Physicians should be diligent in taking a medical history, adhering to the standard of care and documenting their actions during every patient encounter, particularly when there is no established patient-physician relationship.
Requirements for informed consent are relatively vague and the exceptions are few, so it is in the physician’s best interest to inform patients about proposed treatment options, ascertain that they understand their choices, and secure their consent.
The case of Johnson v Kokemoor illuminates the conflict between patients’ right to informed consent and clinicians’ need to learn through practice, a conflict that possibly could be resolved through greater transparency about clinicians’ experience or experience-dependent medical fees.
The Anesthesiology Quality Institute contributes both to local quality improvement in the practice of anesthesiology through data collection and establishment of benchmarks and to patient safety in partnership with the Anesthesia Patient Safety Foundation.
AMA J Ethics. 2015;17(3):248-252. doi:
10.1001/journalofethics.2015.17.3.pfor1-1503.
Hanni Stoklosa, MD, MPH, Aimee M. Grace, MD, MPH, and Nicole Littenberg, MD, MPH
Training for health care professionals on human trafficking should be informed by a human rights perspective and include prevention and identification of trafficking and treatment of trafficking-related health conditions.
AMA J Ethics. 2015;17(10):914-921. doi:
10.1001/journalofethics.2015.17.10.medu1-1510.
The gross negligence of the physicians who cared for Steve Biko, an apartheid-era South African political activist who died of injuries inflicted while in police custody, illustrates how dual loyalty—toward patients and, in this case, the state—makes performance of professional duties difficult.
AMA J Ethics. 2015;17(10):966-972. doi:
10.1001/journalofethics.2015.17.10.mhst1-1510.
The ambiguity about and lack of uniformity in informed consent practices does not lend itself to the kind of shield from malpractice liability that exists in some more concrete, standardizable aspects of medical practice.