From the Editor in Chief

Nov 2025

Breaking Bad News

Audiey C. Kao, MD, PhD
AMA J Ethics. 2025;27(11):E770-771. doi: 10.1001/amajethics.2025.770.

 

Delivering difficult or potentially life-altering information to patients is a solemn responsibility of physicians and all who have the privilege of caring for the sick and injured. Breaking bad news is an artful skill that requires the ability to strike a balance between providing hard facts and offering tender hope while ministering to a patient’s emotional reaction to this news.1,2,3,4

For over a quarter of a century, the AMA Journal of Ethics has striven to publish insightful commentaries, engaging podcasts, and provocative artwork that help medical students, physicians, and all health care professionals reflect on and make sound ethical decisions in service to patients and society.5 I write to inform you that the AMA Journal of Ethics will cease publishing new content after December 2025. Understandably, this news will be sad and unexpected for the journal’s readers and supporters. I share in this loss.

Previously published content will be maintained on the journal’s website and remain freely available to all in keeping with our guiding premise that ethics inquiry is a public good. With humility, I am hopeful and confident that this archived journal content will stay evergreen for years to come. 

Lastly, I want to extend my deepest thanks to the many authors, artists, peer reviewers, editorial board members, theme issue editors and fellows, and staff colleagues who have dedicated their time and talents to advance the AMA Journal of Ethics’ editorial mission of “illuminating the art of medicine.” I will be forever grateful for your kindness and contributions. 

Fiat lux and take good care.

References

  1. Vandekieft GK. Breaking bad news. Am Fam Physician. 2001;64(12):1975-1979.
  2. Johnston FM, Beckman M. Navigating difficult conversations. J Surg Oncol. 2019;120(1):23-29.
  3. Mitchell A. Breaking bad news. Nurs Stand. 2022;37(10):43-49.
  4. Lackie K, Miller S, Brown M, et al. Interprofessional collaboration between health professional learners when breaking bad news: a scoping review of teaching approaches. JBI Evid Synth. 2024;22(6):1071-1102.
  5. Kao AC. Fiat lux. AMA J Ethics. 2024;26(9):667-668.

Citation

AMA J Ethics. 2025;27(11):E770-771.

DOI

10.1001/amajethics.2025.770.

Conflict of Interest Disclosure

Contributor disclosed no conflicts of interest related to the content.

The viewpoints expressed in this article are those of the author(s) and do not necessarily reflect the views and policies of the AMA.