AMA Journal of Ethics theme editor Karel-Bart Celie, a second-year medical student at Columbia University School of Medicine, interviewed Joseph J. Fins, MD, about the work of ethics committees and consultants as they pursue professionalization and respond to changes in health care organization and practice.
Having implied that a particular clinical decision had been made to “free up a hospital bed,” the attending physician walked away without further comments to the residents or talking with the patient.
An examination of some of the factors that can weaken the therapeutic nature of the patient-physician relationship and how a physician can resolve them in the patient's best interest.
When patients request drugs for nonmedical reasons, the most effective intervention may be to explore with the patient his or her reasons for using drugs to make lifestyle changes.