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Illuminating the Art of Medicine

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Featured Content

Case and Commentary
Apr 2025

¿Cómo deberían proteger los miembros del equipo de cirugía a los pacientes que están privados de libertad de la vigilancia o intrusión de los oficiales del centro penitenciario?

Anna Lin, MD and Mallory Williams, MD, MPH
Case and Commentary
Feb 2025

¿Cómo se debe describir y tratar el dolor causado por la colocación del DIU?

Veronica Hutchison, MD and Eve Espey, MD, MPH

Articles

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  • msoc1-2502
    Medicine and Society
    Feb 2025

    How Should Gynecologists Respond in the Moment to Physiological, Historical, and Psychosocial Features of Patients’ Pain?

    Emma Lantos, MD, Marit Pearlman Shapiro, MD, MPH, and Brian T. Nguyen, MD, MSCP
    Evidence-based techniques for responding to patients’ pain expressions and experiences during such procedures are known, even in the absence of a standard of care.
    AMA J Ethics. 2025;27(2):E129-136. doi: 10.1001/amajethics.2025.129.
  • cscm2-2502
    Case and Commentary
    Feb 2025

    How Should Physicians Manage Abortion Pain Experienced by Remote Telehealth Patients?

    Eloise Smellie, MBChB and John J. Reynolds-Wright, MBChB, PhD, MFSRH
    Pain is recognized as an adverse effect of medication abortion, but its management has been understudied.
    AMA J Ethics. 2025;27(2):E79-85. doi: 10.1001/amajethics.2025.79.
  • code1-2502
    AMA Code Says
    Feb 2025

    Treating Patients in Non-Labor and Delivery OB/GYN Examinations and Procedures

    Amber R. Comer, PhD, JD and Meredith Rappaport, MA
    Respecting a patient’s privacy is a prerequisite for ensuring that a fundamental trust exists between patient and physician.
    AMA J Ethics. 2025;27(2):E110-116. doi: 10.1001/amajethics.2025.110.
  • lttr1-2502
    Letter to the Editor
    Feb 2025

    Response to “Humanity and Inhumanity of Nonhuman Primate Research”

    Emily R. Trunnell, PhD and Donya Mand, MD
    Authors argue that use of nonhuman primates and other animals is unjustified.
    AMA J Ethics. 2025;27(2):E164-166. doi: 10.1001/amajethics.2025.164.
  • fred1-2502
    From the Editor
    Feb 2025

    How We Lie About Pain

    Amy Lorber, MD and Andrew Lynch, MD, MSE
    The phrase, “This might sting,” is perhaps the phrase that best captures the inspiration behind this issue of the AMA Journal of Ethics.
    AMA J Ethics. 2025;27(2):E69-71. doi: 10.1001/amajethics.2025.69.
  • nlit1-2502
    In the Literature
    Feb 2025

    How Should Intensity and Duration of Pain Inform Standard of Care for Pain Management in Non-Labor and Delivery OB/GYN Procedures?

    Lisa Bayer, MD, MPH and Evelyn Ainsley McWilliams, MD
    Pain during gynecologic exams and procedures is dismissed, not recognized, and undertreated by some clinicians.
    AMA J Ethics. 2025;27(2):E98-103. doi: 10.1001/amajethics.2025.98.
  • msoc2-2502
    Medicine and Society
    Feb 2025

    What Does Our Tolerance of Poor Management of Patients’ Pain Have to Do With Reimbursement Inequity for Office-Based Gynecologic Procedures?

    Nishita Pondugula, MS, Parmida Maghsoudlou, Vardit Ravitsky, PhD, and Louise P. King, MD, JD
    Office-based gynecologic procedures are reimbursed at lower rates than similar office urology and dermatology procedures.
    AMA J Ethics. 2025;27(2):E137-148. doi: 10.1001/amajethics.2025.137.
  • cscm3-2502
    Case and Commentary
    Feb 2025

    How Should a Physician Respond to a Patient’s Unexpected Pain During a Pelvic Examination When There Is Clinical Indication of Infection?

    Kelsy Schultz, MD and Charita L. Roque, MD, MPH
    Thoughtful, intentional action and consistent, clear communication are key in these clinical encounters.
    AMA J Ethics. 2025;27(2):E86-90. doi: 10.1001/amajethics.2025.86.
  • pfor1-2502
    Policy Forum
    Feb 2025

    Key Roles of Epistemic Humility in OB/GYN Care of Patients in Acute Non-Labor and Delivery Pain Care

    Kelly K. Gillespie, PhD, JD, RN
    Clinicians should consider how structural and individual forces predispose OB/GYNs to discredit patients’ testimonies.
    AMA J Ethics. 2025;27(2):E117-128. doi: 10.1001/amajethics.2025.117.
  • fred1-2501
    From the Editor
    Jan 2025

    How Historical Legacies Inform Contemporary Epidemiology and Medicine

    Emily L. Graul, MSc and Christopher K. Wong, MD, MSc
    Good practice is founded on recurrent review of analyses of what is revealed in well-designed, high-quality, transparent epidemiological studies.
    AMA J Ethics. 2025;27(1):E3-5. doi: 10.1001/amajethics.2025.3.

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