We currently have no simple test of any kind that tells us whether someone has pain, but there is reason to be optimistic that brain imaging that can contribute to evaluation of pain may be within our grasp.
When a seriously ill mature minor and his parent disagree about his receiving an experimental intervention, who should decide what treatment he will receive?
When psychiatrists must submit evaluations of their patients in legal settings, they must provide complete and factual accounts even if the patient's attorneys would rather redact some information.
When deciding whether a pregnant woman will take antidepressants that pose a slight risk to the fetus, the patient and doctor must each make value-based determinations about whether absolute protection of the fetus is more important than preventing the mother’s probable suffering.
Conducting community-based research in the community where one resides demands careful planning, sensitivity to community members’ privacy, and a strong commitment to full and respectful communication.
The differences between CBPR and traditional research have been enumerated, but how to overcome them is still up for discussion, collaboration with community members is advocated, and examples are given.
PSOs are not required to share their data, which limits the ability to achieve a much-needed national perspective. Regardless, the are a step in the right direction.
Lynn Monrouxe, PhD, Malissa Shaw, MSc, PhD, and Charlotte Rees, MEd, PhD
Students’ decision making about ethical dilemmas can be supported via education, faculty development, and structures for reporting professionalism lapses.
AMA J Ethics. 2017;19(6):568-577. doi:
10.1001/journalofethics.2017.19.6.medu1-1706.