Asymmetry in knowledge and power between (1) physicians and patients and (2) physician educators and their students creates a climate for possible abuse in both sets of relationships.
When health professionals work collaboratively, scope of practice becomes more about defining roles and responsibilities among team members than about maintaining separate territories.
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.
Cultural failure to recognize tacit knowledge explains why credential-based knowledge has higher status and prioritizes clinicians who do not care on an hour-to-hour basis for most of our country’s elders.
AMA J Ethics. 2022;24(9):E883-889. doi:
10.1001/amajethics.2022.883.