AMA Journal of Ethics theme editor Subha Perni, MD, a recent graduate of the Columbia University College of Physicians and Surgeons, interviewed Elizabeth Epstein, PhD, RN, about strategies for understanding and address moral distress in clinical settings.
Physician advocacy for climate change mitigation is justified by seven criteria including physicians’ efficacy, expertise, public trust, and proximity.
AMA J Ethics. 2017;19(12):1202-1210. doi:
10.1001/journalofethics.2017.19.12.msoc1-1712.
Climate change mitigation reforms of government policy, medical curricula, and health professions organizations should be the focus of physician advocacy.
AMA J Ethics. 2017;19(12):1222-1237. doi:
10.1001/journalofethics.2017.19.12.sect1-1712.
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?
The stigma associated with HIV has diminished with its spread among the heterosexual population and the development of effective treatments. This normalization may justify assuming a more traditional public health perspective about mandatory prenatal screening.
The adverse health effects of climate change should be the focus of physician advocacy efforts and of conversations between physicians and their patients.
AMA J Ethics. 2017;19(12):1174-1182. doi:
10.1001/journalofethics.2017.19.12.ecas3-1712.
Gerald M. Oppenheimer, PhD, MPH and Ronald Bayer, PhD
The alarm generated by the AIDS epidemic left civil liberties proponents fearful that traditional public health responses might be imposed on newly susceptible or infected populations.
Moral distress arises not only from organizational constraints on moral action but also from the environmental impacts of health care and climate change.
AMA J Ethics. 2017;19(6):617-628. doi:
10.1001/journalofethics.2017.19.6.mhst1-1706.