When the patient delivers a low-birth-weight infant that requires extensive time in the neonatal intensive, should she be held responsible? Where do we draw the line? More importantly, on what basis do we draw the line?
At their best, good systems allow space for the practical judgment of health care professionals to achieve justice in the particular actions of their daily practice.
As a matter of medical ethics, physicians must advocate for their vulnerable patients and medical schools should offer training in advocacy and activism.
AMA J Ethics. 2017;19(1):8-15. doi:
10.1001/journalofethics.2017.19.1.ecas1-1701.
Lauren C. Nigro, MD, Michael J. Feldman, MD, Robin L. Foster, MD, and Andrea L. Pozez, MD
Suspected child abuse cases can be identified and repeat hospitalizations of such cases prevented using multidisciplinary teams to evaluate pediatric burns.
AMA J Ethics. 2018;20(6):552-559. doi:
10.1001/journalofethics.2018.20.6.org1-1806.
Thirty states have exceptions to child-neglect laws that provide shelter from misdemeanor violations for parents who treat their children through prayer in accord with the beliefs of a recognized religion.
After the infant’s birth, the neonatologist’s first duty is to his or her patient—the newly born infant. If clinical circumstances are different than anticipated, the physician must first consider the best interests of the baby.
When a child or family begins to stand out because of patterns in history or physical findings, physicians must determine whether to take a closer look at the situation.
Having implied that a particular clinical decision had been made to “free up a hospital bed,” the attending physician walked away without further comments to the residents or talking with the patient.