Benjamin W. Frush, MD, MA, John Brewer Eberly Jr, MD, MA, and Farr A. Curlin, MD
Physicians should accommodate patients’ religious or spiritual understanding of suffering, even when they disagree, as long as they uphold their commitment to health. Both physicians and chaplains, who promote patients’ spiritual well-being, should respectfully challenge patients when necessary.
AMA J Ethics. 2018;20(7):E613-620. doi:
10.1001/amajethics.2018.613.
April R. Christensen, MD, Tara E. Cook, MD, and Robert M. Arnold, MD
Physicians who are uncomfortable with patients’ requests to participate in prayer should pause, listen respectfully, and reflect back their understanding of the request, regardless of whether they pray.
AMA J Ethics. 2018;20(7):E621-629. doi:
10.1001/amajethics.2018.621.
Educators discussing ethically challenging topics with students should try to cultivate open mindedness while illuminating potential negative consequences that their health practice beliefs—such as refusing to provide abortion care—can have for patients, particularly those with limited options.
AMA J Ethics. 2018;20(7):E637-642. doi:
10.1001/amajethics.2018.637.
Clinicians have an ethical obligation to promote health equity in their communities. This month, we discuss how clinicians worked to expose the water crisis in Flint, and explore ways that clinicians can combat systemic injustice and promote health equity.
Postmastectomy breast reconstruction should aim at the appearance of the patient’s native breast (or normal anatomy), although tattooing is also an option.
AMA J Ethics. 2018;20(4):366-371. doi:
10.1001/journalofethics.2018.20.4.msoc1-1804.
Interprofessional collaboration is a vital part of medical education. When a medical student resists learning from a nurse-midwife on a rotation, how should an academic medical faculty member respond?
AMA J Ethics. 2016;18(9):898-902. doi:
10.1001/journalofethics.2016.18.9.ecas2-1609.
The greatest pressure to resuscitate the extremely low-birth-weight infant often results from successful marketing efforts that lead families to expect that their premature infants will be cute and healthy.
Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.
AMA J Ethics. 2018;20(8):E699-707. doi:
10.1001/amajethics.2018.699.