Instead of trying to reduce the number of people who have access to a patient's medical record by quarantining information, hospitals should explain the current meaning of confidentiality to patients as part of the informed consent process.
A requirement to uphold the confidentiality of information shared in the physician-patient relationship is a central tenet of medical professionalism that, while at risk and undermined in various ways in modern medicine, has been consistently endorsed from the time of Hippocrates.
Because maintaining strict confidentiality is often untenable, or even illegal, determining the extent of protections in the postmortem context ultimately entails a weighing of the various interests at stake.
Philip Zachariah, MD, Gregory S. Blaschke, MD, MPH, and Melissa Weddle, MD, MPH
Physicians should support the sexual orientation of LBGT youth while educating and developing a trusting relationship with the parents, who may pose religious objections and favor ineffective and potentially harmful therapies.
This month theme issue editor, Trahern Jones, a fourth-year student at Mayo Medical School in Rochester, Minnesota, spoke with Dr. Edward Laskowski about the use of performance-enhancing drugs and substances among athletes today.
Jalayne J. Arias, JD, MA and Kathryn L. Weise, MD, MA
Even when external factors such as nonaccidental injury weigh heavily on clinicians' perceptions, they should not lose focus on the patient's best interest when deciding whether to continue or withdraw treatment.
Determining the severity of a breach of medical privacy, and therefore whether or not it will be reported to the US Department of Health and Human Services, by the patient's reaction puts the hospital's interest in avoiding reporting breaches above the patient's best interests.