This month, AMA Journal of Ethics theme editor Marguerite Reid Schneider, a fourth-year medical student at University of Cincinnati College of Medicine, interviewed Srijan Sen, MD, PhD, about how mental health care and medical culture can be changed to benefit medical trainees.
Patients can now easily view their health records, so clinicians must consider a reader’s interpretation of how they convey sensitive personal health information. What might this mean for ethics consultants?
AMA J Ethics. 2020; 22(9):E784-791. doi:
10.1001/amajethics.2020.784.
A rural physician who is faced with treating patients outside of his area of specialization should confer with the necessary specialists and make every effort to help patients get the specific care that they need.
A rural physician who is faced with treating patients outside of his area of specialization should confer with the necessary specialists and make every effort to help patients get the specific care that they need.
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?
Fabian M. Saleh, MD and H. Martin Malin, PhD, MA, LMFT
In treating patients whose sexual fantasies do not trigger an immediate legal duty to report, psychiatrists must be vigilant for signs that the patient intends to act on a fantasy.
Particularly in a small community, patients may want to avoid the social stigma of seeking mental health care by receiving it from their primary care physician—who may know them well enough to have some insights an unfamiliar specialist would not.
Writing a case study of a psychiatric patient may change the patient-physician dynamic even if the patient consents to be written about. And when the patient is a minor and consent must involve her parents, the process becomes even more complicated.
