Call for Papers
The AMA Journal of Ethics invites original submissions for peer review on the following themes that will be explored in upcoming issues.
▼March Global Reproductive Health Ethics in the 21st Century
Reproductive technology and inequalities in health status and access to reproductive health care services have consistently been critical areas of inquiry in bioethics. Questions persist about access and utility of reproductive technologies, differential treatment on the basis of gender, the roles of resource-rich clinical education and training programs among resource-poor and diverse patient populations, and the changing nature of national and international reproductive health law and policy. The March 2018 issue of the AMA Journal of Ethics will explore the ethical, social, and cultural stakes of reproductive health care as a global clinical and educational enterprise.
▼April Ethical Considerations in Plastic and Reconstructive Surgery
Plastic and reconstructive surgeons care for a variety of patients, including those with recent trauma, chronic wounds, and craniofacial anomalies. Clinical and ethical questions in plastic and reconstructive surgery routinely involve informed consent and risk disclosure prior to procedures and weigh values such as cosmesis and functioning in decisions with patients. The April 2018 issue of the AMA Journal of Ethics will explore these and other questions that consider these surgeons’ potential conflicts of interests in commercial self-promotion and advertising, the roles of some in endorsing aesthetic norms that can be harmful to patients, and the standards according to which plastic and reconstructive surgeons should be trained.
▼May Trauma Surgery Ethics
Trauma changes a life forever. Trauma professionals’ decisions can too. High-stakes clinical decisions—whether to give blood, go to the operating room, amputate or try to salvage a mangled extremity—are often made quickly and without knowledge of a patient’s name, age, or history. Such decisions are also almost always made without knowledge of a patient’s goals, values, or advanced directives. Not always, but commonly and of necessity, action must outpace deliberation. The May 2018 issue of the AMA Journal of Ethics will explore the ethics of urgent decision making in trauma care settings, what it means for clinicians to approach these kinds of decisions responsibly, and what it means for patients and their loved ones to have the aftermaths of those decisions communicated with clarity and compassion. This issue will also explore what trauma care policies can mean for public health, community planning, and resource allocation.
▼June Ethics in Burn Care
Burn injuries present numerous clinical and ethical complexities for caregivers and patients. Discourse on ethical decision making in burn care tends to focus on a few topics, such as end of life practices and how to regard consent, refusal, and other expressions of autonomy following Dax Cowart’s case in 1973. The June 2018 issue of the AMA Journal of Ethics will revisit these issues with new perspectives and also explore ethical questions including but not limited to bias expression in burn care settings, pain management, surgical education practices, the nature and scope of clinicians roles in burn prevention, whether and when live donor grafts are appropriate, and how to weigh values such as survival, function, and cosmesis.
▼July Religion and Spirituality in Health Care Practice
Religion’s influence on patient care in hospital, clinic, hospice and other settings can be seen in requests for partnership in prayer, clinician-chaplain collaborations, and through organizations’ religious accommodations for patients and staff. Whether and how religion and spirituality training are critical components of students’ and clinicians’ development of cultural humility is one important set of questions that will be explored in the July 2018 issue of the AMA Journal of Ethics. At the macro level, too, this issue will consider faith traditions’ influence on health policy in organizations and governments.
▼August Ethics, Policy, and the Roles of Physicians in Care of the Dying
Quality of care for dying patients varies according to a number of factors, including diagnosis, prognosis, care setting and culture, and the adequacy of clinicians’ training in addressing patients’ needs at the end of life. While physician-assisted death, euthanasia, and the ethics of suicide have received copious attention in health professions discourse, what the roles of clinicians and patients should be in defining what actually constitutes dying and good care of dying people has received less attention. Which, if any, components of dying should be medicalized and why? What do patients and clinicians need to know about dying? The August 2018 issue of the AMA Journal of Ethics will explore these questions and other critical ethical, social, cultural, and political factors shaping clinicians’ roles and capacities to care well for dying patients.
▼September Ethics in Precision Health
Precision medicine aims to use a variety of data sources, including genomics and electronic health records, to concentrate therapeutic intervention on those patients who will benefit, thus striving to improve quality and value of medical care. Precision health broadens this approach by incorporating disease prevention and earlier diagnosis. To what extent are precision approaches new and what are clinical and ethical implications of these approaches for distinguishing between care and research? The September 2018 issue of the AMA Journal of Ethics will explore four major classes of issues: (1) consent, governance, and the appropriate use and disclosure of patient data; (2) ethical questions surrounding novel clinical applications of these approaches; (3) public policy questions about how to best fund, create, maintain, and secure databases of huge numbers of patients’ information; and (4) questions about how to justly distribute these efforts’ risks and benefits.
▼October Health and Food Ethics
Hippocrates once said, “Let food be thy medicine and medicine be thy food.” Physicians in some U.S. cities have followed this advice by writing prescriptions for patients to obtain fresh produce through healthy food outreach programs. Clinical encounters, however, cannot fully reverse the negative health effects of low quality diets. Further, millions remain hungry as the quantity of the global food supply is at risk. Providing safe, nutritious, and environmentally- sustainable food to all is a great challenge, and if the global community cannot find solutions to feed the world, economic and social costs will be high. “Ending hunger, achieving food security, improving nutrition, and promoting sustainable agriculture” is one of the Sustainable Development Goals set forth by the United Nations. As such, a central question worth exploring in the October 2018 issue of the AMA Journal of Ethics is: What should be the roles of health professionals in promoting accountability by governments, non-governmental and civil society organizations, and the food and beverage industry in promoting strategies that can meet the nutrition and health needs of our global population? Other issues include: reducing and redistributing food loss and waste; incentivizing responsible food production and labeling practices; communicating about food practices and food access during clinical encounters; and strategies to promote food security as a goal of health professions.
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