AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

AMA Journal of Ethics. June 2017, Volume 19, Number 6: 515-634.

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Moral Distress and Medicine

Ethics Poll

Poll Question

A student is distressed when her resident asks her to perform a lumbar puncture on a reluctant patient. How should she respond?

Find a discussion of responses to this question in the June 2017 issue of the AMA Journal of Ethics.

Content Question

How can medical educators reduce or prevent moral distress among medical students?

Find the answer to this question in the June 2017 issue of the AMA Journal of Ethics.

Peer-Reviewed CME Article: Medical Education

Avoiding Racial Essentialism in Medical Science Curricula
Lundy Braun and Barry Saunders
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Teaching Clinical Ethics at the Bedside: William Osler and the Essential Role of the Hospitalist
Matthew William McCarthy and Joseph J. Fins
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From the Editor

Moral Distress: A Call to Action
Subha Perni
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Ethics Cases

How Should Resident Physicians Respond to Patients’ Discomfort and Students’ Moral Distress When Learning Procedures in Academic Medical Settings?
Commentary by Bonnie M. Miller
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How Should Integrity Preservation and Professional Growth Be Balanced during Trainees’ Professionalization?
Commentary by Eli Weber and Sharon Gray
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How Should Physicians Respond When the Best Treatment for an Individual Patient Conflicts with Practice Guidelines about the Use of a Limited Resource?
Commentary by Edmund G. Howe III
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What Should Physicians Do When They Disagree, Clinically and Ethically, with a Surrogate’s Wishes?
Commentary by Terri Traudt and Joan Liaschenko
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Strategies for Addressing Moral Distress: An Interview with Dr. Elizabeth Epstein Listen

The Code Says

The AMA Code of Medical Ethics’ Opinions Related to Moral Distress
BJ Crigger
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Medical Education

Antecedents and Consequences of Medical Students’ Moral Decision Making during Professionalism Dilemmas
Lynn Monrouxe, Malissa Shaw, and Charlotte Rees
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In the Literature

Who Is Experiencing What Kind of Moral Distress? Distinctions for Moving from a Narrow to a Broad Definition of Moral Distress
Carina Fourie
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State of the Art and Science

Initiatives for Responding to Medical Trainees’ Moral Distress about End-of-Life Cases
M. Sara Rosenthal and Maria Clay
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Policy Forum

What Is the Role of Ethics Consultation in the Moral Habitability of Health Care Environments?
Wendy Austin
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Strategies for Promoting High-Quality Care and Personal Resilience in Palliative Care
Katherine E. Heinze, Heidi K. Holtz, and Cynda H. Rushton
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Medicine and Society

Culture and Moral Distress: What’s the Connection and Why Does It Matter?
Nancy Berlinger and Annalise Berlinger
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History of Medicine

What Moral Distress in Nursing History Could Suggest about the Future of Health Care
Andrew Jameton
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Images of Healing and Learning

Dirty Laundry: Drug Formulary Exclusions
Artwork and caption by Katy Giebenhain
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About the Contributors
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