • |
  • View PDF

January 2011 Contents

Ethics and the Role of Guidelines in Medical Practice

Ethics Poll

Suppose all available evidence suggests that a full-body CT scan for a person with no symptoms of disease or illness carries more risks than potential benefits. A person who has no signs or symptoms of disease and has been informed of the potential risks and benefits wants to have a full-body CT scan for his own peace of mind. His physician does not think the individual should have the scan. If the patient wants the scan and has health insurance that will pay for it, the physician should order the scan.
In general, I think that teaching medical students how to understand and interpret statistical evidence derived from studies reported in the literature will make those students less reliant on a patient's history, physical exam of the patient, and what the patient says about his or her symptoms.
As part of the Patient Protection and Affordable Care Act of 2010, the U.S. government will fund "comparative effectiveness research," comparing the effectiveness of a specific medical intervention with that of another, based on a predefined outcome such as survival rate, side-effects profile, or quality of life achieved. The cost of the interventions being compared is not part of the effectiveness research. Do you think that the cost of an intervention should be part of the calculation of its effectiveness?

From the Editor

Catching up with Evidence-Based Medicine
Alex Stark
Full Text | PDF
Virtual Mentor. 2011; 13:3-5.

Educating for Professionalism

Clinical Cases

When the Evidence Isn’t There—Seeking Informed Consent for New Procedures
Commentary by Peter Angelos
Full Text | PDF
Virtual Mentor. 2011; 13:6-9.

The Debate over Prostate Cancer Screening Guidelines
Commentary by Karen E. Hoffman and Paul L. Nguyen
Full Text | PDF
Virtual Mentor. 2011; 13:10-15.

Responding to Patient Requests for Nonindicated Care
Commentary by John Cardasis and David R. Brush
Full Text | PDF
Virtual Mentor. 2011; 13:16-20.

Medical Education

Insights from Teaching Evidence-Based Medicine
Alan Schwartz and Jordan Hupert
Full Text | PDF
Virtual Mentor. 2011; 13:21-24.

The Code Says

The AMA Code of Medical Ethics’ Opinion on Physician Pay-for-Performance Programs
Full Text | PDF
Virtual Mentor. 2011; 13:25.

Journal Discussion

The Limitations of Evidence-Based Medicine—Applying Population-Based Recommendations to Individual Patients
Joshua J. Goldman and Tiffany L. Shih
Full Text | PDF
Virtual Mentor. 2011; 13:26-30.

Clinical Pearl

Health Effects of Smoking and the Benefits of Quitting
Edward D. Gometz
Full Text | PDF
Virtual Mentor. 2011; 13:31-35.

Law, Policy, and Society

Health Law

The Role of Practice Guidelines in Medical Malpractice Litigation
Timothy K. Mackey and Bryan A. Liang
Full Text | PDF
Virtual Mentor. 2011; 13:36-41.

Policy Forum

The Role of Comparative Effectiveness Research in Developing Clinical Guidelines and Reimbursement Policies
Jason John Luke
Full Text | PDF
Virtual Mentor. 2011; 13:42-45.

Rating Evidence in Medical Literature
Opeyemi O. Daramola and John S. Rhee
Full Text | PDF
Virtual Mentor. 2011; 13:46-51.

Medicine and Society

Is There Room for Art in Evidence-Based Medicine?
Richard Colgan
Full Text | PDF
Virtual Mentor. 2011; 13:52-54.

History, Art, and Narrative

History of Medicine

The Origins of Evidence-Based Medicine—A Personal Perspective
David M. Eddy
Full Text | PDF
Virtual Mentor. 2011; 13:55-60.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2011; 13:61-70.

About the Contributors
Full Text | PDF
Virtual Mentor. 2011; 13:71-73.