Advance directives, substituted judgment, and the best-interest standard all have limitations that constrain their usefulness in making medical decisions for patients who cannot choose for themselves.
The practice of banking sperm from adolescents about to undergo chemotherapy is not universal, which lends support to the argument that parental consent be required for the intervention.
Tom Alsaigh, MD, Laura Nicholson, MD, PhD, and Eric Topol, MD
Clinicians should have a working understanding of gene editing, controversy surrounding its use, and its far-reaching clinical and ethical implications.
AMA J Ethics. 2019;21(12):E1089-1097. doi:
10.1001/amajethics.2019.1089.
Advance directives do not always resolve questions about the best care for patients who no longer have decision-making capacity; physicians and patient surrogates can take alternative approaches to arrive at the best care decision.
Much premed education encourages acquiring competence in basic science and demonstrating (rather than developing) the characteristics of a good physician.
PRIME-LC is a 5-year, dual-degree program at the University of California, Irvine Medical School that educates physician activists to serve in poor Latino communities.
U.S. physicians have a duty to treat patients who receive organ transplants abroad and many believe that there are ways to reduce the shortage of organs for transplant in the U.S.