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Featured Content

Case and Commentary
Feb 2021

Fomento de la equidad en salud a través de un enfoque que evite los juicios de valor y contextualice la atención

Saul J. Weiner, MD

Cases

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  • cscm2-2009
    Case and Commentary
    Sep 2020

    Is It Justifiable to Make Self-Determination Illusory to Motivate a Specific Health Outcome?

    Michael P. Kelly, PhD, MPhil
    A nudge is an intervention designed to prompt a person to “voluntarily” make a choice intended by those who altered an environment or situation to yield that choice.
    AMA J Ethics. 2020;22(9):E767-772. doi: 10.1001/amajethics.2020.767.
  • cscm5-2008
    Case and Commentary
    Aug 2020

    What Does Good Pharmacist-Physician Pain Management Collaboration Look Like?

    Kyle Bryan, PharmD and Thomas E. Menighan, MBA
    Both physicians and pharmacists have responsibilities to ensure that opioids are prescribed and dispensed for legitimate medical purposes and to meet legal requirements.
    AMA J Ethics. 2020;22(8):E675-680. doi: 10.1001/amajethics.2020.675.
  • cscm3-2008
    Case and Commentary
    Aug 2020

    Should “Pain Clearance” Be Routine for Elective Surgery?

    Alexandra M. Dunham, MD and Casey Jo Humbyrd, MD
    Considering chronic opioid use when planning elective surgery would likely enhance team communication, decrease stigma, and facilitate care transitioning and long-term planning.
    AMA J Ethics. 2020;22(8):E664-667. doi: 10.1001/amajethics.2020.664.
  • cscm1-2008
    Case and Commentary
    Aug 2020

    Is Nonconsensual Tapering of High-Dose Opioid Therapy Justifiable?

    Travis N. Rieder, PhD
    Legacy patients are so-called because their opioid use behaviors express past, aggressive opioid prescribing by a clinician. Managing their pain and dependence justly is ethically complex.
    AMA J Ethics. 2020;22(8):E651-657. doi: 10.1001/amajethics.2020.651.
  • cscm4-2008
    Case and Commentary
    Aug 2020

    Do Physicians Have Collective, Not Just Individual, Obligations to Respond to the Opioid Crisis?

    Beth A. Lown, MD and Michael J. Goldberg, MD
    Mandating processes that are not evidence based generates distress among patients and clinicians, so physician advocacy in national, state, and local policymaking is key.
    AMA J Ethics. 2020;22(8):E668-674. doi: 10.1001/amajethics.2020.668.
  • cscm2-2008
    Case and Commentary
    Aug 2020

    Should the Location of a Patient’s Home Inform Physicians’ Opioid Prescription Practices?

    Jennifer D. Byrne, LCSW, CADC, Katie S. Clancy, MSW, and Isabell Ciszewski, LCSW
    Social work perspectives on whether prescribers should authorize opioid refills emphasize the importance of multidisciplinary approaches to patient self-determination.
    AMA J Ethics. 2020;22(8):E658-663. doi: 10.1001/amajethics.2020.658.
  • cscm1-2007
    Case and Commentary
    Jul 2020

    Does Using Humor to Cope With Stress Justify Making Fun of Patients?

    Julie M. Aultman, PhD and Emily Meyers
    This article considers that benefits of using humor in clinical settings come with risks of diminishing therapeutic capacity in patient-clinician relationships.
    AMA J Ethics. 2020;22(7):E576-582. doi: 10.1001/amajethics.2020.576.
  • cscm2-2007
    Case and Commentary
    Jul 2020

    Are “Other Doctors Are Stupid” Jokes Appropriate?

    Joshua Nagler, MD, MHPEd and Rebekah Mannix, MD, MPH
    Humor can help motivate positive interactions amidst fast-paced clinical encounters but can alienate colleagues when weaponized to promote assumed superiority of an individual or group.
    AMA J Ethics. 2020;22(7):E583-587. doi: 10.1001/amajethics.2020.583.
  • cscm4-2006
    Case and Commentary
    Jun 2020

    Anthony and the Role of Silence in Portraiture in Clinical Settings

    Mark Gilbert, PhD, Regina Idoate, PhD, Michele Marie Desmarais, PhD, and William M. Lydiatt, MD, MBA
    Anthony is one patient-sitter whose experience of head and neck cancer diagnosis, surgery, and recovery suggests how silence is ethically, artistically, and clinically significant.
    AMA J Ethics. 2020;22(6):E488-498. doi: 10.1001/amajethics.2020.488.
  • cscm2-2006
    Case and Commentary
    Jun 2020

    William’s Portrait and Community Narrative

    Mark Gilbert, PhD
    Sitting for his portrait gave William an opportunity to reflect, even when he was not inclined naturally to do so.
    AMA J Ethics. 2020;22(6):E476-481. doi: 10.1001/amajethics.2020.476.

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