Kym Ahrens, MD, MPH, F. Bruder Stapleton, MD, and Maneesh Batra, MD, MPH
The University of Washington Pediatric Residency Program Experience in Global Health and Community Health and Advocacy embodies essential principles of successful short-term rotations from academic medical centers to resource-limited countries.
The traditional triple threat model of academic physician careers can help global health researchers balance research commitments and the duty to care.
Even if they are not sick, people in quarantine are still patients; the physician is responsible for their well-being and may find that it is necessary to advocate for them.
Primary materials including interviews with some of the volunteer subjects provide information on the experiments into the pathogenic mechanism of yellow fever.
Specific advocate guidelines are needed for the protection of children in state custody who are potential research subjects in trials that would expose them to greater-than-minimal risk but also hold the prospect of direct benefit.
Physicians’ ethical obligations to disclose conflicts of interest to patients and to obtain their informed consent for treatment are particularly critical when proposed treatments are experimental.
Clinical case examines physicians’ duties and risks during an epidemic. Commentaries address physician’s rights vs patients’ rights. Does the duty to treat always override personal or family concerns?
In quarantine situations, the actions of autonomous individuals are restricted to protect the health of the public. Physicians enforcing quarantine should be sympathetic and clear in communicating with those whose activities are being restricted.