Jonathan M. Metzl, MD, PhD and Dorothy E. Roberts, JD
The call for structural competency encourages medicine to broaden its approach to matters of race and culture so that it might better address both individual-level doctor and patient characteristics and institutional factors.
This month theme issue editor, Trahern Jones, a fourth-year student at Mayo Medical School in Rochester, Minnesota, spoke with Dr. Edward Laskowski about the use of performance-enhancing drugs and substances among athletes today.
Clinicians' reluctance to engage in environmental interventions for children's psychiatric illnesses, which may seem to implicate parents, may stem from a desire to stand apart from mid-twentieth-century psychiatrists who blamed mothers for pediatric mental illness.
Determining the severity of a breach of medical privacy, and therefore whether or not it will be reported to the US Department of Health and Human Services, by the patient's reaction puts the hospital's interest in avoiding reporting breaches above the patient's best interests.
The revisions balance a growing understanding of gender identity disorders and societal views with the need to retain conditions that benefit from intervention and the removal of which would hamper patients’ ability to receive medical treatment.
Is it ethical to create and advertise, either publicly or during office visits, package deals that offer patients an incentive to have procedures they are not already seeking and might not have considered?
Within the patient-physician relationship, the request for neuroenhancement becomes a chief concern, and the physician has a duty to take a history and perform a physical exam to determine whether the patient’s current level of function represents significant change.