The Declaration of Helsinki was recently revised to require that the control arm of a trial use the current standard of care, even if that standard is not generally available in developing nations where the research is being conducted.
Those conducting Western-style clinical trial research in developing countries must consider the manner in which ethical principals are implemented within local standards of care.
Physicians should approach potentially difficult patients in the emergency department with calm reassurances, in the presence of aides or security to assist the physician, and determine whether emergency or urgent medical care is needed.
An attending physician in an urban teaching hospital faces an ethical dilemma when a mother refused to allow an African American medical student to examine her child.
Physicians must be able to decide when to accept a patient's decision in the event that the decision seems irrational or does not seem to be in the patient's best interest.
An ethical case explores whether a physician who wants to terminate his professional relationship with a noncompliant hemodialysis patient has an obligation to treat the patient if the patient has a disability.