When confidential medical information can prevent a serious harm to a third party, the patient’s prima facie right to confidentiality must be balanced against the physician’s prima facie obligation to prevent serious harm to that third party.
AMA J Ethics. 2015; 17(9):819-825. doi:
10.1001/journalofethics.2015.17.9.ecas1-1509.
Vaccination rates among adolescents and young adults, for whom the risk of infection is greatest, remain lower than was true for other vaccines in their first years. And vaccination rates among males is extremely low.
AMA J Ethics. 2015; 17(9):854-857. doi:
10.1001/journalofethics.2015.17.9.msoc1-1509.
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.
Clinicians in Catholic health care institutions cannot prescribe contraceptives for pregnancy prevention under a false diagnosis without committing fraud and contravening doctrine. Referrals are one option the authors consider for navigating patient requests for contraception.
AMA J Ethics. 2018; 20(7):E630-636. doi:
10.1001/amajethics.2018.630.
Chaplains can mediate between physicians and families by clarifying religious issues for physicians, who can then present treatment options informed by a patient’s priorities. Ideally, family and religious values and a physician’s judgment should work together to inform decision making.
AMA J Ethics. 2018; 20(7):E670-674. doi:
10.1001/amajethics.2018.670.
AMA Journal of Ethics theme editor Subha Perni, MD, a recent graduate of the Columbia University College of Physicians and Surgeons, interviewed Elizabeth Epstein, PhD, RN, about strategies for understanding and address moral distress in clinical settings.