AMA Journal of Ethics

Revisiting the WHO Analgesic Ladder for Surgical Management of Pain

The opioid epidemic challenges current attitudes toward pain management and necessitates the reexamination of the World Health Organization (WHO) 3-step analgesic ladder, introduced in 1986 for cancer pain management. Surgical treatment of pain is a logical extension of the original…

How Should Decision-Sharing Roles Be Considered in Adolescent Gender Surgeries?

The nascent field of gender-affirming surgery (GAS) for binary and nonbinary transgender adolescents is growing rapidly, and the optimal use of shared decision making (SDM)including who should be involved, to what extent, and for which parts of the decision is…

Overcoming Obstacles to Shared Mental Health Decision Making

Shared decision making (SDM) is difficult to implement in mental health practice, but it remains an ethical ideal for motivating therapeutic capacity in patient-clinician relationships; this discrepancy warrants attention from clinical and ethical perspectives. This article explores what some clinicians…

How Should Trainees’ Influences on Postoperative Outcomes Be Disclosed?

Conflict arises when surgeons and anesthesiologists disagree about goals of care in perioperative settings. Collaboration is essential for safe, efficient, and effective care. Drawing on 2 pediatric cases that highlight risks of anesthetic exposure, this article examines the influence of…

How Should Cervical Cancer Prevention Be Improved in LMICs?

Cervical cancer has become rare in high-income countries but is a leading cause of mortality among women in low- and middle-income countries (LMICs). This inequity is due to economic, social, and cultural factors and should be seen as an epidemiological…

Prioritizing Women’s Health in Germline Editing Research

Although women are inextricably involved in the study of germline editing, their interests have not been significantly represented in debates about the evolution of genome editing technology. Discussions have taken place about effects of germline editing on women as parents…

How the Social Contract Can Frame International Electives

Short-term experiences in global health (STEGHs) are common ways trainees engage in global health activities, which can be viewed by students as either altruistic or opportunistic. This article explores how STEGHs express the social contract medicine has with society, emphasizes…

Ethics Talk: How Crisis Intervention Team Training Improves Safety

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast on how crisis intervention teams can motivate efficiency and equity in tactical responses to 911 calls and what community mental health…