Jonathan Giftos, MD, Andreas Mitchell, and Ross MacDonald, MD
A correctional health educational initiative for medical students and residents, as well as curriculum development and physician advocacy, is discussed.
AMA J Ethics. 2017;19(9):913-921. doi:
10.1001/journalofethics.2017.19.9.medu1-1709.
Using the patient’s worldview to challenge his or her decision and establish a treatment plan—implying the view is shared by the physician when it is not—could be seen as manipulative and deceptive.
This case illustrates how emergency physicians find themselves with an empty toolbox and must compromise to meet their responsibilities to patients and themselves.
With heterosexual transmission the chief cause of global HIV spread, those without the power to select sexual partners, choose the timing of sexual encounters, or insist on safer sex practices are unable to protect themselves from infection.