AMA Journal of Ethics

How Should Treatment of Animals Beyond the Lab Factor Into Institutional Review?

Discussions of nonhuman research ethics tend to focus on what we owe nonhuman research subjects in laboratory settings only. But humans make critical decisions about these animals outside the lab, too, during breeding, transportation, and end-of-study protocols. This article reviews…

How Should the Three R’s Be Revised and Why?

The Principles of Humane Experimental Technique established what many know today as the “3 R’s –  refinement, reduction, and replacement” when it was published in 1959. Since their formulation, these principles have guided decision-making for many about nonhuman animal subjects’…

Health By Law: Embryonic Personhood in Alabama

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the Alabama Supreme Court decision in LePage v Center for Reproductive Medicine and the legal, clinical, and ethical implications of…

Ethics Talk: Whose Job Is Antimicrobial Stewardship?

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the key roles of infectious disease pharmacists in antimicrobial stewardship. The featured guests are Drs Lynne Fehrenbacher, a professor in…

Why Assuring the Quality of Antimicrobials Is a Global Imperative

Poor-quality antimicrobial medicines continue to proliferate across supply chains, threatening patients’ health and safety, especially in low- and middle-income regions. This article discusses consequences and risks of antimicrobial resistance and other ways in which antimicrobial medicines can be of poor…

How to Mitigate Community Harms of Antibacterial Resistance With Patient-Centered Care

Overprescription of antibiotics in cases in which bacterial infection is clinically uncertain contributes to increased prevalence of multidrug-resistant bacteria. Ethically, merits and drawbacks of stricter prescription practice oversight should be weighed against risks of untreatable bacterial infections to patients and…