While respecting patient autonomy and involving patients in decision making, physicians must recognize that some situations call for them to exercise selective paternalism in order to fulfill their professional duty to uphold standards of care.
When a patient requests an unfamiliar treatment, the physician should not hesitate to research it before giving a categorical reply about its safety or efficacy.
Fisher v. University of Texas at Austin continues the debate about affirmative action in higher education. What constitutes adequate representation of a given group, and should those groups be based on race or class?
Jessie Kimbrough-Sugick, MD, MPH, Jessica Holzer, MA, and Eric B. Bass, MD, MPH
Researchers who approach community partners with an agenda already in hand are missing the point of the community-based participatory research enterprise: developing priorities for study together.
A hospital shares responsibility for system failures that result in harm to a patient in its care. A fully functional computerized physician order-entry (CPOE) system should be able to prevent “copy and paste” medication errors from harming patients.
If society values physicians because they possess valuable clinical skills and exercise those skills with a fiduciary ethic of care toward their patients, we ought to evaluate physicians on those grounds directly, rather than looking to their behavior “after hours.”
Nontherapeutic infant male circumcision is not medically or ethically justifiable and should be deferred until the person is able to decide for himself.
AMA J Ethics. 2017;19(8):815-824. doi:
10.1001/journalofethics.2017.19.8.msoc2-1708.
The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.