Professionalism

Making the Ethical Oversight of All Clinical Trials Fit for Purpose

Importance  With the increase in trials assessing comparative effectiveness of approved products and alternative care strategies, guidance is needed to ensure ethical oversight is fit for purpose for the risks, burdens, and constraints on choice this research presents. Observations  US regulations governing…

Government Obligations and the Negative Right to a Healthy Urban Environment

Urban development often generates noise and light pollution, reduces green space, produces heat islands, and increases population density that can exacerbate crime, disease transmission, anxiety, and stress. This article argues that individuals and communities have rights to not have their…

Ethics Talk: Therapeutic Music and Peace in Health Care

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about therapeutic music and peace in health care. The featured guests are Daniel Levitin, PhD, neuroscientist, cognitive psychologist, and author of…

Admissions After Ambulatory Surgery

Ambulatory surgery is growing in popularity among physicians and patients. While it can be convenient and less expensive, ambulatory surgery also has risks. The risks oblige all those involved with ambulatory surgeries to make effective decisions about what procedures to…

Diagnostic Safety, Part 5: Systems Factors

This activity discusses ways systems factors (flaws or weaknesses in organizational systems of care) can sabotage correct diagnoses. Think about a primary care practice with no specific policy for checking if patients actually go to recommended tests and consults, which…

Diagnostic Safety, Part 4: The Value of the Differential Diagnosis

In medicine, the formulation of a differential diagnosis is fundamental to the diagnostic reasoning process. It is less likely to find documentation of a differential diagnosis in cases that have diagnostic errors. This activity presents strategies to fortify the differential…