AMA Journal of Ethics

When responding to an ad for a job caring for patient-detainees along the US southern border, applicants should anticipate the need to navigate dual loyalties.

Lack of ethical, legal, and clinical consensus about best practice sometimes combines with a poor clinical evidence base.

Clinical decision supports create ethically complex risks and need to align patients’ and caregivers’ professed values.

Risk managers can help patient-subjects and clinician-researchers make informed novel device implantation decisions in the absence of preclinical trial data.

Framing risk management goals as patient centered and evidence based helps align them with goals of ethics.

Patients leaving against medical advice draw attention to intersections of tort law, federal and state regulations, and clinical ethics.

For patients historically stripped of control over their reproductive health, consideration of past violations and transparent discussion are key.

Native Americans suffer poverty and significant health inequity and are chronically underrepresented in the clinician workforce.

A nudge is an intervention designed to prompt a person to “voluntarily” make a choice intended by those who altered an environment or situation to yield that choice.

Legacy patients are so-called because their opioid use behaviors express past, aggressive opioid prescribing by a clinician. Managing their pain and dependence justly is ethically complex.