AMA Journal of Ethics

Formerly Virtual Mentor

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics

Formerly Virtual Mentor

Illuminating the art of medicine

Ethics Cases Index

Abortion

Mandated Ultrasound Prior to Abortion Apr 14
Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
The Question of Uterine Isolation in Catholic Health Care Ethics May 07
Relief Organizations with Counseling Restrictions Dec 06
Patau Syndrome and Perinatal Decision Making May 05
Quality of Life and Prenatal Decisions Feb 05
Reproductive Rights Sep 04
Paternalism Feb 04
Campaign Posters in the Clinic Jan 04

Abuse

Interviewing a Patient about Intimate Partner Violence Nov 14
Is Parental Smoking Neglect of an Asthmatic Child? Apr 14
Pimping: Report or Do Nothing? Mar 14
Professionalism versus Antiharassment in Student Evaluation Mar 14
Advising the "Gunner": The Student with Noncognitive Learning Difficulties Mar 14
Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
What To Do When It Might Be Child Abuse Feb 09
Youth Violence: Effective Screening and Prevention Feb 09
When Bad Things Happen in the Learning Environment Feb 09
Suspected Child Abuse Nov 07
Susto: Acknowledging Patients' Beliefs about Illness Aug 07
Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
Offensive Music in the OR Dec 03
Asking Patients about Intimate Partner Abuse Nov 03
Spare the Rod and Save the Child Aug 03

Access to care

Should Age Be a Basis for Rationing Health Care? May 14
Drug Samples: Why Not? May 14
Allocation of Drugs in Short Supply Aug 13
Ethical Concierge Medicine? Jul 13
Patient Self-Rationing, a Health System Problem Nov 12
Is Understaffing a Unit a Form of Rationing Care? Nov 12
Balancing Practice Economics with Patient Need Aug 11
Rural Primary Care—Working Outside the Comfort Zone May 11
Caring for Patients in Low-Resource Settings Mar 10
Miracle Surgery for Foreign Patients Apr 08
Nonemergency Medical Care for Illegal Immigrants in Texas Apr 08
Psychosomatic Elaboration of Distress Mar 08
Accessing Demand for Wheelchair Use Feb 08
Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
Correctional Mental Health Feb 08
Smoking and Medicaid Benefits Dec 07
Communicable Disease and Immigration Fears Dec 07
Managing Chronic Conditions in Uninsured Patients Nov 06
Pediatric Primary Care in the ER: Is It Better than Waiting for an Appointment? Nov 06
When Diagnosis Becomes Unaffordable Jul 05
How Good Is Good Enough? Jul 05
Is Greenacres (Skilled Nursing Facility) the Place to Be? Jul 05
Physician Work Stoppages as Activism Jan 04
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
"Concierge" Practice and the Profession's Contract with Society Nov 03

Addiction

Drug Seeking or Pain Crisis? Responsible Prescribing of Opioids in the Emergency Department May 13
Use of Narcotics Contracts May 13
Infective Endocarditis and the Intravenous Drug User Oct 10
Why Must Pain Patients Be Found Deserving of Treatment? Jan 08
Communicating with Patients about Harmful Behaviors Jan 08
Lost in the Web: Compulsive Videogaming Jan 08
Smoking and Medicaid Benefits Dec 07
Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07

Adolescent medicine

Autonomy and Autism: Who Speaks for the Adolescent Patient? Apr 15
A Request for “Conversion Therapy” Nov 14
Teen Pregnancy and Confidentiality Nov 14
Evaluating the Risks and Benefits of Participation in High-School Football Jul 14
Confidential Mental Health Treatment for Adolescents Sep 12
Should a Nonadherent Adolescent Receive a Second Kidney? Mar 12
Protecting the Confidentiality of Sexually Active Adolescents Feb 12
The HPV Vaccine and Parental Consent Jan 12
Gay Adolescents and Confidentiality Aug 10
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
Informing Adolescents of Perinatally Contracted HIV Dec 09
Communicating Risk of Infertility to Adolescents Prior to Chemotherapy Aug 09
Withholding Information from an Adolescent Aug 08
Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
Coping with a Child's Conduct Disorder Oct 06
Prescribing a Teratogenic Medication Aug 06
Too Much Information? Oct 05
Drug Testing in Adolescents Mar 05
Transition of Care Mar 05
An Adolescent with an Eating Disorder Mar 05
Reproductive Rights Sep 04
Performance-Enhancing Drugs in Sports Jul 04
Limits of Youth Sports Training Jul 04
Medicine for Malcolm Oct 03
Diagnosis: Inadequate Cross-Cultural Communication Jun 03
Gynecological Care for Adolescents May 03

Advance directives

Questions about an Advance Directive May 14
Turning Off an Implanted Life-Saving Device Feb 07

Ambiguous genitalia

Medical Team Responses to a Newborn with Ambiguous Genitalia Aug 10
Partial Androgen Insensitivity Syndrome Nov 05

Autism

Conflicts in Family-Centered Pediatric Care for Patients with Autism Apr 15
Autonomy and Autism: Who Speaks for the Adolescent Patient? Apr 15
Communicating Concern about Early Signs of Autism to Parents Apr 15

Boundaries

Balancing Practice Policies with Patient Needs May 15
Does Helping a Patient Find a Job Violate Professional Boundaries? May 15
A Friend’s Request for Treatment May 15

Clinical research

Conducting Clinical Research during Disasters Sep 10
Ethics of Cutting-Edge Device Research Feb 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Prescribing Placebos Jun 06
Evidence-Based Medicine and Clinical Expertise Feb 06
Hoping for the Best, Preparing for the Worst Aug 05
Heads or Tails: Randomized Placebo-Controlled Trials Nov 04
Clinician and Researcher Jul 03

Complementary and Alternative Medicine

Responding to Patients’ Requests for Nontraditional or Unproven Treatments Nov 13
When Patients Choose CAM over EBM—How to Negotiate Treatment Jun 11
"CAM" Education in Medical Schools--A Critical Opportunity Missed Jun 11
Herbal Supplements as Placebos Jun 11

Confidentiality

Teen Pregnancy and Confidentiality Nov 14
Is Parental Smoking Neglect of an Asthmatic Child? Apr 14
Pedophilia: Is There a Duty to Report? Oct 13
Repeating an Attending Physician's Unseemly Remarks Sep 12
Confidential Mental Health Treatment for Adolescents Sep 12
The Student Becomes the Patient Sep 12
Special Protections for Mental Health Treatment Notes Jun 12
A University Physician's Duty to Nonpatient Students May 12
Protecting the Confidentiality of Sexually Active Adolescents Feb 12
Patient Privacy and Mental Health Care in the Rural Setting May 11
Use of Electronic Patient Data in Research Mar 11
Gay Adolescents and Confidentiality Aug 10
Duty to Warn and Dissociative Identity Disorder Mar 08
Media Attention to End-of-Life Cases Dec 05
Too Much Information? Oct 05
Universal Precautions Oct 05
The Wayward Husband Oct 05
The "Slip" Sep 05
When Depression Affects Treatment Decisions Jun 05
Physicians' Dual Loyalties Jun 05
An Adolescent with an Eating Disorder Mar 05
Reproductive Rights Sep 04
Performance-Enhancing Drugs in Sports Jul 04
Asking Patients about Intimate Partner Abuse Nov 03
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Confidentiality of Patient Records Requested by the Court Oct 03
Just Don't Tell My Husband May 03
Gynecological Care for Adolescents May 03

Conflict of interest

Balancing Practice Policies with Patient Needs May 15
A Friend’s Request for Treatment May 15
What Is the Physician’s Responsibility to a Patient’s Family Caregiver? May 14
Drug Samples: Why Not? Apr 14
Are IVF Risk-Sharing Programs Ethical? Jan 14
Physician-Rating Websites Nov 13
Primary Care Practice Response to Retail Clinics Nov 13
Speculating on a Public Figure’s Mental Health Oct 13
The Physician as Hospital Employee Feb 13
The Treating Psychiatrist and Worker’s Compensation Reporting Oct 13
Profiling Patients to Identify Prospective Donors Feb 13
Authority, Health Advocacy Organizations, and Scientific Evidence Jan 13
Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
Genetic Profiling of Medical Students Aug 12
When the Evidence Isn't There—Seeking Informed Consent for New Procedures Jan 11
Contact Lens Prescribing and Dispending by Ophthalmologists Dec 10
An Argument for Patient Autonomy in Elective Surgery May 10
The "Mommy Makeover" Package May 10
New Devices and Truly Informed Consent Feb 10
Technical Skill and Informed Consent Feb 10
When Patient and Physician Disagree on Patient’s “Best Interest” Mar 09
Patient Requests for a Male or Female Physician Jul 08
Gender Stereotypes in Pain Diagnosis Jul 08
Sex Discrimination in Selection for Residency July 08
Do Secret Shoppers Have a Place in Medicine? May 08
Duty to Warn and Dissociative Identity Disorder Mar 08
Physicians' Duties in Treating Wartime Detainees Oct 07
Maintaining Medical Neutrality in Conflict Zones Oct 07
Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
Ethics of Cutting-Edge Device Research Feb 07
Risks and Benefits of the New Medical Imaging Enterprise Feb 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Dermatology Lab Referrals: Cash Cow or Ethical Trap? Aug 06
Can Healers Have Private Lives? Jul 06
The Wayward Husband Oct 05
Physicians' Dual Loyalties Jun 05
Doctor and Friend Jun 05
Who Is That? Expanding the Clinical Encounter Nov 04
Heads or Tails: Randomized Placebo-Controlled Trials Nov 04
Reproductive Rights Sep 04
Duty to Treat versus Personal Safety May 04
HMO-Dictated Patient Discharge Mar 04
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Clinician and Researcher Jul 03
Drug Company Sponsorship of Clinical Conferences Jul 03
Organ Donation: When Consent Confronts Refusal Feb 03

Conscience

Positive Claims of Conscience and Objections to Immigration Law Mar 13
Invoking Shared Beliefs in End-of-Life Decision Making Mar 13
Medical School Accommodations for Religious and Cultural Practices Mar 13

Contraception

The Question of Uterine Isolation in Catholic Health Care Ethics May 07
Prescribing a Teratogenic Medication Aug 06
Reproductive Rights Sep 04
Paternalism Feb 04

Contract with society

Allocation of Drugs in Short Supply Aug 13
Ethical Concierge Medicine? Jul 13
Is Understaffing a Unit a Form of Rationing Care? Nov 12
Family Physicians' Role in Discussing Organ Donation with Patients and the Public Mar 12
Balancing Practice Economics with Patient Need Aug 11
Patient Advocacy for Beginners Aug 11
Enforcing Patient Copays Aug 11
Setting the Agenda for Community-Based Participatory Research Feb 11
With So Much Need, Where Do I Serve? Jun 06
Physicians’ Duty to Be Aware of and Report Environmental Toxins Jun 06
Lead Paint Dangers and Physician Advocacy Dec 05
Rationing of Intensive Home DialysisApr 04
Peer Reporting of Suspected Physician Misconduct Apr 04
Physician Service to the Underserved Apr 04
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
"Concierge" Practice and the Profession's Contract with Society Nov 03

Cost of care

Is the Standard of Care Always Worth the Cost? Feb 13
The Physician as Hospital Employee Feb 13
Surgery for Placebo Effect? Nov 12
Balancing Practice Economics with Patient Need Aug 11
Enforcing Patient Copays Aug 11
Cost Effectiveness in Clinical Screening Apr 11
Rationing Treatments Based on Their Cost per QALY Apr 11
Prohibitive Cost of HIV/AIDS Therapy in the United States Jul 09
Securing Diagnostic Services within System Constraints May 08
Accessing Demand for Wheelchair Use Feb 08
Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
Correctional Mental Health Feb 08
Managing Chronic Conditions in Uninsured Patients Nov 06
Hidden Costs of Free Samples Jun 06
Patient-Requested, Non-Recommended Screening Jan 06
The Pitfalls of Drug Company Sample Use Mar 06
To Scan or Not To Scan? Mar 06
"Can We Just Drop the Copay?" Mar 06
When Diagnosis Becomes Unaffordable Jul 05
Is Greenacres (Skilled Nursing Facility) the Place to Be? Jul 05
Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
HMO-Dictated Patient Discharge Mar 04
"Concierge" Practice and the Profession's Contract with Society Nov 03

Cultural competence

Mention of a Patient’s “Race” in Clinical Presentation Jun 14
The Prejudiced Patient Jun 14
Language Barriers in the Emergency Room Apr 12
Fibromyalgia Confounds Allopathic Habits of Mind Apr 12
"Don't You Have Any American Doctors?": International Medical Graduates and Patient Prejudice Apr 12
Mutually Beneficial Global Health Electives Jun 06
Western Medicine's Diagnostic Labels Are Not Universal Aug 07
Susto: Acknowledging Patients' Beliefs about Illness Aug 07
Who Decides, Patient or Family? Aug 07
Relief Organizations with Counseling Restrictions Dec 06
Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
The Desperate Parent and the Lure of Experimental Treatment Oct 06
Obesity in Kids: When Appeals to Vanity Fail Oct 06
Physician Values and Clinical Decision Making May 06
Ethics Expertise and Cultural Competence Feb 06
Ethics Consultation and Clinical Expertise Feb 06
The Evangelizing Patient May 05
Patau Syndrome and Perinatal Decision Making May 05
End of Life and Sanctity of Life May 05
Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03
Diagnosis: Inadequate Cross-Cultural Communication Jun 03
Cultural Differences at the End of Life Jun 03

Decision-making capacity

Physician Paternalism and Severe Disability: Strengthening Autonomy through Therapeutic Engagement Jun 15
Can a Minor Refuse Assent for Emergency Care? Oct 12
Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
When Patients Seem Overly Optimistic Jul 12
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
A Mother and Infant with No Home Jan 09
Shared Decision Making: Physicians’ Duties to Patients and Other Physicians Dec 08
When Home Care Is Not Enough June 08
Family-Centered Decision Making June 08
Decision Making in a Case of Personality Change Mar 08
Correctional Mental Health Feb 08
Who Decides, Patient or Family? Aug 07
The Hard Case of Palliative Sedation May 07
Turning Off an Implanted Life-Saving Device Feb 07
Disagreement over Resuscitation May 06
Helping the Patient Achieve Quality-of-Life Goals Feb 05
When the Physician's Medical Judgment is Rejected Feb 04
Psychiatrist's Role in Involuntary Hospitalization Oct 03

Defensive medicine

Cardiac Catheterization and Defensive Medicine Oct 10

Dermatology

Dermatology Lab Referrals: Cash Cow or Ethical Trap? Aug 06
Dispensing Cosmeceuticals from the Office Aug 06
Prescribing a Teratogenic Medication Aug 06
The Unnoticed Mole Oct 04

Diagnosis

Communicating Concern about Early Signs of Autism to Parents Apr 15
Genetic Testing: Clinical and Personal Utility Aug 12
Treating Bereavement Jun 12
When Diagnosis is a Double-Edged Sword Dec 11
A Virtue Ethics Approach to Framing Troublesome Diagnoses Dec 11
Assessing Senior Patients’ Ability to Drive Safely June 08
Outsourcing: A Limited View of Radiology’s Role Nov 07
Disclosure and the Retrospectoscope Nov 07
Suspected Child Abuse Nov 07

Disparities

A Request for “Conversion Therapy” Nov 14
Mention of a Patient’s “Race” in Clinical Presentations Jun 14
Risks and Benefits of the New Medical Imaging Enterprise Feb 07
Managing Chronic Conditions in Uninsured Patients Nov 06
Clinical Awareness of Occupation-Related Toxic Exposure Nov 06
Physician Service to the Underserved Apr 04

Drug company relations

Drug Samples: Why Not? Apr 14
Hidden Costs of Free Samples Jun 06
The Gift-Giving Influence Jun 06
The Pitfalls of Drug Company Sample Use Mar 06
Finding the (Right) Time Aug 05
Who Is That? Expanding the Clinical Encounter Nov 04
Drug Company Sponsorship of Clinical Conferences Jul 03

Duty to inform

New Devices and Truly Informed Consent Feb 10
Technical Skill and Informed Consent Feb 10
A Surgeon with HIV Dec 09
Informing Adolescents of Perinatally Contracted HIV Dec 09
Duty to Warn At-Risk Family Members of Genetic Disease Sep 09
Is There a Duty to Inform Patients of Phase I Trials? Mar 09
Weighing the Duty to Inform a Patient of Possible Future Illness Sep 08
Medical Culture and Error Disclosure May 08
Physician's Accountability for System Failure May 08
Ethics of Cutting-Edge Device Research Feb 07
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03

Duty to report

Pedophilia: Is There a Duty to Report? Oct 13
Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
What To Do when It Might Be Child Abuse Feb 09
Giving Medical Testimony in a Patient’s Behalf Sep 08
Physician's Accountability for System Failure May 08
Duty to Warn and Dissociative Identity Disorder Mar 08
Communicable Disease and Immigration Fears Dec 07
Suspected Child Abuse Nov 07
Performance-Enhancing Drugs in Sports Jul 04
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Peer Reporting of Suspected Physician Misconduct Apr 04
Obesity as Medical Neglect: Should Doctors Report? Aug 03

Duty to treat

Resource Allocation Shake-Up Jun 10
With So Much Need, Where Do I Serve? Mar 10
Hospital Resources: A Practical Treatment Plan for Homeless Patients Jan 09
Outpatient Commitment: A Treatment Tool for the Mentally Ill? Jan 09
Resources and Responsibility Jan 09
Shared Decision Making: Physicians’ Duties to Patients and Other Physicians Dec 08
Securing Diagnostic Services within System Constraints May 08
Transplant Tourism: Treating Patients when They Return to the U.S. May 08
Miracle Surgery for Foreign Patients Apr 08
Nonemergency Medical Care for Illegal Immigrants in Texas Apr 08
Psychosomatic Elaboration of Distress Mar 08
Disagreement over Resuscitation May 06
Should I Stay or Should I Go? The Physician in Time of Crisis Apr 06
Duty to Treat versus Personal Safety May 04
Reproductive Rights Sep 04
Caring for the Poor -- What Can One Doctor Do? Sep 04
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
Physician Service to the Underserved Apr 04
"Concierge" Practice and the Profession's Contract with Society Nov 03
Does Patient Autonomy Outweigh Duty to Treat? Feb 03

Emergency medicine

Can a Minor Refuse Assent for Emergency Care? Oct 12
Make It OK That This Life Is Ending Jun 10
Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
Resource Allocation Shake-Up Jun 10
Diagnostic Testing for Diseases in the News Mar 07
An ER Decision To Withhold CPR Mar 07
Pediatric Primary Care in the ER: Is It Better than Waiting for an Appointment? Nov 06
"I'm Sorry but You Can't Leave": Patients, Physicians, and Quarantine Apr 06
A Fever of Unknown Source Dec 04
Duty to Treat versus Personal Safety May 04
Disaster Triage May 04
Performing Procedures on the Newly Deceased Mar 03
Organ Donation: When Consent Confronts Refusal Feb 03
Does Patient Autonomy Outweigh Duty to Treat? Feb 03

Endocrinology

Sex Selection for Nonmedical Reasons Jun 07
Treating Short Stature with Growth Hormone Nov 05
Controlling Diabetes Nov 05
Partial Androgen Insensitivity Syndrome Nov 05
Optional Treatments and Quality of Life Feb 05

End-of-life care

Questions about an Advance Directive May 14
Integrating Palliative Care with Disease-Modifying TherapyDec 13
When Physicians and Surrogates Disagree about FutilityDec 13
Medical Students and Dying PatientsDec 13
End-of-Life Decisions and Off-Label Drug UseAug 13
Invoking Shared Beliefs in End-of-Life Decision Making Mar 13
Why Not a Slow Code? Oct 12
Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
When Patients Seem Overly Optimistic Jul 12
The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
Make It OK That This Life Is Ending Jun 10
Dilemmas in End-of-Life Decision Making for the Medical Tourist Patient Aug 09
Planning End-of-Life Conversations: Hospitalist and Primary Care Physician Roles Dec 08
Who Decides, Patient or Family? Aug 07
The Hard Case of Palliative Sedation May 07
An ER Decision To Withhold CPR Mar 07
Turning Off an Implanted Life-Saving Device Feb 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Discussing Code Status with Patients and Their Families Sep 06
Communication Failure in the ICU Sep 06
When Doctors Disagree Sep 06
Media Attention to End-of-Life Cases Dec 05
End of Life and Sanctity of Life May 05
Clinical Trials and End-of-Life Decision Making Nov 04
Palliative Surgery Oct 04
Physicians' Role in Physician-Assisted Suicide Discussions Aug 04
Cultural Differences at the End of Life Jun 03
Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Epidemics

A Call to Service: Social Justice Is a Public Health Issue Sep 14
Autonomy and Public Health: When the Patient Is a Physician Apr 06
Should I Stay or Should I Go? The Physician in Time of Crisis Apr 06
Duty to Treat versus Personal Safety May 04
Request for Unnecessary Prophylaxis May 04

Evidence-based medicine

Applying Guidelines to Individual Patients: Deep Brain Stimulation for Early-Stage Parkinson Disease Jan 15
The Professional Responsibility Model and Patient Requests for Nonindicated Early Delivery Oct 14
Is More Screening Always Better? Feb 14
Responding to Patients’ Requests for Nontraditional or Unproven Treatments Nov 13
End-of-Life Decisions and Off-Label Drug UseAug 13
Is the Standard of Care Always Worth the Cost? Feb 13
Communicating Evidence in Shared Decision Making Jan 13
Authority, Health Advocacy Organizations, and Scientific Evidence Jan 13
Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
When the Evidence Isn't There—Seeking Informed Consent for New Procedures Jan 11
Stigmatized Patients' Right to Equal Treatment May 06
Evidence-Based Medicine and Clinical Expertise Feb 06
Informed Refusal Jan 06
Patient-Requested, Non-Recommended Screening Jan 06
Optional Treatments and Quality of Life Feb 05
A Fever of Unknown Source Dec 04
Confusion over Cholesterol Testing Dec 04
Preoperative Screening: Medical or Legal Guidelines? Dec 04
Limits of Youth Sports Training Jul 04
Unnecessary Tests and Ethics of Quality of Care Jun 04
HMO-Dictated Patient Discharge Mar 04
Drug Company Sponsorship of Clinical Conferences Jul 03

Expertise

Rural Primary Care—Working Outside the Comfort Zone May 11
Western Medicine's Diagnostic Labels Are Not Universal Aug 07
Susto: Acknowledging Patients' Beliefs about Illness Aug 07
Who Decides, Patient or Family? Aug 07
Is Artificial Nutrition and Hydration Extraordinary Care? May 07
Hospital Reputation and Individual Patient Decisions Mar 07
An ER Decision To Withhold CPR Mar 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Putting It All Together--the Art and Science of Medicine Jul 06
Managing Chronic Conditions in Uninsured Patients Nov 06
Disagreement over Resuscitation May 06
To Scan or Not To Scan? Mar 06
Evidence-Based Medicine and Clinical Expertise Feb 06
Ethics Consultation and Clinical Expertise Feb 06
Ethics Expertise and Cultural Competence Feb 06
Patient-Requested, Non-Recommended Screening Jan 06
Partial Androgen Insensitivity Syndrome Nov 05
Board Certification as Prerequisite for Hospital Staff Privileges Apr 05
Finding the Balance in Shared Decision Making Feb 04
When the Physician's Medical Judgment is Rejected Feb 04

Faith

Invoking Shared Beliefs in End-of-Life Decision Making Mar 13
When Patients Say, “It’s in God’s Hands.” Oct 09
Can Physicians’ Contractual Obligations Limit Their Professional Obligations? Oct 09
The Patient Who Says He Is Ready to Die Oct 09
The Question of Uterine Isolation in Catholic Health Care Ethics May 07
Is Artificial Nutrition and Hydration Extraordinary Care? May 07
The Hard Case of Palliative Sedation May 07
The Desperate Parent and the Lure of Experimental Treatment Oct 06
Prescribing a Teratogenic Medication Aug 06
Physician Values and Clinical Decision Making May 06
Patau Syndrome and Perinatal Decision Making May 05
End of Life and Sanctity of Life May 05
Patient Counseling and Matters of Conscience May 05
The Evangelizing Patient May 05
Reproductive Rights Sep 04
Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03
Spare the Rod and Save the Child Aug 03
Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03
Balancing Parental Wishes with Medical Judgment Jan 03

Family medicine

What Is the Physician’s Responsibility to a Patient’s Family Caregiver? May 14
Is Parental Smoking Neglect of an Asthmatic Child? Apr 14
Minors' Right to Know and Therapeutic Privilege Aug 13
Confidential Mental Health Treatment for Adolescents Sep 12
Does Pediatric Obesity Indicate Child Neglect? Apr 10
When Home Care Is Not Enough June 08
Family-Centered Decision Making June 08
Discussing Code Status with Patients and Their Families Sep 06
Prescribing Placebos Jun 06
Patient-Initiated Request for Donation Information Sep 05
How Good Is Good Enough? Jul 05
Doctor and Friend Jun 05
When Depression Affects Treatment Decisions Jun 05
Physicians' Dual Loyalties Jun 05
Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
Request for Unnecessary Prophylaxis May 04
Asking Patients about Intimate Partner Abuse Nov 03
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Spare the Rod and Save the Child Aug 03

Genetics

Incorporating Genetic Testing Ancestry Results into Medical Decisions Jun 14
Genetic Testing: Clinical and Personal Utility Aug 12
Informed Consent for Biobank-Dependent Research Aug 12
Genetic Profiling of Medical Students Aug 12
Duty to Warn At-Risk Family Members of Genetic Disease Sep 09
Presymptomatic Testing of Children for Huntington’s Disease Sep 09
Evaluating Requests for Preimplantation Genetic Diagnosis Sep 09
Assisted Reproduction and Primum Non Nocere Sep 07
Sex Selection for Nonmedical Reasons Jun 07
Testing Minors for Breast Cancer Jan 07
Breast Cancer Screening Jan 06
Presymptomatic Genetic Testing for ALS Jan 06
Partial Androgen Insensitivity Syndrome Nov 05

Geriatrics

What Is the Physician’s Responsibility to a Patient’s Family Caregiver? May 14
Should Age Be a Basis for Rationing Health Care? May 14
Questions about an Advance Directive May 14

Goals of medicine

Assisted Reproduction for Postmenopausal Women Jan 14
Treating Bereavement Jun 12
The "Mommy Makeover" Package May 09
An Argument for Patient Autonomy in Elective Surgery May 09
Mainstream Medicine Meets the Medi-Spa May 09
Balancing Health Promotion and Healing Nov 08
Assisted Reproduction and Primum Non Nocere Sep 07
Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
Treating Short Stature with Growth Hormone Nov 05
Drugs for the Shy? Oct 03

HIV

A Surgeon with HIV Dec 09
Informing Adolescents of Perinatally Contracted HIV Dec 09
The Challenge of Treating Patients with Multiple Diagnoses Dec 09

Human rights

Mutually Beneficial Global Health Electives Mar 10
Treating and Repatriating: An Unacceptable Policy Jul 09
Accessing Demand for Wheelchair Use Feb 08
Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
Correctional Mental Health Feb 08
Ethics of Cutting-Edge Device Research Feb 07
Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
Reproductive Rights Sep 04
Caring for the Poor -- What Can One Doctor Do? Sep 04

Incentives

Are IVF Risk-Sharing Programs Ethical? Jan 14
How Do We Reward the Kind of Care We Want? Jul 13
Pay for Performance: What We Measure Matters Jul 13
Practice Incentives and Professional Responsibility Nov 08
Avoiding Disincentives to Treat in Designing Pay-for-Performance Measures Jul 07

Informed consent

Withholding Information from an Anxiety-Prone Patient? Mar 15
Communicating Evidence in Shared Decision Making Jan 13
Why Not a Slow Code? Oct 12
Can a Minor Refuse Assent for Emergency Care? Oct 12
Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
Informed Consent for Biobank-Dependent Research Aug 12
When the Evidence Isn't There—Seeking Informed Consent for New Procedures Jan 11
Should a Gay Physician in a Small Community Disclose His Sexual Orientation? Aug 10
Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
New Devices and Truly Informed Consent Feb 10
Technical Skill and Informed Consent Feb 10
Informed Consent: When and Why Aug 08
Informed Refusal in the Emergency Department…Is It Really Informed? Aug 08
Decision Making in a Case of Personality Change Mar 08
Correctional Mental Health Feb 08
Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
Who Decides, Patient or Family? Aug 07
Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
Hospital Reputation and Individual Patient Decisions Mar 07
Ethics of Cutting-Edge Device Research Feb 07
Testing Minors for Breast Cancer Jan 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Prescribing Placebos Jun 06
Changing the Rules in Times of Crisis: Do Desperate Times Allow Desperate Measures? Apr 06
Breast Cancer Screening Jan 06
Informed Refusal Jan 06
Partial Androgen Insensitivity Syndrome Nov 05
Family Disagreement over Organ Donation Sep 05
Doctor and Friend Jun 05
Helping the Patient Achieve Quality-of-Life Goals Feb 05
Who Is That? Expanding the Clinical Encounter Nov 04
The Unnoticed Mole Oct 04
Palliative Surgery Oct 04
Is Chronic Pain Treatment the Neurologist's Job? Aug 04
When the Physician's Medical Judgment is Rejected Feb 04
Performing Procedures on the Newly Deceased Mar 03

Medical education

Professionalism and Appropriate Expression of Empathy When Breaking Bad News Feb 15
Medical Students and Rights Campaigns Sep 14
Fostering Student Engagement in Medical Humanities Courses Aug 14
A Night at the Museum—Helping Residents “See” Their Patients Aug 14
Do Future Bench Researchers Need Humanities Courses in Medical School? Aug 14
Mention of a Patient’s “Race” in Clinical Presentations Jun 14
Pimping: Report or Do Nothing? Mar 14
Professionalism versus Antiharassment in Student Evaluation Mar 14
Advising the "Gunner": The Student with Noncognitive Learning Difficulties Mar 14
Medical Students and Dying PatientsDec 13
Mentoring Students about Career and Life Sep 13
Approaching Interprofessional Education in Medical School Jun 13
Medical School Accommodations for Religious and Cultural Practices Mar 13
National Resident Matching Program Violations Dec 12
Personality Testing in Resident Selection Dec 12
Legacy Admissions in Medical School Dec 12
Repeating an Attending Physician's Unseemly Remarks Sep 12
The Student Becomes the Patient Sep 12
Genetic Profiling of Medical Students Aug 12
Can a Pass/Fail Grading System Adequately Reflect Student Progress? Nov 09
Should Applicants' Ethnicity Be Considered in Medical School Admissions? Nov 09
Should Medical Education Fight International Brain Drain? Jul 09
Avoiding the Appearance of Faculty Favoritism Apr 09
When Bad Things Happen in the Learning Environment Feb 09
How Much Information Is Enough? Aug 08
Recruiting Residents from Abroad Apr 08
Recruiting for Military Scholarship Programs on Medical School Campuses Oct 07
Self-Interest versus Friendship in Medical School Apr 07
The Many Functions of Clinical Rounds Apr 07
Medical Student in the Middle: How Much Can Students Tell Patients? Jan 07
Pragmatic Principles of Pharmaceutical Donation Dec 06
Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
Putting It All Together--the Art and Science of Medicine Jul 06
Prescribing Placebos Jun 06
Evidence-Based Medicine and Clinical Expertise Feb 06
Ethics Consultation and Clinical Expertise Feb 06
Patient-Initiated Request for Donation Information Sep 05
Responding to Insensitive Remarks about a Patient Aug 05
Giving Honest Feedback Aug 05
Drinks During Lunch Apr 05
Resident Work Hour Restrictions Apr 05
A Case of Student Cheating Apr 05
The Reluctant Resident Oct 04
When Resident Duty Hours and Patient Care Collide Jun 04
Disaster Triage May 04
Problem Peers Mar 04
Offensive Music in the OR Dec 03
Is There More to Medical School than Grades? Dec 03
See One, Do One, Teach One: Competence versus Confidence in Performing Procedures Dec 03
Student Role in Discussion of Diagnosis with Patients Dec 03

Medical errors

Medical Culture and Error Disclosure May 08
Physician's Accountability for System Failure May 08
Disclosing Error to a Patient Aug 05
Resident Work Hour Restrictions Apr 05
Problem Peers Mar 04
Disagreement over Error Disclosure Mar 04

Medicine and the media

Low-Tech Solution to a High-Tech Problem Mar 09
Diagnostic Testing for Diseases in the News Mar 07
Hospital Reputation and Individual Patient Decisions Mar 07
An ER Decision To Withhold CPR Mar 07
Media Attention to End-of-Life Cases Dec 05
Request for Unnecessary Prophylaxis May 04

Military medical ethics

Recruiting for Military Scholarship Programs on Medical School Campuses Oct 07
Physicians' Duties in Treating Wartime Detainees Oct 07
Maintaining Medical Neutrality in Conflict Zones Oct 07

Neonatology

Why Not a Slow Code? Oct 12
“Please Let Me Hear My Son Cry Once” Jul 10
Reframing Neutral Counseling Oct 08
Can Rule-Based Ethics Help in the NICU? Oct 08
Physician and Parental Decision Making in Newborn Resuscitation Oct 08
Partial Androgen Insensitivity Syndrome Nov 05
Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03
Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03

Neurology

Applying Guidelines to Individual Patients: Deep Brain Stimulation for Early-Stage Parkinson Disease Jan 15
When Diagnosis is a Double-Edged Sword Dec 11
Can Parents of a Child with Autism Refuse Treatment for Him? Nov 10
"Doc, I Need a Smart Pill"—Requests for Neurologic Enhancement Nov 10
The Ethics of Diagnosing Nonepileptic Seizures with Placebo Infusion Nov 10
Correctional Mental Health Feb 08
The Hard Case of Palliative Sedation May 07
Presymptomatic Genetic Testing for ALS Jan 06
Quality of Life and Prenatal Decisions Feb 05
Physicians' Role in Physician-Assisted Suicide Discussions Aug 04
Helping Surrogate Decision Makers in the Face of Uncertainty Aug 04
Is Chronic Pain Treatment the Neurologist's Job? Aug 04
Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Obesity

Lifestyle is Medicine Apr 13
Meeting Patients Where They Are Apr 13
Hospital Cafeteria Food: The Meat and the Message Apr 13
Pediatric Obesity, Statin Use, and the Goals of Medicine Oct 10
Weight-Based Stigma and Physician Bias Apr 10
Does Pediatric Obesity Indicate Child Neglect? Apr 10
Weight-Related Denial of Insurance for an Infant Apr 10
Prophylactic Bariatric Surgery Feb 10
Obesity in Kids: When Appeals to Vanity Fail Oct 06
Stigmatized Patients' Right to Equal Treatment May 06
Limits of Youth Sports Training Jul 04
Obesity as Medical Neglect: Should Doctors Report? Aug 03

Obstetrics and gynecology

Teen Pregnancy and Confidentiality Nov 14
Informing Patients about Declining Fertility Oct 14
The Professional Responsibility Model and Patient Requests for Nonindicated Early Delivery Oct 14
Sex Selection for Family Balancing Oct 14
Assisted Reproduction for Postmenopausal Women Jan 14
Physician Responsibility When a Surrogate Mother Breaks her Contract Jan 14
Are IVF Risk-Sharing Programs Ethical? Jan 14
Shared Decision Making about IVF for Savior Siblings Jan 14
Weighing Risks and Benefits of Prescribing Antidepressants during Pregnancy Sep 13
Induced Lactation for the Nongestating Mother in a Lesbian Couple Sep 13
Directive Counseling about Becoming Pregnant Feb 12
Protecting the Confidentiality of Sexually Active Adolescents Feb 12
Sex Selection for Nonhealth-Related Reasons Feb 12
The HPV Vaccine and Parental Consent Jan 12
The "Mommy Makeover" Package May 09
Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
Assisted Reproduction and Primum Non Nocere Sep 07
Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
Sex Selection for Nonmedical Reasons Jun 07
Self-Interest versus Friendship in Medical School Apr 07
Patau Syndrome and Perinatal Decision Making May 05
Optional Treatments and Quality of Life Feb 05
Who Is That? Expanding the Clinical Encounter Nov 04
Reproductive Rights Sep 04
Mandated Ultrasound Prior to Abortion Apr 14
Paternalism Feb 04
Campaign Posters in the Clinic Jan 04
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Managed Care and Physician Burnout Sep 03
Gynecological Care for Adolescents May 03
Responding to a Request for Early Delivery May 03

Organ donation and transplantation

Assessing the Motives of Living, Non-Related Donors Mar 12
Should a Nonadherent Adolescent Receive a Second Kidney? Mar 12
Family Physicians' Role in Discussing Organ Donation with Patients and the Public Mar 12
Transplant Tourism: Treating Patients when They Return to the U.S. May 08
Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
The "Slip" Sep 05
Family Disagreement over Organ Donation Sep 05
Patient-Initiated Request for Donation Information Sep 05
An Impaired Physician's Physician Sep 03
Organ Donation: When Consent Confronts Refusal Feb 03

Pain management

Opioids for Nonmalignant Chronic Pain Mar 15
Common Misconceptions about Opioid Use for Pain Management at the End of Life May 13
Drug Seeking or Pain Crisis? Responsible Prescribing of Opioids in the Emergency Department May 13
Use of Narcotics Contracts May 13
Why Must Pain Patients Be Found Deserving of Treatment? Jan 08
The Hard Case of Palliative Sedation May 07
Myths and Misconceptions about Palliative Sedation Sep 06
Clinical Trials and End-of-Life Decision Making Nov 04
Is Chronic Pain Treatment the Neurologist's Job? Aug 04

Paternalism

Physician Paternalism and Severe Disability: Strengthening Autonomy through Therapeutic Engagement Jun 15
Why Not a Slow Code? Oct 12
Can a Minor Refuse Assent for Emergency Care? Oct 12
When Patients Seem Overly Optimistic Jul 12
The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
Assessing the Motives of Living, Non-Related Donors Mar 12
Informed Refusal Jan 06
Reproductive Rights Sep 04
Unnecessary Tests and Ethics of Quality of Care Jun 04
Paternalism Feb 04

Patient autonomy

Physician Paternalism and Severe Disability: Strengthening Autonomy through Therapeutic Engagement Jun 15
Assisted Reproduction for Postmenopausal Women Jan 14
Shared Decision Making about IVF for Savior Siblings Jan 14
Civil Commitment for Substance Abuse Oct 13
Weighing Risks and Benefits of Prescribing Antidepressants during Pregnancy Sep 13
Genetic Profiling of Medical Students Aug 12
Treating Children Whose Parents Refuse to Have Them Vaccinated Jan 12
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
An Argument for Patient Autonomy in Elective Surgery May 10
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
Deciding for Others: Limitations of Advance Directives, Substituted Judgment, and Best Interest Aug 09
Dilemmas in End-of-Life Decision Making for the Medical Tourist Patient Aug 09
Communicating Risk of Infertility to Adolescents Prior to Chemotherapy Aug 09
Educating Patients as Medicine Goes Green Jun 09
Patient Autonomy and Physician Responsibility Aug 09
The Patient Who Says He Is Ready to Die Oct 09
Educating Patients as Medicine Goes Green Jun 09
Gender Stereotypes in Pain Diagnosis Jul 08
Patient Requests for a Male or Female Physician Jul 08
Decision Making in a Case of Personality Change Mar 08
Correctional Mental Health Feb 08
Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
Who Decides, Patient or Family? Aug 07
Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
Turning Off an Implanted Life-Saving Device Feb 07
Guiding Patients toward Prudent Use of Technologies Feb 07
Autonomy and Public Health: When the Patient Is a Physician Apr 06
Patient-Requested, Non-Recommended Screening Jan 06
Informed Refusal Jan 06
When Diagnosis Becomes Unaffordable Jul 05
When Depression Affects Treatment Decisions Jun 05
Reproductive Rights Sep 04
Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
Unnecessary Tests and Ethics of Quality of Care Jun 04
Request for Unnecessary Prophylaxis May 04
When the Physician's Medical Judgment Is Rejected Feb 04
Drugs for the Shy? Oct 03
Psychiatrist's Role in Involuntary Hospitalization Oct 03
Responding to a Request for Early Delivery May 03
Does Patient Autonomy Outweigh Duty to Treat? Feb 03

Patient-Physician Relationship

Balancing Practice Policies with Patient Needs May 15
Does Helping a Patient Find a Job Violate Professional Boundaries? May 15
A Friend’s Request for Treatment May 15
Withholding Information from an Anxiety-Prone Patient? Mar 15
Professionalism and Appropriate Expression of Empathy When Breaking Bad News Feb 15
Risk Perception, Bias, and the Role of the Patient-Doctor Relationship in Decision Making about Cerebral Aneurysm Surgery Jan 15
Teleradiology: The Importance of Communication Dec 14
Interviewing a Patient about Intimate Partner Violence Nov 14
Informing Patients about Declining Fertility Oct 14
The Prejudiced Patient Jun 14
Physician Responsibility When a Surrogate Mother Breaks her Contract Jan 14
Physician-Rating Websites Nov 13
Meeting Patients Where They Are Apr 13
Requests for Care from Family Members May 12
Responsibility for Patients after the Handoff May May 12
A University Physician's Duty to Nonpatient Students May 12
Writing an Excuse or Educating the Patient Jan 12
Is Physician Self-Disclosure Ever Appropriate? Dec 11
Political Discussions in the Exam Room Nov 11
The Overlapping Roles of the Rural Doctor May 11
The Patient-Physician Relationship in Quarantine Sep 10
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
Weight-Based Stigma and Physician Bias Apr 10
Establishing Common Ground in a One-Time Patient Encounter Mar 09
Low-Tech Solution to a High-Tech Problem Mar 09
When Patient and Physician Disagree on Patient’s “Best Interest” Mar 09
Physician and Parental Decision Making in Newborn Resuscitation Oct 08
When the Patient-Physician Relationship Is Broken Sep 08
How Much Information Is Enough? Aug 08
Informed Consent: When and Why Aug 08
Informed Refusal in the Emergency Department…Is It Really Informed? Aug 08
When Home Care Is Not Enough Jun 08
Family-Centered Decision Making Jun 08
Securing Diagnostic Services within System Constraints May 08
Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
Guiding Patients toward Prudent Use of Technologies Feb 07
Competing for the Physician's Attention after Hours Jul 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Can There Be Healing without Trust? Jul 06
Putting It All Together--the Art and Science of Medicine Jul 06
Prescribing Placebos Jun 06
Physician Values and Clinical Decision Making May 06
Disagreement over Resuscitation May 06
"Can We Just Drop the Copay?" Mar 06
Informed Refusal Jan 06
Controlling Diabetes Nov 05
Responding to Insensitive Remarks about a Patient Aug 05
Physicians' Dual Loyalties Jun 05
Doctor and Friend Jun 05
The Evangelizing Patient May 05
Drug Testing in Adolescents Mar 05
Reproductive Rights Sep 04
Performance-Enhancing Drugs in Sports Jul 04
Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
When Resident Duty Hours and Patient Care Collide Jun 04
Request for Unnecessary Prophylaxis May 04
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
Disagreement over Error Disclosure Mar 04
Paternalism Feb 04
When the Physician's Medical Judgment is Rejected Feb 04
Finding the Balance in Shared Decision Making Feb 04
Campaign Posters in the Clinic Jan 04
"Concierge" Practice and the Profession's Contract with Society Nov 03
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Psychiatrist's Role in Involuntary Hospitalization Oct 03
Gynecological Care for Adolescents May 03
Never Symptom-Free Apr 03

Patient safety

Safety and Ethical Considerations in Discharging Patients to Suboptimal Living Situations Jun 15
Responsibility for Patients after the Handoff May 12
After the Apology—Coping and Recovery After Errors Sep 11
Labeling an Adverse Drug Event "Preventable" Sep 11
The Problem with Hand-Offs Sep 11
A Mother and Infant with No Home Jan 09
Youth Violence: Effective Screening and Prevention Feb 09
Assessing Senior Patients’ Ability to Drive Safely Jun 08
Accessing Demand for Wheelchair Use Feb 08
Correctional Mental Health Feb 08
Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
Confusion over Cholesterol Testing Dec 04
HMO-Dictated Patient Discharge Mar 04
Disagreement over Error Disclosure Mar 04
When Resident Duty Hours and Patient Care Collide Jun 04
Physician Work Stoppages as Activism Jan 04

Pediatrics

Conflicts in Family-Centered Pediatric Care for Patients with Autism Apr 15
Communicating Concern about Early Signs of Autism to Parents Apr 15
A Request for “Conversion Therapy” Nov 14
Is Parental Smoking Neglect of an Asthmatic Child? Apr 14
Minors' Right to Know and Therapeutic PrivilegeAug 13
Why Not a Slow Code? Oct 12
Can a Minor Refuse Assent for Emergency Care? Oct 12
Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
Treating Children Whose Parents Refuse to Have Them Vaccinated Jan 12
When Diagnosis is a Double-Edged Sword Dec 11
Can Parents of a Child with Autism Refuse Treatment for Him? Nov 10
Pediatric Obesity, Statin Use, and the Goals of Medicine Oct 10
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
“Please Let Me Hear My Son Cry Once” Jul 10
An Overwhelmed Parent Jul 10
Does Pediatric Obesity Indicate Child Neglect? Apr 10
Weight-Related Denial of Insurance for an Infant Apr 10
Presymptomatic Testing of Children for Huntington’s Disease Sep 09
What To Do when It Might Be Child Abuse Feb 09
A Mother and Infant with No Home Jan 09
Susto: Acknowledging Patients' Beliefs about Illness Aug 07
Diagnostic Testing for Diseases in the News Mar 07
Testing Minors for Breast Cancer Jan 07
Pediatric Primary Care in the ER: Is It Better than Waiting for an Appointment? Nov 06
Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
The Desperate Parent and the Lure of Experimental Treatment Oct 06
Coping with a Child's Conduct Disorder Oct 06
Obesity in Kids: When Appeals to Vanity Fail Oct 06
Unnecessary Antibiotics Jun 06
Treating Short Stature with Growth Hormone Nov 05
Partial Androgen Insensitivity Syndrome Nov 05
Drug Testing in Adolescents Mar 05
Limits of Youth Sports Training Jul 04
A Fever of Unknown Source Dec 04
Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03
Spare the Rod and Save the Child Aug 03
Obesity as Medical Neglect: Should Doctors Report? Aug 03
Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03

Physician activism

Advocate as a Doctor or Advocate as a Citizen? Sep 14
A Call to Service: Social Justice Is a Public Health Issue Sep 14
Medical Students and Rights Campaigns Sep 14
Positive Claims of Conscience and Objections to Immigration Law Mar 13
Political Discussions in the Exam Room Nov 11
Physician Involvement with Politics—Obligation or Avocation? Nov 11
Physicians and Political Advocacy Oct 11
Patient Advocacy for Beginners Aug 11
Outer Ear Construction: Is Advocacy Part of Treatment? May 10
Weight-Related Denial of Insurance for an Infant Apr 10
Lead Paint Dangers and Physician Advocacy Dec 05
Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
Campaign Posters in the Clinic Jan 04
Physician Work Stoppages as Activism Jan 04
Physician Activism and Civil Disobedience Jan 04

Physician-assisted suicide

The Hard Case of Palliative Sedation May 07
Turning Off an Implanted Life-Saving Device Feb 07
Myths and Misconceptions about Palliative Sedation Sep 06
Physicians' Role in Physician-Assisted Suicide Discussions Aug 04

Physician burnout

Competing for the Physician's Attention after Hours Jul 07
Can Healers Have Private Lives? Jul 06
The Tale of Dr Wells: Competent and Irascible Sep 03
Managed Care and Physician Burnout Sep 03

Physicians as employees

Patient Satisfaction Reporting and Its Implications for Patient Care Jul 15
The Physician as Hospital Employee Feb 13
Profiling Patients to Identify Prospective Donors Feb 13

Physician as healers

Competing for the Physician's Attention after Hours Jul 07
Can Healers Have Private Lives? Jul 06
Can There Be Healing without Trust? Jul 06
Putting It All Together--the Art and Science of Medicine Jul 06

Physician impairment

Problem Peers Mar 04
The Tale of Dr Wells: Competent and Irascible Sep 03
An Impaired Physician's Physician Sep 03
An Impaired Resident Mar 03

Physicians in public roles

Advocate as a Doctor or Advocate as a Citizen? Sep 14
Physician Involvement with Politics—Obligation or Avocation? Nov 11
"...Not as I Do" Oct 11
Physicians and Political Advocacy Oct 11
When Patients Worry about the Doctor Oct 11
Physicians’ Duty to Be Aware of and Report Environmental Toxins Jun 09
Role of Schools in Monitoring Student Health Dec 07
Communicable Disease and Immigration Fears Dec 07
Media Attention to End-of-Life Cases Dec 05
Lead Paint Dangers and Physician Advocacy Dec 05
New York Super-AIDS Case: Physician as Public Health Officer Dec 05
Campaign Posters in the Clinic Jan 04

Placebo and nocebo

Surgery for Placebo Effect? Nov 12
Herbal Supplements as Placebos Jun 11
The Ethics of Diagnosing Nonepileptic Seizures with Placebo Infusion Nov 10
Prescribing Placebos Jun 06

Prescribing

Opioids for Nonmalignant Chronic Pain Mar 15
Drug Samples: Why Not? Apr 14
Weighing Risks and Benefits of Prescribing Antidepressants during Pregnancy Sep 13
Ethics of Expedited Partner Therapy Nov 08
Prescribing in the Absence of Medical Need Sep 08
Negotiating Parental Requests for Medication Jun 07
Pragmatic Principles of Pharmaceutical Donation Dec 06
Prescribing a Teratogenic Medication Aug 06
Unnecessary Antibiotics Jun 06
Hidden Costs of Free Samples Jun 06
The Gift-Giving Influence Jun 06
Prescribing Placebos Jun 06
Treating Short Stature with Growth Hormone Nov 05
Physicians' Dual Loyalties Jun 05
Reproductive Rights Sep 04
Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
Request for Unnecessary Prophylaxis May 04
Medicine for Malcolm Oct 03
Drugs for the Shy? Oct 03
Drug Company Sponsorship of Clinical Conferences Jul 03

Professionalism

Pimping: Report or Do Nothing? Mar 14
Professionalism versus Antiharassment in Student Evaluation Mar 14
Advising the "Gunner": The Student with Noncognitive Learning Difficulties Mar 14
Physician-Rating Websites Nov 13
Primary Care Practice Response to Retail Clinics Nov 13
How Do We Reward the Kind of Care We Want? Jul 13
Pay for Performance: What We Measure Matters Jul 13
Repeating an Attending Physician's Unseemly Remarks Sep 12
Requests for Care from Family Members May 12
Is Physician Self-Disclosure Ever Appropriate? Dec 11
The Referral-Consultant Relationship Dec 10
Homophobic Jokes and Patient Care Aug 10
Moral Distress and Nurse-Physician Relationships Jan 10
Physicians and Advanced Practice Registered Nurses: The Supervisor-Employer Relationship Jan 10
Zero-Tolerance for Hospital Romance? Jan 10
Are Honorary Authorships Ethical? Apr 09
Shared Decision Making: Physicians’ Duties to Patients and Other Physicians Dec 08
Laborist Staffing Requires Careful Attention Dec 08
Physician's Accountability for System Failure May 08
Avoiding Disincentives to Treat in Designing Pay-for-Performance Measures Jul 07
Competing for the Physician's Attention after Hours Jul 07
The Many Functions of Clinical Rounds Apr 07
When Doctors Disagree Sep 06
Communication Failure in the ICU Sep 06
Can Healers Have Private Lives? Jul 06
Can There Be Healing without Trust? Jul 06
Disagreement over Resuscitation May 06
Autonomy and Public Health: When the Patient Is a Physician Apr 06
Frame Feedback to Improve Professional Performance Aug 05
Following the Golden Rule toward Respectful Relationships Aug 05
Responding to Insensitive Remarks about a Patient Aug 05
A Case of Student Cheating Apr 05
Drinks During Lunch Apr 05
Resident Work Hour Restrictions Apr 05
Board Certification as Prerequisite for Hospital Staff Privileges Apr 05
Reproductive Rights Sep 04
When Resident Duty Hours and Patient Care Collide Jun 04
Duty to Treat versus Personal Safety May 04
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
Disagreement over Error Disclosure Mar 04
Drug Company Sponsorship of Clinical Conferences Jul 03
Never Symptom-Free Apr 03

Professional self-regulation

Fudging an Answer during Clinical Rounds Apr 07
Risks and Benefits of the New Medical Imaging Enterprise Feb 07
A Case of Student Cheating Apr 05
Drinks During Lunch Apr 05
When Resident Duty Hours and Patient Care Collide Jun 04
Peer Reporting of Suspected Physician Misconduct Apr 04
An Impaired Physician's Physician Sep 03

Psychiatry

Telepsychiatry as Part of a Comprehensive Care Plan Dec 14
Speculating on a Public Figure’s Mental Health Oct 13
Pedophilia: Is There a Duty to Report? Oct 13
The Treating Psychiatrist and Worker’s Compensation Reporting Oct 13
Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
Special Protections for Mental Health Treatment Notes Jun 12
Treating Bereavement Jun 12
"Doc, I Need a Smart Pill"—Requests for Neurologic Enhancement Nov 10
Duty to Warn and Dissociative Identity Disorder Mar 08
Psychosomatic Elaboration of Distress Mar 08
Correctional Mental Health Feb 08
Negotiating Parental Requests for Medication Jun 07
Prescribing Placebos Jun 06
Physician Values and Clinical Decision Making May 06
How Good Is Good Enough? Jul 05
The Evangelizing Patient May 05
Drugs for the Shy? Oct 03
Psychiatrist's Role in Involuntary Hospitalization Oct 03
Confidentiality of Patient Records Requested by the Court Oct 03
Medicine for Malcolm Oct 03
The Tale of Dr Wells: Competent and Irascible Sep 03

Public health

Hospital Cafeteria Food: The Meat and the Message Apr 13
Mandated Influenza Vaccines and Health Care Workers’ Autonomy Sep 10
With So Much Need, Where Do I Serve Mar 10
Hospital Resources: A Practical Treatment Plan for Homeless Patients Jan 09
First, Do Not Punish: Individual Incentives in Health Policy Nov 08
Practice Incentives and Professional Responsibility Nov 08
Giving Medical Testimony in a Patient’s Behalf Sep 08
Assessing Senior Patients’ Ability to Drive Safely Jun 08
Role of Schools in Monitoring Student Health Dec 07
Smoking and Medicaid Benefits Dec 07
Communicable Disease and Immigration Fears Dec 07
Risks and Benefits of the New Medical Imaging Enterprise Feb 07
Pragmatic Principles of Pharmaceutical Donation Dec 06
Clinical Awareness of Occupation-Related Toxic Exposure Nov 06
Unnecessary Antibiotics Jun 06
Autonomy and Public Health: When the Patient Is a Physician Apr 06
"I'm Sorry but You Can't Leave": Patients, Physicians, and Quarantine Apr 06
Should I Stay or Should I Go? The Physician in Time of Crisis Apr 06
Changing the Rules in Times of Crisis: Do Desperate Times Allow Desperate Measures? Apr 06
New York Super-AIDS Case: Physician as Public Health Officer Dec 05
Lead Paint Dangers and Physician Advocacy Dec 05
Universal Precautions Oct 05
Duty to Treat versus Personal Safety May 04
Request for Unnecessary Prophylaxis May 04
Disaster Triage May 04
Physician Activism and Civil Disobedience Jan 04
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Asking Patients about Intimate Partner Abuse Nov 03
Gynecological Care for Adolescents May 03

Quality of care

Utility of Physician Report Cards in Patient Referral Jul 15
Patient Satisfaction Reporting and Its Implications for Patient Care Jul 15
How Do We Reward the Kind of Care We Want? Jul 13
Pay for Performance: What We Measure Matters Jul 13
The Physician as Hospital Employee Feb 13
Is Understaffing a Unit a Form of Rationing Care? Nov 12
Rural Primary Care—Working Outside the Comfort Zone May 11
When Home Care Is Not Enough Jun 08
Disclosure and the Retrospectoscope Nov 07
Managing Chronic Conditions in Uninsured Patients Nov 06
Can Healers Have Private Lives? Jul 06
Can There Be Healing without Trust? Jul 06
Unnecessary Antibiotics Jun 06
Stigmatized Patients' Right to Equal Treatment May 06
Board Certification as Prerequisite for Hospital Staff Privileges Apr 05
Confusion over Cholesterol Testing Dec 04
A Fever of Unknown Source Dec 04
The Reluctant Resident Oct 04
When Resident Duty Hours and Patient Care Collide Jun 04
Unnecessary Tests and Ethics of Quality of Care Jun 04
Disaster Triage May 04
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
Disagreement over Error Disclosure Mar 04
"Concierge" Practice and the Profession's Contract with Society Nov 03
Managed Care and Physician Burnout Sep 03

Quality of life

Physician Paternalism and Severe Disability: Strengthening Autonomy through Therapeutic Engagement Jun 15
The Importance of Quality of Life to Patient Decision Making in Breast Cancer Care Feb 14
Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
Is There a Duty to Inform Patients of Phase I Trials? Mar 09
Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
An ER Decision To Withhold CPR Mar 07
Ethics of Cutting-Edge Device Research Feb 07
Turning Off an Implanted Life-Saving Device Feb 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
Discussing Code Status with Patients and Their Families Sep 06
Disagreement over Resuscitation May 06
Ethics Consultation and Clinical Expertise Feb 06
Presymptomatic Genetic Testing for ALS Jan 06
Treating Short Stature with Growth Hormone Nov 05
Partial Androgen Insensitivity Syndrome Nov 05
End of Life and Sanctity of Life May 05
Quality of Life and Prenatal Decisions Feb 05
Optional Treatments and Quality of Life Feb 05
Helping the Patient Achieve Quality-of-Life Goals Feb 05
Clinical Trials and End-of-Life Decision Making Nov 04
Palliative Surgery Oct 04
Finding the Balance in Shared Decision Making Feb 04
Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Race

Mention of a Patient’s “Race” in Clinical Presentation Jun 14
Incorporating Genetic Testing Ancestry Results into Medical Decisions Jun 14
The Prejudiced Patient Jun 14
"Don't You Have Any American Doctors?": International Medical Graduates and Patient Prejudice Apr 12

Refusal to treat

Reproductive Rights Sep 04
Never Symptom-Free Apr 03

Relationships with industry

Drug Samples: Why Not? Apr 14
Hidden Costs of Free Samples Jun 06
The Gift-Giving Influence Jun 06
The Pitfalls of Drug Company Sample Use Mar 06
Finding the (Right) Time Aug 05
Who Is That? Expanding the Clinical Encounter Nov 04
Drug Company Sponsorship of Clinical Conferences Jul 03

Reproductive rights

Informing Patients about Declining Fertility Oct 14
The Professional Responsibility Model and Patient Requests for Nonindicated Early Delivery Oct 14
Sex Selection for Family Balancing Oct 14
Assisted Reproduction for Postmenopausal Women Jan 14
Induced Lactation for the Nongestating Mother in a Lesbian Couple Sep 13
Directive Counseling about Becoming Pregnant Feb 12
Sex Selection for Nonhealth-Related Reasons Feb 12
Assisted Reproduction and Primum Non Nocere Sep 07
Sex Selection for Nonmedical Reasons Jun 07
Reproductive Rights Sep 04
Paternalism Feb 04
Campaign Posters in the Clinic Jan 04

Research

Presenting Unwelcome Research Findings Feb 14
Informed Consent for Biobank-Dependent Research Aug 12
Use of Electronic Patient Data in Research Mar 11
Communicating Results of Community-Based Participatory Research Feb 11
Physician, Research, Neighbor—Conflicting Roles in Community Based Participatory Research Feb 11
Setting the Agenda for Community-Based Participatory Research Feb 11
Conducting Clinical Research during Disasters Sep 10
Suspected Ethical Misconduct in Research Apr 09
Ethics of Cutting-Edge Device Research Apr 07
Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
Prescribing Placebos Jun 06
Evidence-Based Medicine and Clinical Expertise Feb 06
Hoping for the Best, Preparing for the Worst Aug 05
Heads or Tails: Randomized Placebo-Controlled Trials Nov 04
Clinician and Researcher Jul 03

Residency

Paternity Leave in Medical Residency Feb 15
Balancing Supervision and Independence in Residency Training Feb 15
Duty-Hour Exceptions for Neurosurgery Residency Programs Jan 15
A Night at the Museum—Helping Residents “See” Their Patients Aug 14
National Resident Matching Program Violations Dec 12
Personality Testing in Resident Selection Dec 12
Responsibility for Patients after the Handoff May 12
Managing Risk in Cataract Surgeries Performed by Resident Ophthalmologists Dec 10
Decision Making at the Crossroads of Practice Choice May 09
Competitiveness Can Undermine Team Goals May 09
Self-Interest versus Friendship in Medical School Apr 07
The Gift-Giving Influence Jun 06
Prescribing Placebos Jun 06
Autonomy and Public Health: When the Patient Is a Physician Apr 06
To Scan or Not To Scan? Mar 06
Resident Work Hour Restrictions Apr 05
The Reluctant Resident Oct 04
When Resident Duty Hours and Patient Care Collide Jun 04
Disagreement over Error Disclosure Mar 04
Problem Peers Mar 04
HMO-Dictated Patient Discharge Mar 04
Drug Company Sponsorship of Clinical Conferences Jul 03
An Impaired Resident Mar 03

Retainer practice

Ethical Concierge Medicine? Jul 13
Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
"Concierge" Practice and the Profession's Contract with Society Nov 03

Scope of practice

Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
How Good Is Good Enough? Jul 05

Screening

Close-Call Screening and Shared Decision Making Jul 15
Is More Screening Always Better? Feb 14
New Guidelines for Cancer Screening in Older Patients Nov 11
Cost Effectiveness in Clinical Screening Apr 11
Patient Requests for Nonindicated Care Apr 11
The Debate Over Prostate Cancer Screening Guidelines Jan 11
Responding to Patient Requests for Nonindicated Care Jan 11
Guiding Patients toward Prudent Use of Technologies Feb 07
Risks and Benefits of the New Medical Imaging Enterprise Feb 07
Testing Minors for Breast Cancer Jan 07
Autonomy and Public Health: When the Patient Is a Physician Apr 06
To Scan or Not To Scan? Mar 06
Breast Cancer Screening Jan 06
Presymptomatic Genetic Testing for ALS Jan 06
Patient-Requested, Non-Recommended Screening Jan 06
Informed Refusal Jan 06
Preoperative Screening: Medical or Legal Guidelines? Dec 04
Unnecessary Tests and Ethics of Quality of Care Jun 04

Sexuality

Induced Lactation for the Nongestating Mother in a Lesbian Couple Sep 13
Should a Gay Physician in a Small Community Disclose His Sexual Orientation? Aug 10
Homophobic Jokes and Patient Care Aug 10
Physician Values and Clinical Decision Making May 06
Too Much Information? Oct 05

Sexually transmitted diseases

The HPV Vaccine and Parental Consent Jan 12
Physician Values and Clinical Decision Making May 06
New York Super-AIDS Case: Physician as Public Health Officer Dec 05
The Wayward Husband Oct 05
Too Much Information? Oct 05
Universal Precautions Oct 05
Physicians' Dual Loyalties Jun 05
Patient Counseling and Matters of Conscience May 05
Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
Gynecological Care for Adolescents May 03

Shared decision making

Close-Call Screening and Shared Decision Making Jul 15
Risk Perception, Bias, and the Role of the Patient-Doctor Relationship in Decision Making about Cerebral Aneurysm Surgery Jan 15
The Importance of Quality of Life to Patient Decision Making in Breast Cancer Care Feb 14
Shared Decision Making about IVF for Savior Siblings Jan 14
Lifestyle is Medicine Apr 13
Meeting Patients Where They Are Apr 13
Communicating Evidence in Shared Decision Making Jan 13
Why Not a Slow Code? Oct 12
Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
When Patients Seem Overly Optimistic Jul 12
The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
An Overwhelmed Parent Jul 10
Planning End-of-Life Conversations: Hospitalist and Primary Care Physician Roles Dec 08
Physician and Parental Decision Making in Newborn Resuscitation Oct 08
Decision Making in a Case of Personality Change Mar 08
Who Decides, Patient or Family? Aug 07
Physicians' Dual Loyalties Jun 05
Patient Counseling and Matters of Conscience May 05
Helping the Patient Achieve Quality-of-Life Goals Feb 05
Reproductive Rights Sep 04

Sports medicine

Athlete Return-to-Play Decisions in Sports Medicine Jun 15
Evaluating the Risks and Benefits of Participation in High-School Jul 14
A Patient’s Request for Steroids to Enhance Participation in Wilderness Sport and Adventure Jul 14
Nonmaleficence in Sports Medicine Jul 14 /2014/07/ecas3-1407.html Jul 14
Limits of Youth Sports Training Jul 04
Exercise Addiction Jul 04
Performance-Enhancing Drugs in Sports Jul 04

Standard of care

Is the Standard of Care Always Worth the Cost? Feb 13
Can Rule-Based Ethics Help in the NICU? Oct 08
Do Secret Shoppers Have a Place in Medicine? May 08
Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
Is Artificial Nutrition and Hydration Extraordinary Care? May 07
Diagnostic Testing for Diseases in the News Mar 07
Disagreement over Resuscitation May 06
To Scan or Not To Scan? Mar 06
Breast Cancer Screening Jan 06
How Good Is Good Enough? Jul 05
A Fever of Unknown Source Dec 04
Confusion over Cholesterol Testing Dec 04
Preoperative Screening: Medical or Legal Guidelines? Dec 04
HMO-Dictated Patient Discharge Mar 04

Student participation in care

Mutually Beneficial Global Health Electives Mar 10
The Ethical Dilemma of Duty-Hour Reporting Nov 09
Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
The Reluctant Resident Oct 04
Student Role in Discussion of Diagnosis with Patients Dec 03
See One, Do One, Teach One: Competence versus Confidence in Performing Procedures Dec 03

Surgery

Abusive and Disruptive Behavior in the Surgical Team Mar 15
Risk Perception, Bias, and the Role of the Patient-Doctor Relationship in Decision Making about Cerebral Aneurysm Surgery Jan 15
Managing Risk in Cataract Surgeries Performed by Resident Ophthalmologists? Dec 10
Outer Ear Construction: Is Advocacy Part of Treatment? May 10
Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
Who Decides, Patient or Family? Aug 07
Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
The Question of Uterine Isolation in Catholic Health Care Ethics May 07
Hospital Reputation and Individual Patient Decisions Mar 07
Ethics of Cutting-Edge Device Research Feb 07
Turning Off an Implanted Life-Saving Device Feb 07
Drinks During Lunch Apr 05
The Unnoticed Mole Oct 04
The Reluctant Resident Oct 04
Palliative Surgery Oct 04

Surrogate decision making

Questions about an Advance Directive May 14
When Physicians and Surrogates Disagree about Futility Dec 13
Deciding for Others: Limitations of Advance Directives, Substituted Judgment, and Best Interest Aug 09
Dilemmas in End-of-Life Decision Making for the Medical Tourist Patient Aug 09
Decision Making in a Case of Personality Change Mar 08
Who Decides, Patient or Family? Aug 07
Disagreement over Resuscitation May 06
Partial Androgen Insensitivity Syndrome Nov 05
End of Life and Sanctity of Life May 05
Helping the Patient Achieve Quality-of-Life Goals Feb 05
Finding the Balance in Shared Decision Making Feb 04

Team-based care

Abusive and Disruptive Behavior in the Surgical Team Mar 15
Team Response to Internal Disagreement about Professional Conduct Jun 13
Resistance to Changing Roles in the Medical Team Jun 13
Approaching Interprofessional Education in Medical School Jun 13

Technology

Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
Special Protections for Mental Health Treatment Notes Jun 12
Copying and Pasting Patient Treatment Notes Mar 11
Limits to Patient Selection Mar 11
Low-Tech Solution to a High-Tech Problem Mar 09
Ethics of Cutting-Edge Device Research Feb 07
Turning Off an Implanted Life-Saving Device Feb 07
Guiding Patients toward Prudent Use of Technologies Feb 07

Telemedicine

Teleradiology: The Importance of Communication Dec 14
Telepsychiatry as Part of a Comprehensive Care Plan Dec 14
The Tele-ICU Dec 14
Outsourcing: A Limited View of Radiology’s Role Nov 07

Terrorism

Physicians' Duties in Treating Wartime Detainees Oct 07
"I'm Sorry but You Can't Leave": Patients, Physicians, and Quarantine Apr 06
Duty to Treat versus Personal Safety May 04
Disaster Triage May 04
Request for Unnecessary Prophylaxis May 04

Unnecessary tests

Is More Screening Always Better? Feb 14
Patient Requests for Nonindicated Care Apr 11
Responding to Patient Requests for Nonindicated Care Jan 11
Diagnostic Testing for Diseases in the News Mar 07
Risks and Benefits of the New Medical Imaging Enterprise Feb 07
Guiding Patients toward Prudent Use of Technologies Feb 07
Testing Minors for Breast Cancer Jan 07
To Scan or Not To Scan? Mar 06
Patient-Requested, Non-Recommended Screening Jan 06
Presymptomatic Genetic Testing for ALS Jan 06
Preoperative Screening: Medical or Legal Guidelines? Dec 04
Exercise Addiction Jul 04
Unnecessary Tests and Ethics of Quality of Care Jun 04
Never Symptom-Free Apr 03

Volunteering

With So Much Need, Where Do I Serve? Mar 10
Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
Pragmatic Principles of Pharmaceutical Donation Dec 06
Relief Organizations with Counseling Restrictions Dec 06
Caring for the Poor -- What Can One Doctor Do? Sep 04

Withholding and withdrawing treatment

Integrating Palliative Care with Disease-Modifying TherapyDec 13
When Physicians and Surrogates Disagree about FutilityDec 13
Why Not a Slow Code? Oct 12
The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
Nonemergency Medical Care for Illegal Immigrants in Texas Apr 08
An ER Decision To Withhold CPR Mar 07
Turning Off an Implanted Life-Saving Device Feb 07
Discussing Code Status with Patients and Their Families Sep 06
Communication Failure in the ICU Sep 06
Disagreement over Resuscitation May 06
Myths and Misconceptions about Palliative Sedation Sep 06
Media Attention to End-of-Life Cases Dec 05
End of Life and Sanctity of Life May 05
Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03
Balancing Parental Wishes with Medical Judgment Jan 03
Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Writing and Social Media

Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
Case Studies and the Therapeutic Relationship Jul 11
Ethics, Memoir, and Medicine Jul 11
Anonymous Physicians Blogging Jul 11