Using the patient’s worldview to challenge his or her decision and establish a treatment plan—implying the view is shared by the physician when it is not—could be seen as manipulative and deceptive.
Jennifer T. McIntosh, PhD, RN, CNE, PMH-BC, NEA-BC and Mona Shattell, PhD, RN
This commentary examines prevention policies that overly rely on liberty restrictions imposed by designs of inpatient psychiatric units’ structures and spaces.
AMA J Ethics. 2024;26(3):E199-204. doi:
10.1001/amajethics.2024.199.
Therapeutic security in inpatient psychiatric settings requires careful planning and implementation if it is to support both patients’ safety and dignity.
AMA J Ethics. 2024;26(3):E205-211. doi:
10.1001/amajethics.2024.205.
Medical school faculty have a nonnegotiable duty to report students whose professional behavior falls seriously short of the mark. If they refrain from fulfilling this duty for fear of retaliation, the antiharassment pendulum has truly swung too far.
It is the clerkship director's role to advise students labeled gunners when their behavior becomes a problem, but changes in the larger system might help to prevent this behavior from occurring in the first place.