Good design can help transform health care, in part because it involves drawing on a wide range of perspectives and experiences. This month, we talked with a health care designer, a patient advocate, and a physician to learn how “design thinking” can be successfully incorporated into health care systems and applications.
William M. Kuzon, Jr., MD, PhD, Emily Sluiter, and Katherine M. Gast, MD, MS
Plastic surgeons’ use of patient images on social media should conform to the American Society of Plastic Surgeons’ advertising and image use guidelines.
AMA J Ethics. 2018;20(4):403-413. doi:
10.1001/journalofethics.2018.20.4.sect1-1804.
AMA Journal of Ethics theme editor Emily Johnson, a fourth-year medical student at the University of Colorado School of Medicine, interviewed Susan Mizner, JD, about some merits, drawbacks, and alternatives to guardianship.
AMA Journal of Ethics theme editor Arina Evgenievna Chesnokova, MPH, a third-year medical student at Baylor College of Medicine, interviewed Megan Sandel, MD, MPH about how physicians can establish partnerships with attorneys.
Each time an imaging study is ordered, radiologists must ask whether exposure to radiation is warranted. Imaging should not be performed to avoid litigation, for financial gain, to reach a quota, when the outcome clearly will not affect the treatment plan, or because the patient’s family demands it.
The greatest pressure to resuscitate the extremely low-birth-weight infant often results from successful marketing efforts that lead families to expect that their premature infants will be cute and healthy.
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.
Tracy Shamas, MSN, APRN and Sarah Gillespie-Heyman, MSN, APRN
Veterans at the end of life have special needs due to posttraumatic stress disorder, environmental exposures, and the influence of military culture on their values. Those who die outside the Veterans Affairs health care system, however, can be at increased risk for receiving outpatient palliative care that is not sensitive to these factors.
AMA J Ethics. 2018;20(8):E787-792. doi:
10.1001/amajethics.2018.787.
Joel A. DeLisa, MD, MS and Jacob Jay Lindenthal, PhD, DrPH
Research on experiences of practicing physicians who have disabilities could help medical schools counsel applicants and increase enrollment among students with disabilities. This can ultimately improve care for patients with disabilities.
AMA J Ethics. 2016;18(10):1003-1009. doi:
10.1001/journalofethics.2016.18.10.stas1-1610.