This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about how comparing different conceptions of health can help us interrogate just exactly what a One Health approach to health offers…
This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about critical theory in health professions education. The featured guest is Dr John Chenault, an associate professor and the director of…
Inpatient psychiatric units’ policies and restrictions for suicide prevention can exacerbate harm rather than promote wellness. This commentary on a case examines ethics concerns about prevention policies that overly rely on liberty restriction, as expressed in the design of inpatient…
Inpatient psychiatric units should be therapeutic environments that support dignity and recovery. When adverse outcomes (eg, self-harm, violence) happen in these settings, clinicians and administrators can face litigation and other pressures to prioritize risk management over supporting patients’ access to…
When a pregnant patient misuses or becomes dependent on any addictive substance during pregnancy, two people are exposed: the pregnant patient, and the fetus/newborn. It is estimated that approximately 5% to 7% of pregnant persons use addictive substances. Among these,…
Postpartum is a stressful time for this high-risk population as relapse rates are high and pain tolerance is low. Special considerations should be given to pain control, sedation risk, breastfeeding, contraception, and safe transition of the newborn to extrauterine life….
In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with opioid use disorder are unintended. During pregnancy, chronic untreated substance and…
In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with substance use disorder (SUD) are unintended. During pregnancy, chronic untreated substance…
Fetal malpresentation is defined as a fetus presenting at birth in a non-vertex presentation as either occiput transverse (OT) or occiput posterior (OP). This condition occurs 15% to 25% at term and 5% to 12% at birth, frequently increases risk…
The diagnosis of a substance use or opioid use disorder during pregnancy is linked to complications for the mother, fetus, and newborn. Chronically drug exposed fetuses are at high risk for neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome…
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