This month, AMA Journal of Ethics' theme editor, Nadi N. Kaonga, a medical student and predoctoral candidate at Tufts University in Boston, interviewed Gordon D. Schiff, MD, on reframing professional boundaries in the patient-physician relationship.
The primary care physician and activist Dr. Gordon Schiff advises those advocating for systemic change to set priorities, work with others, and realize the power of small actions.
AMA J Ethics. 2015;17(5):465-468. doi:
10.1001/journalofethics.2015.17.5.mnar1-1505.
AMA Journal of Ethics editor Audiey Kao, MD, PhD, interviewed Richard Pan, MD, MPH, about how, as a physician and legislator, he seeks to protect public health in light of recurrent outbreaks of vaccine-preventable infectious diseases.
By virtue of their education and expertise, physicians have a responsibility to challenge scientifically inaccurate information about sexual health, but they may not opine about sexual norms for society in their professional capacity.
Physicians have a duty to educate lawmakers and the public about misinformation but they should not advocate for specific policies and thereby foreclose social dialogue on issues related to public health.
Invoking one’s medical training when presenting an opinion on a topic about which one has no expertise is simply cloaking personal one’s views in the mantle of respectability that being a doctor provides.
Unless we build bridges between our clinical work with patients and the public health mission that Virchow prescribed for us, we are doomed to futility in our efforts to help our patients.
Physicians will have a greater impact on health if they advocate for changes needed to prevent illness and harm than if they simply patch up those who are sick or harmed.