AMA Journal of Ethics theme editor James Aluri, a third-year medical student at Johns Hopkins University, interviewed Dr. Autumn Fiester, PhD, about strategies for defusing “difficult” patient-clinician relationships.
Although sharing health records with psychiatric patients may cause harm, clinicians also must consider beneficence and autonomy in making this decision.
AMA J Ethics. 2017;19(3):253-259. doi:
10.1001/journalofethics.2017.19.3.ecas3-1703.
Daniella M. Schocken, Aliye Runyan, MD, Anna Willieme, MFS, and Jason Wilson, MD
Distinctions in garb worn by health care professionals have their drawbacks, to the degree that reinforcing the differences between team members can reinforce rigid role divisions and hierarchical inequities that undermine teamwork.
After the infant’s birth, the neonatologist’s first duty is to his or her patient—the newly born infant. If clinical circumstances are different than anticipated, the physician must first consider the best interests of the baby.
Having implied that a particular clinical decision had been made to “free up a hospital bed,” the attending physician walked away without further comments to the residents or talking with the patient.
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.