AMA Journal of Ethics

Parallels between domestic and international education experiences reiterate emphasis on service.

Reimagining a classic responds to modern demands on patient-clinician relationships while suggesting the persistence of this relationship’s sanctity.

Current policy requires separate informed consent for some Public Health Service increased-risk donors, and this can make shared decision making harder.

Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions and even when patients have impaired decision-making capacity.

There is great need for good teaching about how to have culturally appropriate conversations among clinicians, patients, and other stakeholders.

Ideally, patients and clinicians should have sufficient time to engage in SDM. In reality, time is often insufficient.

Gender-affirming surgery for teens is growing as a field. Norms about who should be involved, to what extent, and for which health decisions are still evolving.

Often, disease and medical treatment require patients to take stock of what they value, what they want from their care, and what they hope to achieve.

Some patients’ stories can be hard to tell and hard to listen to, especially in pressured, time-pinched clinical environments.