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.
Family presence in the trauma bay is not entirely analogous to family presence during cardiopulmonary resuscitation (CPR) and requires a chaperone system.
AMA J Ethics. 2018;20(5):455-463. doi:
10.1001/journalofethics.2018.20.5.ecas5-1805.
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.
Cytopathologists frequently interact directly with patients at their bedsides to perform fine needle aspiration procedures. When, if ever, should cytopathologists share preliminary diagnostic impressions directly with patients?
AMA J Ethics. 2016;18(8):779-785. doi:
10.1001/journalofethics.2016.18.8.ecas3-1608.
Laurel J. Lyckholm, MD and Arwa K. Aburizik, MD, MS
Decision-making capacity can be preserved in patients with mental illness and should be formally assessed in the context of their values and past decisions.
AMA J Ethics. 2017;19(5):444-453. doi:
10.1001/journalofethics.2017.19.5.ecas4-1705.
Is this a conflict over a team member’s practice style or is it a breach professional boundaries? Is it appropriate for team members to make this judgment, or should it instead come from the team leader?
Although force-feeding prisoners might seem to be in the interests of beneficence and justice, international codes of ethics permit prisoners to refuse nourishment if they make a rational, uncoerced choice to do so.
AMA J Ethics. 2015;17(10):904-908. doi:
10.1001/journalofethics.2015.17.10.ecas2-1510.