Carmen Black Parker, MD, Amanda Calhoun, MD, MPH, Ambrose H. Wong, MD, MSEd, Larry Davidson, PhD, and Charles Dike, MBChB, MPH
Psychiatric emergencies, coping stress reactions, and iatrogenic injuries are not responded to with the same vigor as acute medical decompensation. That needs to change.
AMA J Ethics. 2020; 22(11):E956-964. doi:
10.1001/amajethics.2020.956.
Both physicians and pharmacists have responsibilities to ensure that opioids are prescribed and dispensed for legitimate medical purposes and to meet legal requirements.
AMA J Ethics. 2020; 22(8):E675-680. doi:
10.1001/amajethics.2020.675.
Dr Travis Rieder discusses his own experiences with opioids and the ethical challenges of “legacy patients,” and Dr Stephanie Zaza, president of the American College of Preventive Medicine, discusses the future of opioid research priorities.
Deborah M. Eng, MS, MA and Scott J. Schweikart, JD, MBE
A just culture perspective suggests that punitive responses to those who err should be reserved for those who have willfully and irremediably caused harm.
AMA J Ethics. 2020; 22(9):E779-783. doi:
10.1001/amajethics.2020.779.
Farmworkers can become ill due to toxic exposure in their work environments. Recommending specific restrictions, educating patients on protection strategies, and partnering with agribusiness owners and allied health workers can drive development of alternatives to agricultural practices with health risks.
AMA J Ethics. 2018; 20(10):E932-940. doi:
10.1001/amajethics.2018.932.
Sarah Reinhardt, MPH, RD and Ricardo J. Salvador, PhD, MS
Clinicians should contribute to healthful, equitable, sustainable food procurement initiatives consistent with their institutions' health-promotion missions.
AMA J Ethics. 2018; 20(10):E974-978. doi:
10.1001/amajethics.2018.974.
Produce prescription programs can expand patient's food choices and provide financial incentives to change consumption behaviors. If these programs are not linked to established government assistance programs, however, growers could be at risks for bearing the cost.
AMA J Ethics. 2018; 20(10):E960-973. doi:
10.1001/amajethics.2018.960
Physicians need better education in nutrition science. Referring patients to nutrition experts for dietary counseling would motivate food availability and intake assessment as routine. Good clinical counseling considers patients' cultural traditions and environmental sustainability as key ethical values.
AMA J Ethics. 2018; 20(10):E994-1000. doi:
10.1001/amajethics.2018.994.