ABMS Lifelong Learning CME Activity

Training Clinicians to Care for Patients Where They Are

Homelessness remains a pervasive, long-standing problem in the United States and is poised to increase as a result of the COVID-19 pandemic. Individuals experiencing homelessness bear a higher burden of complex medical and mental health illnesses and often struggle to…

How Should Street Medicine Clinicians Interact With Law Enforcement Officers?

Street medicine clinicians and law enforcement officers share a common challenge. Both are frontline professionals positioned at the interface of large, inflexible systems and those experiencing street homelessness. Both professions face difficult challenges as they attempt to work with a…

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,…

Ethics Talk: Rationing Critical Care During COVID Surge

In this video edition of Ethics Talk, journal editor in chief, Dr Audiey Kao, talks with Dr Matthew Wynia about implementation of crisis standards of care in response to the dramatic surge in COVID-19 cases that is pushing the limits…

Ethics Talk: Health Professions Students and the Future of Health Equity

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast on health equity, community engagement, and the future of health professional school curricular design. Featured on this episode is LaShyra Nolen,…

Ethics Talk: Measuring Racism in Academic Health Centers

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast on how we can measure institutional racism at academic health centers through three levels individual, intra-organizational, and extra-organizational. Featured on this…