Interprofessional collaboration is a vital part of medical education. When a medical student resists learning from a nurse-midwife on a rotation, how should an academic medical faculty member respond?
AMA J Ethics. 2016;18(9):898-902. doi:
10.1001/journalofethics.2016.18.9.ecas2-1609.
Is it ethical for a psychiatrist to monitor a patient’s blog without the patient’s permission? If so, what information from the blog is suitable for entry in the patient’s medical record?
The American Psychiatric Association proscribes its members from commenting on the mental health of public figures under its nonbinding “Goldwater Rule,” which followed a published survey of more than 1,000 psychiatrists commenting on Barry Goldwater’s emotional fitness for the presidency.
The FDA’s approval for over-the-counter sales of emergency contraception marked a departure from its standard approval process and obstructed access to a safe and effective drug. That departure could set a dangerous precedent for future decisions.
Anne Drapkin Lyerly, MD, MA and Ruth R. Faden, PhD, MPH
Participation in a research study—in which there are rigorous standards and close monitoring—may be a safer context for the use of medications in pregnancy than the clinical setting, where the evidence base is lacking.
Is this a conflict over a team member’s practice style or is it a breach professional boundaries? Is it appropriate for team members to make this judgment, or should it instead come from the team leader?