Professionalism

Ethics Talk: How Do Street Clinicians Use EHRs?

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the evolution of electronic health records in street health care practice. The featured guest is Brett Feldman, the Director and…

How to Teach Good EHR Documentation and Deflate Bloated Chart Notes

Since health care organizations implemented widespread adoption of electronic health records (EHRs), clinicians’ notes about patients’ care have become longer and more cumbersome, a phenomenon colloquially known as “note bloat.” Bulky templates and blocks of data take time to sort…

How Should We Think About Ambient Listening and Transcription Technologies’ Influences on EHR Documentation and Patient-Clinician Conversations?

This commentary on a case analyzes how integrating ambient listening and transcription technologies powered by artificial intelligence into the electronic health record documentation process influences documentation practices and clinical encounters. The commentary offers best-practice recommendations for informed consent processes and…

Are “Break-the-Glass” Functions Required for Employee EHR Access?

Break-the-glass, or break-glass functions require an EHR user to enter additional authentication information and documentation of a specific business reason for accessing a patient record before they can enter a patient’s chart that is subject to heightened restrictions. The feature,…

Ethics Talk: Lessons From Disability Ethics About Ageism

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about key ideas from disability ethics that can inform our thinking about age-related biases and how medicalizing aging affects our health,…

How Old Are You, Actuarily?

Advances in epigenetic age estimation are now applied in actuarial science to make risk assessment more precise. But such health insurance underwriting practices pose ethical and legal questions about discrimination, privacy, and equity in biological data use. Legal adaptations, such…

What Does It Mean for a Patient to “Look Older Than Their Stated Age”?

Documenting one’s assessment of a patient’s physical appearance during a clinical encounter is regarded as a key element in a clinician’s overall judgment of a patient’s health. This article considers ethically and clinically relevant uses and misuses of such appraisals…

What Are the Most Ethically Salient Implications of Epigenetic Age Testing?

This commentary on a case considers how clinicians should help patients interpret results of tests that might be personally meaningful but not clinically actionable. Tests of biological age, for example, can easily lead to patient misunderstandings that can increase risks…

Ethical AI Use in Medicine – A Clinical Practice Toolkit

As augmented intelligence (AI) becomes increasingly integrated into clinical practice, physicians must navigate new ethical and operational challenges. AI tools can enhance diagnostic accuracy, streamline workflows, and support personalized care, while also introducing concerns related to reliability, bias, transparency, privacy,…