Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.
AMA J Ethics. 2018;20(8):E699-707. doi:
10.1001/amajethics.2018.699.
Matthew William McCarthy, MD and Joseph J. Fins, MD
Hospital medicine must expand its mission to include the teaching of medical ethics, professionalism, and communication to trainees during clinical rounds.
AMA J Ethics. 2017;19(6):528-532. doi:
10.1001/journalofethics.2017.19.6.peer2-1706.
When a patient is turfed, the interdisciplinary relationships take on the characteristics of a power play. In medicine, duties to patients are paramount, and some physicians appear to consider themselves in some ways exempt from that duty.
Bioethicist Bruce Jennings examines the changing role of physicians in end-of-life care, from paternalistic decision maker to advisor-technician and half-way back.