Paula Tironi, JD, LLM and Monique M. Karaganis, MD
While parents often have legal authority to make decisions regarding pediatric palliative care, federal and state statutory and case laws, like CAPTA, impose significant restrictions on that authority.
Advance directives do not always resolve questions about the best care for patients who no longer have decision-making capacity; physicians and patient surrogates can take alternative approaches to arrive at the best care decision.
Clinical and psychosocial considerations influence how oncologists approach discussing sperm banking with adolescent patients who are about to undergo chemotherapy and with the parents of those patients.
A close study of a literary memoir can help resident physicians understand the complex, inextricable relationship between a patient’s autonomy and his vulnerability.
Adaptive, simulation-based Internet training sites with intelligent agents can offer medical students a virtual clinic for learning about the process and multiple outcomes of patient decision making.
Much premed education encourages acquiring competence in basic science and demonstrating (rather than developing) the characteristics of a good physician.