AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

AMA Journal of Ethics. August 2017, Volume 19, Number 8: 737-842.

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Iatrogenesis in Pediatrics

Ethics Poll

Poll Question

A 12-year-old girl identifies as a boy, has been diagnosed with gender dysphoria (GD), and wants to begin gender transitioning with prepuberty hormone therapy. Her physician worries about the long-term iatrogenic risks of therapy. How should the physician respond?

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

Poll Question

Are physicians ethically responsible for physical and emotional iatrogenic effects of medically unnecessary genital surgeries on children?

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

From the Editor

Preventing and Responding to Iatrogenesis in Pediatrics
Marta Michalska-Smith
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Ethics Cases

Should Long-Term Consequences of NICU Care Be Discussed in Terms of Prognostic Uncertainty or Possible Harm?
Commentary by Genevieve Allen and Naomi Laventhal
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Should Clinicians Medicate against Structural Violence? Potential Iatrogenic Risks and the Need for Social Interventions
Commentary by Lauren E. Hock and Niranjan S. Karnik
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How Should Physicians Help Gender-Transitioning Adolescents Consider Potential Iatrogenic Harms of Hormone Therapy?
Commentary by Thomas D. Steensma, S. Annelijn Wensing-Kruger, and Daniel T. Klink
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Podcast

What Happens When Bad Outcomes Are Unavoidable? Strategies for Communicating Iatrogenic Consequences in Pediatrics: An Interview with Dr. Robert Nelson and Gigi McMillan Listen

The Code Says

The AMA Code of Medical Ethics’ Opinions Related to Iatrogenesis in Pediatrics
Filzah Iqbal
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State of the Art and Science

Clowning as a Complementary Approach for Reducing Iatrogenic Effects in Pediatrics
Alberto Dionigi
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Etiology and Manifestations of Iatrogenesis in Pediatrics
Stowe Locke Teti, Kathleen Ennis-Durstine, and Tomas Jose Silber
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Policy Forum

What Do Clinicians Caring for Children Need to Know about Pediatric Medical Traumatic Stress and the Ethics of Trauma-Informed Approaches?
Nancy Kassam-Adams and Lucas Butler
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Medicine and Society

Should Euthanasia Be Considered Iatrogenic?
Silvana Barone and Yoram Unguru
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Nontherapeutic Circumcision of Minors as an Ethically Problematic Form of Iatrogenic Injury
J. Steven Svoboda
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Are Physicians Blameworthy for Iatrogenic Harm Resulting from Unnecessary Genital Surgeries?
Samuel Reis-Dennis and Elizabeth Reis
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Images of Healing and Learning

Performing Pain and Inflammation: Rendering the Invisible Visible
Artwork and captions by Arseli Dokumaci
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About the Contributors
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