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 2015, Volume 17, Number 1: 1-104.

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Intervening in the Brain: Ethics and Neurosurgery

Ethics Poll

Neurosurgical intervention to place permanent electrodes in select spots in the brain (deep brain stimulation, or DBS) is being used to control motor and seizure disorders and intractable psychiatric symptoms. Some project that the technique could be used in future to enhance cognitive ability and alter behavior. Which of the following best describes how you feel about these uses and possible future use of DBS?
Do you think that surgeons should be required to tell patients the extent of their experience with a procedure they are about to perform on that patient?
Would knowing the level of a physician's or resident's experience in performing a procedure you needed alter your decision about allowing that person to perform the procedure on you?

From the Editor

Neurosurgery Ethics: Perspectives from the Field, Circa 2015
Jordan P. Amadio
Full Text | PDF
Virtual Mentor. 2015; 17:3-5.

Educating for Professionalism

Ethics Cases

Risk Perception, Bias, and the Role of the Patient-Doctor Relationship in Decision Making about Cerebral Aneurysm Surgery
Commentary by Michael L. Kelly
Full Text | PDF
Virtual Mentor. 2015; 17:6-12.

Applying Guidelines to Individual Patients: Deep Brain Stimulation for Early-Stage Parkinson Disease
Commentary by Bryn Esplin, Andre G. Machado, Paul J. Ford, and Kara Beasley
Full Text | PDF
Virtual Mentor. 2015; 17:13-22.

Duty-Hour Exceptions for Neurosurgery Residency Programs
Commentary by Nathan R. Selden and Michael M. Haglund
Full Text | PDF
Virtual Mentor. 2015; 17:23-32.

Podcast

Emerging Ethical Issues in Neurosurgery Listen
Interview with Paul Root Wolpe

Medical Education

Evaluating Simulation as a Teaching Tool in Neurosurgery
Brian D. Rothstein and Warren R. Selman
Full Text | PDF
Virtual Mentor. 2015; 17:33-36.

In the Literature

Integrating Ethics into Science Education and Research: Report of the Presidential Commission for the Study of Bioethical Issues
Jonathan Riley and Jessica Emery
Full Text | PDF
Virtual Mentor. 2015; 17:37-40.

State of the Art and Science

Innovation in Surgery and Evidence Development: Can We Have Both at Once?
Brett E. Youngerman and Guy M. McKhann II
Full Text | PDF
Virtual Mentor. 2015; 17:41-48.

Law, Policy, and Society

Policy Forum

Models of Neurosurgery International Aid and their Potential Ethical Pitfalls
George M. Ibrahim and Mark Bernstein
Full Text | PDF
Virtual Mentor. 2015; 17:49-55.

Medicine and Society

A Preparatory Neuroethical Approach to Assessing Developments in Neurotechnology
James Giordano
Full Text | PDF
Virtual Mentor. 2015; 17:56-61.

History, Art, and Narrative

History of Medicine

Technological Innovation and Ethical Response in Neurosurgery
Jayant Menon and Daniel J. Riskin
Full Text | PDF
Virtual Mentor. 2015; 17:62-68.

Second Thoughts and Correspondence

Second Thoughts

Disclosure of Experience as a Risk Factor in Informed Consent for Neurosurgery: The Case of Johnson v. Kokemoor
John D. Banja
Full Text | PDF
Virtual Mentor. 2015; 17:69-73.

The New Era of Neuromodulation
Marwan Hariz and Jordan P. Amadio
Full Text | PDF
Virtual Mentor. 2015; 17:74-81.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2015; 17:82-100.

About the Contributors
Full Text | PDF
Virtual Mentor. 2015; 17:101-104.