A 15-year-old advance directive made when the patient was in much better health and not updated can bring more confusion than clarity to the decision-making process.
Susanne Sheehy, BM BCh, MRCP, DTM&H and Joel Meyer, BM BCh, MRCP
The decline in numbers of healthy volunteers who participate in clinical trials has the potential to become a key rate-limiting factor in vaccine development.
Laura N. Gitlin, PhD and Nancy A. Hodgson, PhD, RN
As a matter of medical ethics, physicians must address the health care needs of and be advocates for family caregivers of their patients with dementia.
AMA J Ethics. 2016;18(12):1171-1181. doi:
10.1001/journalofethics.2016.18.12.ecas1-1612.
The American College of Physicians and the Federation of State Medical Boards’ guidelines for online medical professionalism apply existing norms of communication and confidentiality to new settings but will need to be modified in light of technological advances and unanswered questions.
AMA J Ethics. 2015;17(5):441-447. doi:
10.1001/journalofethics.2015.17.5.nlit1-1505.
Networking with a friend to help a patient gain employment is not unethical as long as confidentiality is maintained and the patient grants his or her doctor permission to discuss the situation with the friend.
AMA J Ethics. 2015;17(5):425-427. doi:
10.1001/journalofethics.2015.17.5.ecas2-1505.
Jayant Menon, MD, MEng and Daniel J. Riskin, MD, MBA
The authors describe a historical pattern in which a set of enabling technologies facilitates rapid advances in medical practice, resulting in recognition of new ethical challenges and a decades-long struggle to resolve them.
The 2013 BRAIN Research Initiative calls for the integration of ethics into medical education and all levels of research, from hypothesis generation to evaluation, which promises to provide an ethical foundation for all future biomedical research.