AMA Journal of Ethics theme editor William R. Smith, a third-year medical student at Emory University School of Medicine and a doctoral candidate in philosophy at the University of Notre Dame, interviewed James Mohr, PhD, about how the medical profession has been regulated—and regulated itself—over the course of American history.
Critical skills required to weigh decisions with serious consequences, manipulate information rationally, and choose wisely are skills that are likely to be impaired by frontal lobe injury that results in personality change.
The hospitalist sued in Domby v. Moritz was judged to have met the applicable standard of care for a hospitalist—supervising a patient’s medical care while the patient was in the hospital. Dr. Moritz was not held to the consulting cardiologist’s standard.
Cytopathologists frequently interact directly with patients at their bedsides to perform fine needle aspiration procedures. When, if ever, should cytopathologists share preliminary diagnostic impressions directly with patients?
AMA J Ethics. 2016;18(8):779-785. doi:
10.1001/journalofethics.2016.18.8.ecas3-1608.
Requirements for informed consent are relatively vague and the exceptions are few, so it is in the physician’s best interest to inform patients about proposed treatment options, ascertain that they understand their choices, and secure their consent.
Fibromyalgia, with no positive tests, is a “foreigner” in the medical landscape. Medicine looks for signs of pathology, changes in the structure or function of organs. The mantra of physicians facing patients with fibromyalgia: “Your tests are normal.”