By privileging traditional research methods in forms for research protocol approval, IRBs can unknowingly allow community partners to be harmed in CBPR. Changes to the language can help ensure appropriate sensitivity and community involvement.
A hospital shares responsibility for system failures that result in harm to a patient in its care. A fully functional computerized physician order-entry (CPOE) system should be able to prevent “copy and paste” medication errors from harming patients.
If society values physicians because they possess valuable clinical skills and exercise those skills with a fiduciary ethic of care toward their patients, we ought to evaluate physicians on those grounds directly, rather than looking to their behavior “after hours.”
Assigning community based on race suggests that phenotype reveals something consistent about biology that is equal in standing to factors like weight, dietary habits, smoking history, and whether or not you had rheumatic fever as a child.
Elizabeth Lee Daugherty, MD, MPH and Douglas B. White, MD, MA
Opportunities to advance scientific knowledge may arise during humanitarian crises, but their presence does not justify suspension of the ethical foundations governing human subjects research.
Forced migration of Pacific Islanders raises ethical issues of health and health care disparities, which are examined in the case of Tuvaluan immigrants.
AMA J Ethics. 2017;19(12):1211-1221. doi:
10.1001/journalofethics.2017.19.12.imhl1-1712.