When patient autonomy became a closely held value in medical ethics in the 1960s and '70s, the physician’s conscience-based right to refuse to deliver a given service began to be contested.
If employees of religious institutions whose consciences conflict with those of their employers were to be granted legal protection for positive claims of conscience, the religious freedom of institutions within which they work would be gravely compromised.
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.
A substantial proportion of patients seen by physicians have had an abortion or will have one in the future, yet acquiring the necessary skills to care for 30 percent of the female patient population has been made challenging for future physicians by a number of laws and amendments.
The physician who offers telemedicine services to out-of-state patients is subject to the laws of his or her home state and the remote patient’s state, so it is crucial to understand both.
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.
This poster on a screening method for symptoms and their relation to population health won honorable mention in the 2017 Conley Art of Medicine Contest.
AMA J Ethics. 2018;20(2):197-198. doi:
10.1001/journalofethics.2018.20.2.imhl2-1802.
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.