This month, AMA Journal of Ethics editor-in-chief Audiey Kao, MD, PhD, interviewed Wendy Levinson, MD, about the efforts of the Choosing Wisely initiative to foster cultural change in medicine cross-nationally by stimulating dialogue about overuse of tests and treatments
The ambiguity about and lack of uniformity in informed consent practices does not lend itself to the kind of shield from malpractice liability that exists in some more concrete, standardizable aspects of medical practice.
The Geisel School of Medicine at Dartmouth College has integrated health care delivery science, which includes quality improvement and leadership training, into its medical school curriculum.
Timothy K. Mackey, MAS and Bryan A. Liang, MD, JD, PhD
Studies show that clinical practice guidelines, used by an accused physician or by patients alleging a breach of standard care, have an impact on case outcomes.
The case of Johnson v Kokemoor illuminates the conflict between patients’ right to informed consent and clinicians’ need to learn through practice, a conflict that possibly could be resolved through greater transparency about clinicians’ experience or experience-dependent medical fees.
Medical specialty boards improve the quality and safety of health care, but they can overreach, and their board members express disapproval of board action by petition and through legal action.
AMA J Ethics. 2015;17(3):193-198. doi:
10.1001/journalofethics.2015.17.3.spec1-1503.
The Anesthesiology Quality Institute contributes both to local quality improvement in the practice of anesthesiology through data collection and establishment of benchmarks and to patient safety in partnership with the Anesthesia Patient Safety Foundation.
AMA J Ethics. 2015;17(3):248-252. doi:
10.1001/journalofethics.2015.17.3.pfor1-1503.
Survey of faculty physicians at the University of Pennsylvania led to a list of proposals for health care reforms beyond those included in the Affordable Care Act.
AMA J Ethics. 2015;17(7):680-688. doi:
10.1001/journalofethics.2015.17.7.sect2-1507.