When patients undertake behavior change, the physician's role is that of an athletic coach or tour guide, providing direction on the trip but leaving the itinerary up to the patient.
Both bans on unhealthful foods and warning label requirements face strong legal opposition from industry and ignite furious public debate about the role and limits of government intervention in American lifestyles.
Primary care physicians should be competent in lifestyle medicine, promoting, practicing, staying current on, discussing with patients, and prescribing therapeutic lifestyle changes.
You are not just the rural patient’s doctor, you are the doctor for the football team, a friend, and perhaps a relative; you speak on health at local schools and are expected to attend fundraisers.
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.
This poster on a screening method for symptoms and their relation to population health won honorable mention in the 2017 Conley Art of Medicine Contest.
AMA J Ethics. 2018;20(2):197-198. doi:
10.1001/journalofethics.2018.20.2.imhl2-1802.
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.