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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

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  • cscm1-1809.jpg
    Case and Commentary
    Sep 2018

    Is It Ethical to Use Prognostic Estimates from Machine Learning to Treat Psychosis?

    Nicole Martinez-Martin, JD, PhD, Laura B. Dunn, MD, and Laura Weiss Roberts, MD, MA
    Calibrating a machine learning model with data from a local setting is key to predicting psychosis outcomes. Clinicians also need to understand an algorithm’s limitations and disclose clinically and ethically relevant information to patients.
    AMA J Ethics. 2018;20(9):E804-811. doi: 10.1001/amajethics.2018.804.
  • cscm2-1809.png
    Case and Commentary
    Sep 2018

    How Should Primary Care Physicians Respond to Direct-to-Consumer Genetic Test Results?

    Kyle B. Brothers, MD, PhD and Esther E. Knapp, MD, MBE
    Direct-to-consumer genetic testing requires that physicians share decision making with patients, not order unnecessary tests or interventions, and refer to genetic specialists when necessary.
    AMA J Ethics. 2018;20(9):E812-818. doi: 10.1001/amajethics.2018.812.
  • cscm3-1809.jpg
    Case and Commentary
    Sep 2018

    Should Genetic Testing for Variants Associated with Influenza Infection Be Mandatory for Health Care Employees?

    Michelle Huckaby Lewis, MD, JD
    Mandatory genetic testing of health care professionals could help structure health care organizations’ responses to a pandemic. Patients and more susceptible employees can benefit, and these benefits must be weighed against concerns about fairness, autonomy, genetic privacy, and potential loss of employment opportunities.
    AMA J Ethics. 2018;20(9):E819-825. doi: 10.1001/amajethics.2018.819.
  • cscm1-peer1-1808.jpg
    Case and Commentary
    Aug 2018

    How Should Refusal of Tracheostomy as Part of an Adolescent's Perioperative Planned Intubation Be Regarded?

    Katherine Gentry, MD, MA and Aaron Wightman, MD, MA
    A patient’s refusal of tracheostomy during an anticipated difficult intubation prompts critical questions about how to best express respect for a pediatric patient’s autonomy and whether and when deviation from standard of care is clinically and ethically appropriate.
    AMA J Ethics. 2018;20(8):E683-689. doi: 10.1001/amajethics.2018.683.
  • cscm2-1808.jpg
    Case and Commentary
    Aug 2018

    How Should Physicians Care for Dying Patients With Amyotrophic Lateral Sclerosis?

    Alexander Craig, MPhil and Elizabeth Dzeng, MD, PhD, MPH
    Eliciting the patient’s motives and goals and helping the patient and her loved ones explore alternatives are essential to maintaining trusting relationships and open communication.
    AMA J Ethics. 2018;20(8):E690-698. doi: 10.1001/amajethics.2018.690.
  • cscm3-1808.jpg
    Case and Commentary
    Aug 2018

    Should Physicians New to a Case Counsel Patients and Their Families to Change Course at the End of Life?

    Shyoko Honiden, MD, MSc and Jennifer Possick, MD

    Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.

    AMA J Ethics. 2018;20(8):E699-707. doi: 10.1001/amajethics.2018.699.
  • manage organ donation
    Case and Commentary
    Aug 2018

    How Should Physicians Manage Organ Donation after the Circulatory Determination of Death in Patients with Extremely Poor Neurological Prognosis?

    James L. Bernat, MD and Nathaniel M. Robbins, MD
    Consideration of what constitutes sufficient information about how donation protocols can interfere with a patient’s dying process is a key feature of consent processes.
    AMA J Ethics. 2018;20(8):E708-716. doi: 10.1001/amajethics.2018.708.
  • oral contraceptives
    Case and Commentary
    Jul 2018

    Should Clinicians Challenge Faith-Based Institutional Values Conflicting with Their Own?

    Jane Morris, MD and Kavita Shah Arora, MD, MBE
    Clinicians in Catholic health care institutions cannot prescribe contraceptives for pregnancy prevention under a false diagnosis without committing fraud and contravening doctrine. Referrals are one option the authors consider for navigating patient requests for contraception.
    AMA J Ethics. 2018;20(7):E630-636. doi: 10.1001/amajethics.2018.630.
  • suffering
    Case and Commentary
    Jul 2018

    What Should Physicians and Chaplains Do When a Patient Believes God Wants Him to Suffer?

    Benjamin W. Frush, MD, MA, John Brewer Eberly Jr, MD, MA, and Farr A. Curlin, MD
    Physicians should accommodate patients’ religious or spiritual understanding of suffering, even when they disagree, as long as they uphold their commitment to health. Both physicians and chaplains, who promote patients’ spiritual well-being, should respectfully challenge patients when necessary.
    AMA J Ethics. 2018;20(7):E613-620. doi: 10.1001/amajethics.2018.613.
  • prayer
    Case and Commentary
    Jul 2018

    How Should Clinicians Respond to Requests from Patients to Participate in Prayer?

    April R. Christensen, MD, Tara E. Cook, MD, and Robert M. Arnold, MD
    Physicians who are uncomfortable with patients’ requests to participate in prayer should pause, listen respectfully, and reflect back their understanding of the request, regardless of whether they pray.
    AMA J Ethics. 2018;20(7):E621-629. doi: 10.1001/amajethics.2018.621.

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