When police officers and clinicians perceive a moral transgression committed by an agent responding to risk in the field, they are susceptible to moral injury.
AMA J Ethics. 2022;24(2):E126-132. doi:
10.1001/amajethics.2022.126.
Perpetration-induced traumatic stress should be understood as present, not just posttraumatic, stress disorder because retraumatization is part of slaughterhouse workers’ jobs.
AMA J Ethics. 2023;25(4):E251-255. doi:
10.1001/amajethics.2023.251.
Awareness of transference reactions, practicing active listening and reflection, pausing, and articulating one’s understanding of another’s emotional motivations can help cultivate deeper patient-clinician relationships at the end of life.
AMA J Ethics. 2018;20(8):E717-723. doi:
10.1001/amajethics.2018.717.
Medical educators must become aware of undesirable behaviors or attitudes that they may inadvertently be modeling to students in the clinic because the implicit messages students receive can profoundly affect their behavior and interactions with patients.
AMA J Ethics. 2015;17(2):142-146. doi:
10.1001/virtualmentor.2015.17.2.jdsc1-1502.
Daphne C. Ferrer, MD and Peter M. Yellowlees, MBBS, MD
Telepsychiatry extends access to psychiatric treatment to those who might not otherwise get it, but licensure problems and the risk of boundary violations between patients and physicians need to be worked out.
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.
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.