As courts continue to define the balance between a First Amendment right of free speech, the public's right to know, and protection of the private, physicians must take care to protect patient privacy in any publishing endeavor.
Decision-making capacity can be preserved in patients with mental illness and should be formally assessed in the context of their values and past decisions.
AMA J Ethics. 2017;19(5):416-425. doi:
10.1001/journalofethics.2017.19.5.ecas1-1705.
The American College of Physicians and the Federation of State Medical Boards’ guidelines for online medical professionalism apply existing norms of communication and confidentiality to new settings but will need to be modified in light of technological advances and unanswered questions.
AMA J Ethics. 2015;17(5):441-447. doi:
10.1001/journalofethics.2015.17.5.nlit1-1505.
Networking with a friend to help a patient gain employment is not unethical as long as confidentiality is maintained and the patient grants his or her doctor permission to discuss the situation with the friend.
AMA J Ethics. 2015;17(5):425-427. doi:
10.1001/journalofethics.2015.17.5.ecas2-1505.
Survey of faculty physicians at the University of Pennsylvania led to a list of proposals for health care reforms beyond those included in the Affordable Care Act.
AMA J Ethics. 2015;17(7):680-688. doi:
10.1001/journalofethics.2015.17.7.sect2-1507.
Thomas W. LeBlanc, MD, MA and Amy P. Abernethy, MD, PhD
One strategy to promote adherence is the use of “care pathways,” effectively roadmaps that seek to standardize cancer treatment on the basis of some agreed-upon set of guidelines within a particular center or group of patients.
There are few situations in which the standard of care is so clear-cut as to preclude physician judgment. Assessing the degree of need (not just the standard of care) when asking a patient to spend money requires judgment.