AMA Journal of Ethics

Pharmacist and Prescriber Responsibilities for Avoiding Prescription Drug Misuse

Pharmacists have the same duty as prescribers to prevent inappropriate use of dangerous drugs. Loperamide, for example, is an over-the-counter medication that has been reported to be potentially misused for euphoric effects. Pharmacists and prescribers alike face challenges in providing…

How Should Clinicians Respond to Children in Transgenerationally Traumatized Families?

Pediatricians have obligations to respond with care to all children’s clinical and social vulnerabilities. Finding and addressing causes of children’s stress (ie, family separation, child abuse, and trauma) are also obligations. Preventive and rescue interventions should be implemented to address…

Historical Trauma and Descendants’ Well-Being

Because multiple Asian American and Pacific Islander (AAPI) communities in the United States have experienced historical trauma (HT), it is important to understand HT’s impact on the well-being of the subsequent generations. This article addresses intergenerational trauma transmission, focusing primarily…

How Should Clinicians Address a Patient’s Experience of Transgenerational Trauma?

Establishing trust is essential to a healthy patient-surgeon relationship. Respecting patient autonomy while seeking to understand patients’ unique perspectives can strengthen trust. This article discusses cultural mistrust, a response shaped by historical iatrogenic harm (ie, unintentional harm caused by health…

Sharing Ethics Consultation Notes With Patients Through Online Portals

Many health systems have adopted online patient portals that allow patients to easily view their health records. As a result, notes written by health care professionals are increasingly read by both clinicians and patients, and clinicians in specialties that routinely…

Ethics Talk: Illuminating the Importance of Workers Who Earn Low Wages

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about what we owe health care workers earning low wages. The featured guests are Noelle Driver, MD, a resident in anesthesiology…

Ethics Talk: Avoiding Iatrogenic Harm for Dying Patients

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the harms of poor-end-of-care life and how to avoid them. The featured guest is Dr Helen Chapple, a professor at…

Ethics Talk: Illuminating the Science of Art

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about-based research: what it is, who it’s for, and why we should pay closer attention to it as a method of…

Ethics Talk: Teaching the Holocaust

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast on the challenges and benefits of teaching Holocaust history to health professions students. The podcast consists of an interview with Matthew…