AMA Journal of Ethics

FDA Device Oversight From 1906 to the Present

This article examines the history of device oversight by the US Food and Drug Administration (FDA). Significant regulatory changes occurred in response to injuries caused by Dalkon Shield intrauterine devices. This article summarizes those changes as well as continued efforts…

Making Merit Just in Medical School Admissions

Medical school education must better align with patient care needs for a rapidly changing population. One challenge is to eliminate bias in merit-based admissions to more equitably review candidates with the structural competency skills desperately needed to promote public health…

How Should Health Professionalism Be Redefined to Address Health Equity?

Increasing focus on health equity is placing a spotlight on health professionals’ roles. Recent public health crises the opioid epidemic, maternal mortality, and the COVID-19 pandemic have renewed focus on racial and ethnic inequity and underscored that trust is foundational…

Health Equity, Cuban Style

The United States has not yet decided to ensure that every citizen has access to health care services at reasonable cost. The United States spends more on health care than any other country by far. Yet the health status of…

Piloting and Scaling a Good Health Equity Evidence Base From Big Data

Eliminating racial inequity in health outcomes has historically been complicated by a lack of clear methods to quantify the problems and study interventions’ effects. Health care organizations’ investment in electronic health record systems for millions of patients, however, presents opportunities…

Opportunities for Global Health Diplomacy in Transnational Robotic Telesurgery

Globally, barriers to the widespread adoption of robotic surgery have worsened existing inequities in surgical care between low- and middle- income countries (LMICs) and high-income countries (HICs). This article advocates for the creation of sustainable robotic surgery programs in LMICs…

How Should Surgeons Consider Emerging Innovations in Artificial Intelligence and Robotics?

Artificial intelligence (AI)-assisted robotic surgery seems to offer promise for improving patients’ outcomes and innovating surgical care. This commentary on a hypothetical case considers ethical questions that AI-facilitated surgical robotics pose for patient safety, patient autonomy, confidentiality and privacy, informed…

How Should Educators and Publishers Eliminate Racial Essentialism?

Racial essentialism the belief that socially constructed racial categories reflect “inherent” biological differences exacerbates learners’ racial prejudice and diminishes their empathy. Essentialism hinders health professions education programs’ capacity to generate a health care work force that motivates ethics and equity…