Clinical equipoise—the idea that the community of medical experts is uncertain about the relative therapeutic merits of the arms of a clinical trial at its outset—mitigates physicians’ responsibility for patients’ poor outcomes when patients are assigned to the control arm or are harmed by an investigational agent.
AMA J Ethics. 2015;17(12):1108-1115. doi:
10.1001/journalofethics.2015.17.12.ecas1-1512.
Networking with a friend to help a patient gain employment is not unethical as long as confidentiality is maintained and the patient grants his or her doctor permission to discuss the situation with the friend.
AMA J Ethics. 2015;17(5):425-427. doi:
10.1001/journalofethics.2015.17.5.ecas2-1505.
A physician in a university student health center may feel a duty to intervene when he finds out from a patient that a student who is not a patient is diverting medication, but doing so would violate patient confidentiality.
A discussion of how to handle the documentation of mental health care in electronic medical records so that patient wishes for confidentiality are balanced with the need for interdisciplinary communication and care coordination.