When responding to an ad for a job caring for patient-detainees along the US southern border, applicants should anticipate the need to navigate dual loyalties.

Lack of ethical, legal, and clinical consensus about best practice sometimes combines with a poor clinical evidence base.

Two commentaries respond to a case about apnea testing to confirm death by neurologic criteria.

Religious and cultural values can conflict with clinical standard practice and law.

Risk managers can help patient-subjects and clinician-researchers make informed novel device implantation decisions in the absence of preclinical trial data.

Patients leaving against medical advice draw attention to intersections of tort law, federal and state regulations, and clinical ethics.

Once focused on hospital liability, risk managers now navigate a broader set of enterprise risk management responsibilities.

Most clinicians receive little training in integrating Native healing into allopathic practice, which undermines patients’ autonomy and cultural values.

For patients historically stripped of control over their reproductive health, consideration of past violations and transparent discussion are key.

Interventions’ influences on decision making situate clinician performance evaluations in key ways.