Physicians are not obligated to offer testing or treatments that are not medically indicated—even if patients demand them. This does not mean, however, that a physician should be dismissive of the patient’s concerns.
Karen E. Hoffman, MD, MHSc, MPH and Paul L. Nguyen, MD
Guidelines require interpretation and should not be mindlessly applied as a template of care for all patients, particularly when there are inconsistencies between clinical practice guidelines developed by medical groups.
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.
Monica Peek, MD, MPH, MSc, Bernard Lo, MD, and Alicia Fernandez, MD
Gender-concordant care requests involve principles of beneficence, respect, and fairness and, when they occur on rotations, require a team-based approach.
AMA J Ethics. 2017;19(4):332-339. doi:
10.1001/journalofethics.2017.19.4.ecas2-1704.
James Mills Jr., MD, a founder of emergency medicine, believed he could have greater impact on medical care for the poor in his city by giving up his practice and working in the emergency room full time.