Situations in which the patient’s family seems not to be acting in good faith or the patient's suffering is uncontrollable are relatively rare and do not warrant giving physicians unilateral power to withhold or withdraw treatment in all cases of perceived medical futility.
When a seriously ill mature minor and his parent disagree about his receiving an experimental intervention, who should decide what treatment he will receive?
One of the major driving forces for migration by women is the availability of caregiving work in wealthier nations, so improving working conditions for migrant women and ensuring that elderly and other persons in need of care receive good care are intertwined goals.
Jalayne J. Arias, JD, MA and Kathryn L. Weise, MD, MA
Even when external factors such as nonaccidental injury weigh heavily on clinicians' perceptions, they should not lose focus on the patient's best interest when deciding whether to continue or withdraw treatment.
The U.S. federal and state governments are taking steps to ameliorate the physician shortage by offering scholarship and loan-repayment options to medical students interested in primary care practice in designated underserved areas.
The Wisconsin Academy for Rural Medicine seeks candidates with an increased probability of practicing in rural Wisconsin, delivers the curriculum in collaboration with rural partners, and encourages students' interest in rural practice and living.
Forcing parents to participate in treatment is unlikely to succeed. Seeking to optimize the therapeutic alliance between family and pediatrician is more likely to achieve the desired outcome—the child’s short- and long-term well-being.