Journal-based

Bringing Health Professions Education to Patients on the Streets

This article considers strategies for illuminating health systems’ structural violence toward people experiencing homelessness and for resisting incursion of moral injury to health professional learners. This article also canvasses the nature and scope of educators’ obligations to teach in patient-focused…

Four Ways to Limit Use of Force in Care of Persons Experiencing Homelessness

Experiencing homelessness is traumatizing and can exacerbate mental illnesses and substance use disorders. When persons experiencing homelessness are a danger to themselves or others, petitioning for involuntary placement is clinically, ethically, and legally indicated. The process of involuntary commitment is…

How Bodily Integrity Is a Core Ethical Value in Care of Persons Experiencing Homelessness

Influences of chronic homelessness on patients’ conceptions of bodily integrity can conflict with clinicians’ recommendations about clinically indicated interventions, such as dialysis or amputations. This article considers such conflict by drawing on a capabilities-based model to reframe health care as…

How Should Clinicians Help Homeless Trauma Survivors Make Irreversible Surgical Care Decisions?

Important but frequently overlooked childhood trauma outcomes can manifest later in patients’ lives and include neurophysiological influences on language perception and expression, memory, attention, abstract reasoning, emotional regulation, and executive functioning. Therefore, when interacting with patients experiencing homelessness, mental illnesses,…

What Should Dietary Supplement Oversight Look Like in the US?

Most American adults who use dietary supplements (eg, vitamins, minerals, plant and animal extracts, hormones, and amino acids) ingest them orally. The market for these products has grown rapidly and significantly over the last 25 years, but consumer protection regulations…

What Should Clinicians Know About Dietary Supplement Quality?

Increase in dietary supplement use in the United States suggests a great need for clinicians to be aware of the range of supplements’ quality parameters. Regulatory requirements exist, but specific quality parameters for each ingredient are not set by regulators….

Should Clinicians Ever Recommend Supplements to Patients Trying to Lose Weight?

Helping patients lose weight can mitigate their risk of chronic disease and improve their quality of life. Over-the-counter dietary supplements for weight loss, however, are not reviewed or approved for safety or efficacy, nor does evidence support their clinical use….