Physicians need better education in nutrition science. Referring patients to nutrition experts for dietary counseling would motivate food availability and intake assessment as routine. Good clinical counseling considers patients' cultural traditions and environmental sustainability as key ethical values.
AMA J Ethics. 2018;20(10):E994-1000. doi:
10.1001/amajethics.2018.994.
Physician advocacy for climate change mitigation is justified by seven criteria including physicians’ efficacy, expertise, public trust, and proximity.
AMA J Ethics. 2017;19(12):1202-1210. doi:
10.1001/journalofethics.2017.19.12.msoc1-1712.
Physicians make patients aware of those interventions that they (the patients) may then refuse. In short, informed consent is less about patient decisions than it is about restraining physicians.
Preventing bad outcomes for teens and their offspring was the impetus behind confidential care for reproductive health. Requiring parental involvement created an obstacle to the provision of necessary care.
A digital record of place history and environmental context can provide a piece of clinically relevant information to help physicians understand what toxins patients may have been exposed to.
Medicine, a high-energy consumer and generator of much waste—some of it toxic—must scale back the health care enterprise in the interest of preserving a livable environment.