AMA Journal of Ethics theme editor William R. Smith, a third-year medical student at Emory University School of Medicine and a doctoral candidate in philosophy at the University of Notre Dame, interviewed James Mohr, PhD, about how the medical profession has been regulated—and regulated itself—over the course of American history.
When the patient delivers a low-birth-weight infant that requires extensive time in the neonatal intensive, should she be held responsible? Where do we draw the line? More importantly, on what basis do we draw the line?
Today’s modern trauma system is a relatively new phenomenon, and trauma surgeons are constantly responding to the changing needs of the populations they serve.
After the infant’s birth, the neonatologist’s first duty is to his or her patient—the newly born infant. If clinical circumstances are different than anticipated, the physician must first consider the best interests of the baby.
Having implied that a particular clinical decision had been made to “free up a hospital bed,” the attending physician walked away without further comments to the residents or talking with the patient.