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| author | Martin Czygan <martin.czygan@gmail.com> | 2021-07-01 17:06:53 +0200 |
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| committer | Martin Czygan <martin.czygan@gmail.com> | 2021-07-01 17:06:53 +0200 |
| commit | 7188474c8a9c593681c95c6fff904b79d42b3304 (patch) | |
| tree | 1e3d5a73ff6bc5942bd4a4cf135db77331b892a5 /skate/testdata/zippy/cE00a.json | |
| parent | 926ff1fe4734d29983bd2ba648c9dd475f6aa3f3 (diff) | |
| download | refcat-7188474c8a9c593681c95c6fff904b79d42b3304.tar.gz refcat-7188474c8a9c593681c95c6fff904b79d42b3304.zip | |
add zippy test and test data
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| -rw-r--r-- | skate/testdata/zippy/cE00a.json | 10000 |
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diff --git a/skate/testdata/zippy/cE00a.json b/skate/testdata/zippy/cE00a.json new file mode 100644 index 0000000..2d26ace --- /dev/null +++ b/skate/testdata/zippy/cE00a.json @@ -0,0 +1,10000 @@ +10.0000/anziamj.v56i0.9365 {"abstracts":[{"sha1":"c2689fb060e5d0a6648b157b77852b3a673695ab","content":"We give an introduction to discrete functional analysis techniques for\nstationary and transient diffusion equations. We show how these techniques are\nused to establish the convergence of various numerical schemes without assuming\nnon-physical regularity on the data. For simplicity of exposure, we mostly\nconsider linear elliptic equations, and we briefly explain how these techniques\ncan be adapted and extended to non-linear time-dependent meaningful models\n(Navier--Stokes equations, flows in porous media, etc.). These convergence\ntechniques rely on discrete Sobolev norms and the translation to the discrete\nsetting of functional analysis results.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Jerome Droniou","role":"author"}],"license_slug":"ARXIV-1.0","language":"en","version":"v2","ext_ids":{"doi":"10.0000/anziamj.v56i0.9365","arxiv":"1505.02567v2"},"release_year":2016,"release_date":"2016-02-24","release_stage":"accepted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"ykjkuqonzjbcjj3sqcx3bqdnze","title":"Introduction to discrete functional analysis techniques for the\n numerical study of diffusion equations with irregular data","state":"active","ident":"iiohrk5dazczvcv5tqkhzm6kba","revision":"be3415e4-940e-4918-b8be-2ec314d1127e","extra":{"arxiv":{"base_id":"1505.02567","categories":["math.NA"],"journal_ref":"ANZIAM J. Vol. 56. Proceedings of the 17th Biennial Computational\n Techniques and Applications Conference (CTAC-2014, Canberra). 2015. Ed. by\n Jason Sharples and Judith Bunder, pp. C101-C127"}}} +10.0000/anziamj.v56i0.9414 {"abstracts":[{"sha1":"8fe7e2ef11eb7cc59a754a46d47184952b9df8d3","content":"Several variations of the Heisenberg uncertainty inequality are derived on\nthe basis of \"noise-resolution duality\" recently proposed by the authors. The\nsame approach leads to a related inequality that provides an upper limit for\nthe information capacity of imaging systems in terms of the number of imaging\nquanta (particles) used in the experiment. These results can be useful in the\ncontext of biomedical imaging constrained by the radiation dose delivered to\nthe sample, or in imaging (e.g. astronomical) problems under \"low light\"\nconditions.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"T.E. Gureyev","role":"author"},{"index":1,"raw_name":"F. de Hoog","role":"author"},{"index":2,"raw_name":"Ya.I. Nesterets","role":"author"},{"index":3,"raw_name":"D.M. Paganin","role":"author"}],"license_slug":"ARXIV-1.0","language":"en","version":"v1","ext_ids":{"doi":"10.0000/anziamj.v56i0.9414","arxiv":"1503.04367v1"},"release_year":2015,"release_date":"2015-03-15","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"ek7qftylnndzrmpt2wp7ecmozm","title":"On the noise-resolution duality, Heisenberg uncertainty and Shannon's\n information","state":"active","ident":"ctbxwzsuxngqrhso63z7rjdc5y","revision":"44273425-0833-41c5-948e-2808e56aa4ae","extra":{"arxiv":{"base_id":"1503.04367","categories":["physics.med-ph","astro-ph.IM","physics.optics"],"journal_ref":"ANZIAM J. 56 (2015) C1 - C15"}}} +10.0000/s00000-000-0000-0 {"abstracts":[{"sha1":"7093b7767de06e2a93e71a75a4923e932e87aac7","content":"Heat and energy are conceptually different, but often are assumed to be the\nsame without justification. An effective method for investigating diffusion\nproperties in equilibrium systems is discussed. With this method, we\ndemonstrate that for one-dimensional systems, using the indices of particles as\nthe space variable , which has been accepted as a convention, may lead to\nmisleading conclusions. We then show that though in one-dimensional systems\nthere is no general connection between energy diffusion and heat conduction,\nhowever, a general connection between heat diffusion and heat conduction may\nexist. Relaxation behavior of local energy current fluctuations and that of\nlocal heat current fluctuations are also studied. We find that they are\nsignificantly different, though the global energy current equals the globe heat\ncurrent.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Shunda Chen","role":"author"},{"index":1,"raw_name":"Yong Zhang","role":"author"},{"index":2,"raw_name":"Jiao Wang","role":"author"},{"index":3,"raw_name":"Hong Zhao","role":"author"}],"license_slug":"ARXIV-1.0","language":"en","version":"v1","ext_ids":{"doi":"10.0000/s00000-000-0000-0","arxiv":"1511.00277v1"},"release_year":2015,"release_date":"2015-11-01","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"hnl4df4vtfcrjbwdv652bhz7ky","title":"Connection between heat diffusion and heat conduction in one-dimensional\n systems","state":"active","ident":"tcvffh4gfre5nadizpf4f2pcgm","revision":"2a6db744-42b0-4892-8a58-ed358a2562fe","extra":{"arxiv":{"base_id":"1511.00277","categories":["cond-mat.stat-mech","nlin.CD","physics.class-ph"],"comments":"6 pages,3 figures","journal_ref":"SCIENCE CHINA: Physics,Mechanics & Astronomy August,56,1466(2013)"}}} +10.016/j.pep.2005.11.011 {"abstracts":[{"sha1":"24d5f299c6b40fd78037e7044333bf27b8345bf7","content":"We cloned, expressed and purified the Escherichia coli yhbO gene product,\nwhich is homolog to the Bacillus subtilis general stress protein 18 (the yfkM\ngene product), the Pyrococcus furiosus intracellular protease PfpI, and the\nhuman Parkinson disease protein DJ-1. The gene coding for YhbO was generated by\namplifying the yhbO gene from E. coli by polymerase chain reaction. It was\ninserted in the expression plasmid pET-21a, under the transcriptional control\nof the bacteriophage T7 promoter and lac operator. A BL21(DE3) E. coli strain\ntransformed with the YhbO-expression vector pET-21a-yhbO, accumulates large\namounts of a soluble protein of 20 kDa in SDS-PAGE that matches the expected\nYhbO molecular weight. YhbO was purified to homogeneity by HPLC DEAE ion\nexchange chromatography and hydroxylapatite chromatography and its identity was\nconfirmed by N-terminal sequencing and mass spectrometry analysis. The native\nprotein exists in monomeric, trimeric and hexameric forms.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Jad Abdallah","role":"author"},{"index":1,"raw_name":"Viola\n Eckey","role":"author"}],"language":"en","version":"v1","ext_ids":{"doi":"10.016/j.pep.2005.11.011","arxiv":"q-bio/0512028v1"},"release_year":2005,"release_date":"2005-12-12","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"eyoju6kr6nhrhovvazukq3rs4a","title":"Cloning, expression and purification of the general stress protein Yhbo\n from Escherichia coli","state":"active","ident":"tby73z36gne5vor7vgtufcuyqu","revision":"b3a60780-6304-47cd-9298-7e0000b90522","extra":{"arxiv":{"base_id":"q-bio/0512028","categories":["q-bio.GN"],"journal_ref":"Protein expression and purification. sous presse (2005) ?"}}} +10.0376/cma.j.issn.0376-2491.2020.0002 {"abstracts":[{"sha1":"40e9e179a0a6cd22fe9ab8780ba2e5fbb4d4255f","content":"2020年初，爆发的新型冠状病毒肺炎（简称新冠肺炎）正在影响着全国各行各业，也在影响肿瘤患者的正常治疗。临床医生面对患者时，需要兼顾疫情防控、疾病治疗以及医疗资源分配等多重因素的影响，如何合理调整最佳也在考验着临床医生。为此，我们依据临床诊疗指南、结合专家经验，依据患者的不同阶段和分子分型，就新冠肺炎疫情下乳腺癌诊疗十个热点问题提出自己的观点，供同行参考和批评指正。.","mimetype":"text/plain","lang":"zh"}],"contribs":[{"index":0,"raw_name":"Z F Jiang","given_name":"Z F","surname":"Jiang","role":"author","raw_affiliation":"The Fifth medical center of PLA General Hospital, Beijing 100070 China.","extra":{}},{"index":1,"raw_name":"J B Li","given_name":"J B","surname":"Li","role":"author","raw_affiliation":"Beijing Institute of Biotechnology, Academy of military medical sciences, Beijing 100070 China.","extra":{}}],"language":"zh","pages":"E002","issue":"0","volume":"100","ext_ids":{"doi":"10.0376/cma.j.issn.0376-2491.2020.0002","pmid":"32036640"},"release_year":2020,"release_date":"2020-02-10","release_stage":"published","release_type":"article-journal","container_id":"ovqsrqz4ffhzjac3ajskvq5bh4","webcaptures":[],"filesets":[],"container":{"issnl":"0376-2491","publisher":"Zhonghua yi xue hui","name":"Zhonghua yi xue za zhi","revision":"ab8db7d5-cc19-47d4-b9e4-2d165c1c980c","ident":"ovqsrqz4ffhzjac3ajskvq5bh4","state":"active"},"work_id":"z4symmo2svehhl2do7kdq7svtm","title":"Ten hot issues of breast cancer under the novel coronavirus","state":"active","ident":"l57oebuy65gpdd7koghawuzvyq","revision":"7da80040-1b8b-419f-9a16-ef0509de4573","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.0762/dapnia {"abstracts":[{"sha1":"f3eb589e5834377eaf1f233f6a6597d0abe81a56","content":"We have studied the effects of ionizing irradiation from a 60Co source and\nthe effects of neutron irradiation on a Monolithic Active Pixel Sensor\nChip(MIMOSA8). A previous report was devoted solely to the neutron-induced\neffects. We show that extended defects due to the neutron damage changes the\ndistribution of the pixels pedestals. This is mainly due to the increase of the\ndark generation current due to the presence of deep traps in the depleted zones\nof the sensors. Alternatively, the exposure to ionizing irradiation increases\nthe pedestals in a more homogeneous way, this coming from the generation of\ninterface states at the Si/SiO2 interface supplemented by the presence of\npositively charged traps in the oxides. the sensors' leakage current is then\nincreased. We discuss the results in view of increasing the radiation-hardness\nof the MAPS, bearing in mind that these chips were not designed with any\nrad-tol layout technique.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Nicolas Fourches ,\n Y. Li","role":"author"}],"license_slug":"ARXIV-1.0","language":"en","version":"v1","ext_ids":{"doi":"10.0762/dapnia","arxiv":"0805.3934v1"},"release_year":2008,"release_date":"2008-05-26","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"lihp46nqlbdidnrelkzqsxlo2m","title":"Radiation Induced Effects in a Monolithic Active Pixel Sensor : The\n Mimosa8 Chip","state":"active","ident":"d4fauroz5fgbjm47otk5vz4uue","revision":"c13e1a02-2839-4b7c-b1a7-5d4f8f5967e1","extra":{"arxiv":{"base_id":"0805.3934","categories":["physics.ins-det"]}}} +10.1000/isbn0-85358-228-9 {"abstracts":[{"sha1":"d438d0cedf1a03ab1b6424571d679d866155306b","content":"The design and development of complex products invariably involves many\nactors who have different points of view on the problem they are addressing,\nthe product being developed, and the process by which it is being developed.\nThe actors' viewpoints approach was designed to provide an organisational\nframework in which these different perspectives or points of views, and their\nrelationships, could be explicitly gathered and formatted (by actor activity's\nfocus). The approach acknowledges the inevitability of multiple interpretation\nof product information as different views, promotes gathering of actors'\ninterests, and encourages retrieved adequate information while providing\nsupport for integration through PLM and/or SCM collaboration. In this paper, we\npresent our multiple viewpoints approach, and we illustrate it by an industrial\nexample on cyclone vessel product.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Hichem Geryville","role":"author"},{"index":1,"raw_name":"Yacine Ouzrout","role":"author"},{"index":2,"raw_name":"Nikolaos Sapidis","role":"author"}],"language":"en","version":"v1","ext_ids":{"doi":"10.1000/isbn0-85358-228-9","arxiv":"0706.1179v1"},"release_year":2007,"release_date":"2007-06-08","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"u57tbq2bqbf7xnsowv5jeixpdu","title":"Collaborative product and process model: Multiple Viewpoints approach","state":"active","ident":"svebf43tprgu5bm5bjv5ap52xm","revision":"4a3d6b72-ebc7-440c-8259-06505da442ac","extra":{"arxiv":{"base_id":"0706.1179","categories":["cs.OH","cs.IR"],"comments":"391-398","journal_ref":"Innovative Products and Services through Collaborative Networks\n (2006) 542"}}} +10.1000/xyz123 {"abstracts":[{"sha1":"acd89042e69f9f97ff3adbf79be7cdabb86472bc","content":"Financial system being the place of metting capital flows (equality between\nsaving and investment), a volatility of capital flows can destroy the\nrobustness and good working of financial system, it means subvert financial\nstability. The same a weak financial system, few regulated and bad manage can\nexacerbate volatility of capital flows and finely undermine financial\nstability. The present study provides evidence on feedback effect between\nvolatility of capital flows and financial stability in Democratic republic of\nCongo (DRC), and estimate the contributions of macroeconomic and\nmacroprudential policies in the attenuation volatility of capital flows effects\non financial stability and in the prevention of instability financial.\nAssessment dynamic regression model a la Feldstein-Horioka we showed that\nfinancial system is widely supplied and financed by internationals capital\nflows. This implicate Congolese economy is financially mobile, that can be\ndangerous for financial stability. The study dynamic econometric of financial\nsystem's absolute size, we stipulate financial system has a systemic weight on\nreal economy. Hence a shock of financial system could have devastating effects\non Congolese economy. We estimate a vector autoregressive (VAR) model for prove\nthe bilateral causality and impacts of macroeconomic and macroprudential\npolicies. With regard to results, it proved on the one there is a feedback\neffect between volatility of capital flows and financial stability, on the\nother hand macroeconomic and macroprudential policies can't attenuate\nvolatility of capital flows and prevent instability financial. It prove\nmacroprudential approach is given a better result than monetary policy. The\nimplementation of framework macroprudential by Central Bank of Congo will be\nbeneficial in the realization of financial stability and attenuation volatility\nof capital flows.Keywords: Volatility of capital flows, financial stability,\nmacroeconomic and macroprudential policies","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Christian Pinshi","role":"author"}],"license_slug":"ARXIV-1.0","language":"fr","version":"v1","ext_ids":{"doi":"10.1000/xyz123","arxiv":"1708.07636v1"},"release_year":2017,"release_date":"2017-08-25","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"mdhn2gg2yjhutormri6uoa7ve4","title":"Feedback effect between Volatility of capital flows and financial\n stability: evidence from Democratic Republic of Congo","state":"active","ident":"ma537325ovabdgkzp3sg2zzkhm","revision":"fffc8373-a374-415a-815d-1df8b3ed911b","extra":{"arxiv":{"base_id":"1708.07636","categories":["q-fin.CP"],"comments":"in French. j'assume la responsabilit{\\'e} de ce document de travail"}}} +10.10007/s13348-014-0117-8 {"abstracts":[{"sha1":"2c4700e3bc5d5f36cdbdb53005eeae76504d0351","content":"Let A= (a_{ij}) be a non-negative integer k x k matrix. A is a homogeneous\nmatrix if a_{ij} + a_{kl}=a_{il} + a_{kj} for any choice of the four indexes.\nWe ask: If A is a homogeneous matrix and if F is a form in C[x_1, \\dots x_n]\nwith deg(F) = trace(A), what is the least integer, s(A), so that F = det M_1 +\n... + det M_{s(A)}, where the M_i's are k x k matrices of forms with degree\nmatrix A? We consider this problem for n>3 and we prove that s(A) is at most\nk^{n-3} and s(A) <k^{n-3} in infinitely many cases. However s(A) = k^{n-3} when\nthe entries of A are large with respect to k.","mimetype":"application/x-latex","lang":"en"},{"sha1":"748c816dacc3ef86b09ea8136403052565340c29","content":"Let A= (a_ij) be a non-negative integer k x k matrix. A is a homogeneous\nmatrix if a_ij + a_kl=a_il + a_kj for any choice of the four indexes.\nWe ask: If A is a homogeneous matrix and if F is a form in C[x_1, ... x_n]\nwith deg(F) = trace(A), what is the least integer, s(A), so that F = det M_1 +\n... + det M_s(A), where the M_i's are k x k matrices of forms with degree\nmatrix A? We consider this problem for n>3 and we prove that s(A) is at most\nk^n-3 and s(A) <k^n-3 in infinitely many cases. However s(A) = k^n-3 when\nthe entries of A are large with respect to k.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Luca Chiantini","role":"author"},{"index":1,"raw_name":"Anthony V. Geramita","role":"author"}],"license_slug":"ARXIV-1.0","language":"en","version":"v1","ext_ids":{"doi":"10.10007/s13348-014-0117-8","arxiv":"1503.04409v1"},"release_year":2015,"release_date":"2015-03-15","release_stage":"submitted","release_type":"article","webcaptures":[],"filesets":[],"work_id":"uyzsagyjd5gytoltooagyqy66u","title":"Expressing a General Form as a Sum of Determinants","state":"active","ident":"fr2xflnbmfff3gx2vrxywllmp4","revision":"91532ba2-acc6-4e02-82ec-a616c05e3e70","extra":{"arxiv":{"base_id":"1503.04409","categories":["math.AG"]}}} +10.1001/.387 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"387-387","volume":"166","ext_ids":{"doi":"10.1001/.387"},"release_year":2006,"release_date":"2006-02-27","release_stage":"published","release_type":"article-journal","container_id":"5z3rg25ce5hphfk5zcnwsfst5u","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q177428","issnl":"0003-9926","publisher":"American Medical Association","name":"Archives of Internal Medicine","revision":"1497e1f0-0596-4776-a410-7a676da23bab","ident":"5z3rg25ce5hphfk5zcnwsfst5u","state":"active"},"work_id":"ghfhzcvjivbjjkbgmkom373wxe","title":"In This Issue of Archives of Internal Medicine","state":"active","ident":"n432lk5wazcg5egt55ne37u23e","revision":"a5f5cb75-5b5e-42ce-a9c2-44046591cb83","extra":{"crossref":{"subject":["Internal Medicine"],"type":"journal-article"}}} +10.1001/.389 {"abstracts":[],"contribs":[{"index":0,"raw_name":"N. F. Col","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"389-390","volume":"166","ext_ids":{"doi":"10.1001/.389","pmid":"16505256"},"release_year":2006,"release_date":"2006-02-27","release_stage":"published","release_type":"article-journal","container_id":"5z3rg25ce5hphfk5zcnwsfst5u","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q177428","issnl":"0003-9926","publisher":"American Medical Association","name":"Archives of Internal Medicine","revision":"1497e1f0-0596-4776-a410-7a676da23bab","ident":"5z3rg25ce5hphfk5zcnwsfst5u","state":"active"},"work_id":"mkwmnmewfjc5domwokvnajgaii","title":"Decision Making at the Fringe of Evidence: Take What You Can Get","state":"active","ident":"zu6d3csckbc7tofwsifpaltbwi","revision":"f9fbd679-7906-43e3-b983-538ab8cdc41f","extra":{"crossref":{"type":"journal-article"}}} +10.1001/.391 {"abstracts":[],"contribs":[{"index":0,"raw_name":"K. J. DeZee","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"391-397","volume":"166","ext_ids":{"doi":"10.1001/.391","pmid":"16505257"},"release_year":2006,"release_date":"2006-02-27","release_stage":"published","release_type":"article-journal","container_id":"5z3rg25ce5hphfk5zcnwsfst5u","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q177428","issnl":"0003-9926","publisher":"American Medical Association","name":"Archives of Internal Medicine","revision":"1497e1f0-0596-4776-a410-7a676da23bab","ident":"5z3rg25ce5hphfk5zcnwsfst5u","state":"active"},"work_id":"jyi6malei5bmfhtepalmgu2rzq","title":"Treatment of Excessive Anticoagulation With Phytonadione (Vitamin K): A Meta-analysis","state":"active","ident":"eedkg7qjufcqnamezd67vlcbru","revision":"614ad739-82ce-4017-894c-b4e2e9930ebc","extra":{"crossref":{"type":"journal-article"}}} +10.1001/.399 {"abstracts":[],"contribs":[{"index":0,"raw_name":"R. N. 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Arai","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"890","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11089","wikidata_qid":"Q34065646","pmid":"22948699","pmcid":"PMC4137910","core":"38281233"},"release_year":2012,"release_date":"2012-09-05","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"n2gv3btdbzec7gmu2qdntl4ng4","title":"Prevalence and Prognosis of Unrecognized Myocardial Infarction Determined by Cardiac Magnetic Resonance in Older Adults","state":"active","ident":"qdlffygl2ffs5lovzks6x6pszi","revision":"c0044f00-ecf0-40b1-9757-f6cade9cdc76","extra":{"crossref":{"type":"journal-article"},"pubmed":{"pub_types":["Comparative Study","Journal Article"]}}} +10.1001/2012.jama.11132 {"abstracts":[{"sha1":"ce4ac3ef2aadfc1a45ffb7e3bcc2da164a38b7e2","content":"The risk of type 2 diabetes mellitus is heterogeneous among obese individuals. Factors that discriminate prediabetes or diabetes risk within this population have not been well characterized. A dysfunctional adiposity phenotype, characterized by excess visceral fat and insulin resistance, may contribute to diabetes development in those with obesity.\nTo investigate associations between adiposity phenotypes and risk for incident prediabetes and diabetes in a multiethnic, population-based cohort of obese adults.\nAmong 732 obese participants (body mass index ≥30) aged 30 to 65 years without diabetes or cardiovascular disease enrolled between 2000 and 2002 in the Dallas Heart Study, we measured body composition by dual energy x-ray absorptiometry and magnetic resonance imaging (MRI); circulating adipokines and biomarkers of insulin resistance, dyslipidemia, and inflammation; and subclinical atherosclerosis and cardiac structure and function by computed tomography and MRI.\nIncidence of diabetes through a median 7.0 years (interquartile range, 6.6-7.6) of follow-up. In a subgroup of 512 participants with normal fasting glucose values at baseline, incidence of the composite of prediabetes or diabetes was determined.\nOf the 732 participants (mean age, 43 years; 65% women; 71% nonwhite), 84 (11.5%) developed diabetes. In multivariable analysis, higher baseline visceral fat mass (odds ratio [OR] per 1 SD [1.4 kg], 2.4; 95% CI, 1.6-3.7), fructosamine level (OR per 1 SD [1.1 μmol/L], 2.0; 95% CI, 1.4-2.7), fasting glucose level (OR per 1 SD [1.1 μmol/L], 1.9; 95% CI, 1.4-2.6), family history of diabetes (OR, 2.3; 95% CI, 1.3-4.3), systolic blood pressure (OR per 10 mm Hg, 1.3; 95% CI, 1.1-1.5), and weight gain over follow-up (OR per 1 kg, 1.06; 95% CI, 1.02-1.10) were independently associated with diabetes, with no associations observed for body mass index, total body fat, or abdominal subcutaneous fat. Among the 512 participants with normal baseline glucose values, the composite outcome of prediabetes or diabetes occurred in 39.1% and was independently associated with baseline measurements of visceral fat mass; levels of fasting glucose, insulin, and fructosamine; older age; nonwhite race; family history of diabetes; and weight gain over follow-up (P < .05 for each) but not with measurements of general adiposity.\nExcess visceral fat and insulin resistance, but not general adiposity, were independently associated with incident prediabetes and type 2 diabetes mellitus in obese adults.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Ian J. Neeland","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Aslan T. Turer","role":"author"},{"index":2,"raw_name":"Colby R. Ayers","role":"author"},{"index":3,"raw_name":"Tiffany M. Powell-Wiley","role":"author"},{"index":4,"raw_name":"Gloria L. Vega","role":"author"},{"index":5,"raw_name":"Ramin Farzaneh-Far","role":"author"},{"index":6,"raw_name":"Scott M. Grundy","role":"author"},{"index":7,"raw_name":"Amit Khera","role":"author"},{"index":8,"raw_name":"Darren K. McGuire","role":"author"},{"index":9,"raw_name":"James A. de Lemos","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1150","issue":"11","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11132","wikidata_qid":"Q36566370","pmid":"22990274","pmcid":"PMC3556508"},"release_year":2012,"release_date":"2012-09-19","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"yuqsmfd4czct5fpaipaksyawdq","title":"Dysfunctional Adiposity and the Risk of Prediabetes and Type 2 Diabetes in Obese Adults","state":"active","ident":"57vlz3clkzfvripe5z6zwygmfy","revision":"05adc56e-ee50-4999-8667-c5334ca0e817","extra":{"crossref":{"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/2012.jama.11142 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Mike Mitka","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1193","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11142","pmid":"23011690"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"yti7cgew4bdzdfkiwzsv5l2jcy","title":"NIH Signals Intent to Boost Funding of Emergency Care Research and Training","state":"active","ident":"66ixpql3unfanojjsl5uyhm7fu","revision":"2061f693-0b50-49c8-bf84-b62ddae12e79","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11144 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Rebecca Voelker","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"851","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11144","wikidata_qid":"Q45355027","pmid":"22948682"},"release_year":2012,"release_date":"2012-09-05","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"gre3sbl7gvd6ndx6omixanjcnm","title":"H3N2 Flu Virus Infections Increase During Fair Season","state":"active","ident":"gnmzxygwtbgjtch3mg4qeeknui","revision":"0c060ad2-6ccd-494b-ba07-ed7eef7cd467","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11153 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Peter Cram","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Xin Lu","role":"author"},{"index":2,"raw_name":"Stephen L. Kates","role":"author"},{"index":3,"raw_name":"Jasvinder A. Singh","role":"author"},{"index":4,"raw_name":"Yue Li","role":"author"},{"index":5,"raw_name":"Brian R. Wolf","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1227","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11153","wikidata_qid":"Q34214691","pmid":"23011713","pmcid":"PMC4169369"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"mjn6el2vtbhu5ppa35m46qwnmi","title":"Total Knee Arthroplasty Volume, Utilization, and Outcomes Among Medicare Beneficiaries, 1991-2010","state":"active","ident":"zij3r3em6reczfch2lf6csjfbq","revision":"e01c3f72-9d17-47d0-8725-50d8db23ed4b","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11164 {"abstracts":[{"sha1":"4e6ca360bd58c3960379b1a34c98722a51f1537c","content":"Extreme obesity is associated with health and cardiovascular disease risks. Although gastric bypass surgery induces rapid weight loss and ameliorates many of these risks in the short term, long-term outcomes are uncertain.\nTo examine the association of Roux-en-Y gastric bypass (RYGB) surgery with weight loss, diabetes mellitus, and other health risks 6 years after surgery.\nA prospective Utah-based study conducted between July 2000 and June 2011 of 1156 severely obese (body mass index [BMI] ≥ 35) participants aged 18 to 72 years (82% women; mean BMI, 45.9; 95% CI, 31.2-60.6) who sought and received RYGB surgery (n = 418), sought but did not have surgery (n = 417; control group 1), or who were randomly selected from a population-based sample not seeking weight loss surgery (n = 321; control group 2).\nWeight loss, diabetes, hypertension, dyslipidemia, and health-related quality of life were compared between participants having RYGB surgery and control participants using propensity score adjustment.\nSix years after surgery, patients who received RYGB surgery (with 92.6% follow-up) lost 27.7% (95% CI, 26.6%-28.9%) of their initial body weight compared with 0.2% (95% CI, -1.1% to 1.4%) gain in control group 1 and 0% (95% CI, -1.2% to 1.2%) in control group 2. Weight loss maintenance was superior in patients who received RYGB surgery, with 94% (95% CI, 92%-96%) and 76% (95% CI, 72%-81%) of patients receiving RYGB surgery maintaining at least 20% weight loss 2 and 6 years after surgery, respectively. Diabetes remission rates 6 years after surgery were 62% (95% CI, 49%-75%) in the RYGB surgery group, 8% (95% CI, 0%-16%) in control group 1, and 6% (95% CI, 0%-13%) in control group 2, with remission odds ratios (ORs) of 16.5 (95% CI, 4.7-57.6; P < .001) vs control group 1 and 21.5 (95% CI, 5.4-85.6; P < .001) vs control group 2. The incidence of diabetes throughout the course of the study was reduced after RYGB surgery (2%; 95% CI, 0%-4%; vs 17%; 95% CI, 10%-24%; OR, 0.11; 95% CI, 0.04-0.34 compared with control group 1 and 15%; 95% CI, 9%-21%; OR, 0.21; 95% CI, 0.06-0.67 compared with control group 2; both P < .001). The numbers of participants with bariatric surgery-related hospitalizations were 33 (7.9%), 13 (3.9%), and 6 (2.0%) for the RYGB surgery group and 2 control groups, respectively.\nAmong severely obese patients, compared with nonsurgical control patients, the use of RYGB surgery was associated with higher rates of diabetes remission and lower risk of cardiovascular and other health outcomes over 6 years.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Ted D. Adams","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Lance E. Davidson","role":"author"},{"index":2,"raw_name":"Sheldon E. Litwin","role":"author"},{"index":3,"raw_name":"Ronette L. Kolotkin","role":"author"},{"index":4,"raw_name":"Michael J. LaMonte","role":"author"},{"index":5,"raw_name":"Robert C. Pendleton","role":"author"},{"index":6,"raw_name":"Michael B. Strong","role":"author"},{"index":7,"raw_name":"Russell Vinik","role":"author"},{"index":8,"raw_name":"Nathan A. Wanner","role":"author"},{"index":9,"raw_name":"Paul N. Hopkins","role":"author"},{"index":10,"raw_name":"Richard E. Gress","role":"author"},{"index":11,"raw_name":"James M. Walker","role":"author"},{"index":12,"raw_name":"Tom V. Cloward","role":"author"},{"index":13,"raw_name":"R. Tom Nuttall","role":"author"},{"index":14,"raw_name":"Ahmad Hammoud","role":"author"},{"index":15,"raw_name":"Jessica L. J. Greenwood","role":"author"},{"index":16,"raw_name":"Ross D. Crosby","role":"author"},{"index":17,"raw_name":"Rodrick McKinlay","role":"author"},{"index":18,"raw_name":"Steven C. Simper","role":"author"},{"index":19,"raw_name":"Sherman C. Smith","role":"author"},{"index":20,"raw_name":"Steven C. Hunt","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1122","issue":"11","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11164","wikidata_qid":"Q30542947","pmid":"22990271","pmcid":"PMC3744888"},"release_year":2012,"release_date":"2012-09-19","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"rco3ewza2vba5oucjdgt5x7of4","title":"Health Benefits of Gastric Bypass Surgery After 6 Years","state":"active","ident":"zhscs2mjlvcdte2i3j44ibgzae","revision":"d2cddbe8-9f51-4418-8aaa-997d99c5c608","extra":{"crossref":{"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/2012.jama.11174 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Kyoko Nomura","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1207","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11174","pmid":"23011704"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"pjhibfypi5cirn5ses2lelsq7u","title":"Salary Differences by Gender","state":"active","ident":"mhsruik2c5cizakn44eg76xzom","revision":"d65f6b78-2fd5-4a8e-8d54-285f39500e2e","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11177 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Reshma Jagsi","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Kent Griffith","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1207","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11177"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"utdnaqghuvazlgetrzadpapske","title":"Salary Differences by Gender—Reply","state":"active","ident":"2rp7l5bqjbhpnm4nq3uu6jp6hm","revision":"cfcd9d48-6ed9-4ec6-97a6-725db734e4b9","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11184 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Gregory J. Esper","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1208","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11184","pmid":"23011706"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"4iq4lph435dh5hitofwsvywfjm","title":"Use of Information Technology in the Examination Room","state":"active","ident":"5muk6sxrrfbczjn6o6mk7j6lxu","revision":"7770ad2c-6600-4785-a1bc-fbf0bed50386","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11187 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Dirk Sibbing","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Willibald Hochholzer","role":"author"},{"index":2,"raw_name":"Adnan Kastrati","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1322","issue":"13","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11187","pmid":"23032542"},"release_year":2012,"release_date":"2012-10-03","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"ihqzv72aerb4toq4gsunszyssu","title":"Influence of Smoking on Treatment With Clopidogrel","state":"active","ident":"u72q3il6lzbnthz6xvkcaypqgy","revision":"6ee42ecf-910c-4a1a-83c8-8447e5da8afc","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11190 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Elizabeth Toll","role":"author","extra":{"seq":"first"}}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1208","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11190"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"dy3gedev25cerc7jqqhuwitlpu","title":"Use of Information Technology in the Examination Room—Reply","state":"active","ident":"z4wojwoijfcmfbtbzqbksizugm","revision":"00cfb9eb-3c96-48bf-9f69-45f78ff285d4","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11193 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Paul A. Gurbel","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Thomas D. Nolin","role":"author"},{"index":2,"raw_name":"Udaya S. Tantry","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1322","issue":"13","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11193"},"release_year":2012,"release_date":"2012-10-03","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"mwtn33stgnakdhkgyecy7ekxdy","title":"Influence of Smoking on Treatment With Clopidogrel—Reply","state":"active","ident":"q65rvjgwfrbzjddp27br2k2oee","revision":"5eb241ae-540e-4411-9761-416d3cf78aa2","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11225 {"abstracts":[],"contribs":[{"index":0,"raw_name":"W. Gregory Feero","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"Phil B. Fontanarosa","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"923","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11225"},"release_year":2012,"release_date":"2012-09-05","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"xq7tmnaodfdg7kmobzptrzdjse","title":"Genomics in Health Care","state":"active","ident":"wriszfysffagnllv3isotclr5i","revision":"58e387b3-de55-42e0-8dab-d1b3ab43cbb4","extra":{"crossref":{"type":"journal-article"},"subtitle":["Call for Papers for the 2013 Theme Issue"]}} +10.1001/2012.jama.11228 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Edward J. Mills","role":"author","extra":{"seq":"first"}},{"index":1,"raw_name":"John P. A. Ioannidis","role":"author"},{"index":2,"raw_name":"Kristian Thorlund","role":"author"},{"index":3,"raw_name":"Holger J. Schünemann","role":"author"},{"index":4,"raw_name":"Milo A. Puhan","role":"author"},{"index":5,"raw_name":"Gordon H. Guyatt","role":"author"}],"language":"en","publisher":"American Medical Association (AMA)","pages":"1246","issue":"12","volume":"308","ext_ids":{"doi":"10.1001/2012.jama.11228","wikidata_qid":"Q53106594","pmid":"23011714","core":"11300213"},"release_year":2012,"release_date":"2012-09-26","release_stage":"published","release_type":"article-journal","container_id":"tlbcf4zay5agfmghpe7enspjla","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q1470970","issnl":"0098-7484","publisher":"American Medical Association","container_type":"journal","name":"Journal of the American Medical Association (JAMA)","revision":"1e8543d1-fce9-409e-a79e-32602a6a673d","ident":"tlbcf4zay5agfmghpe7enspjla","state":"active"},"work_id":"kehaszdcc5fivmrn4w6b2ic4ay","title":"How to Use an Article Reporting a Multiple Treatment Comparison Meta-analysis","state":"active","ident":"dkncxckh5bgoxkz3om2gr6ctlu","revision":"57704a55-394c-423e-abc3-df5a432236d4","extra":{"crossref":{"type":"journal-article"}}} +10.1001/2012.jama.11235 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Sohail M. 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Ratcliffe Anderson, MD, Is New EVP of AMA","state":"active","ident":"bgspiku4xzh2pkcehplsiucgfi","revision":"b391c9cb-efdb-45d0-8d89-ea0b13ece546","extra":{"crossref":{"type":"journal-article"}}} +10.1001/amajethics.2018.1003 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1003-1006","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1003"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"3bolzmpitfealb7aaq4gbrdnvi","title":"The Internet, Ethics, and False Beliefs in Health Care","state":"active","ident":"vnkquh43f5ewjmxgyqjzp6jwsy","revision":"d7267dbd-5764-4f73-b1f2-0d84a8b51298","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1003"],"type":"journal-article"}}} +10.1001/amajethics.2018.1007 {"abstracts":[{"sha1":"ec5116fd17480613faa3ef7f7eef919cf77c8f49","content":"This case of a patient whose physician refuses to prescribe statins for high cholesterol raises ethical issues about a physician's decision to offer clinical recommendations contrary to current practice guidelines. Our response summarizes social forces that have led to the rise of evidence-based medicine, the development of clinical guidelines, and the evolution of the roles of physicians and patients in decision making. We conclude that there are times when a physician can justifiably make a recommendation to a patient that contravenes a current clinical guideline. In making such a recommendation, we suggest that a physician should communicate a rationale for deviating from clinical guidelines and respect a patient's autonomy. We consider the need for and limitations of clinical guidelines, numerous factors influencing shared decision making, and key ethical principles of nonmaleficence and respect for patient autonomy.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Beth A Lown","given_name":"Beth A","surname":"Lown","role":"author","raw_affiliation":"A general internist affiliated with Mount Auburn Hospital in Cambridge, Massachusetts, and an associate professor of medicine at Harvard Medical School and the chief medical officer of the Schwartz Center for Compassionate Healthcare.","extra":{}},{"index":1,"raw_name":"Karen E Victor","given_name":"Karen E","surname":"Victor","role":"author","raw_affiliation":"A general internist at Mount Auburn Hospital in Cambridge, Massachusetts, and an assistant professor of medicine at Harvard Medical School in Boston.","extra":{}}],"language":"en","pages":"E1007-1016","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1007","pmid":"30499428"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"3je65ikujrctjbxxwdl6ftdr2m","title":"Should a Physician Offer Recommendations Based on Experience but Contrary to Current Practice Guidelines?","state":"active","ident":"z4cxi2jolnhezemqm6twcid6oa","revision":"acb9e9ac-2328-4a6e-81bf-af29724c3c6f","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1017 {"abstracts":[{"sha1":"db56d1989c0045cafcdf6fd5e7c36c60a0f1f6ee","content":"Parents of children with complex health needs are often both vigilant and very knowledgeable about their child's disease state. That said, sometimes parents' hyperfocus, combined with their strong emotional attachment, can result in both false beliefs regarding their child's capacities and disagreements with clinicians about what is and is not clinically indicated. We examine ethical and professional responsibilities clinicians should consider when working with parents who hold false beliefs about their child with complex health needs.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Conrad Krawiec","given_name":"Conrad","surname":"Krawiec","role":"author","raw_affiliation":"A pediatrician, internist, pediatric critical care physician, and member of the Division of Pediatric Critical Care Medicine at Penn State Health Children's Hospital in Hershey, Pennsylvania.","extra":{}},{"index":1,"raw_name":"Benjamin Levi","given_name":"Benjamin","surname":"Levi","role":"author","raw_affiliation":"A philosopher and pediatrician in the Division of General Academic Pediatrics at Penn State Hershey Medical Center and the Department of Humanities at Penn State College of Medicine in Hershey, Pennsylvania.","extra":{}}],"language":"en","pages":"E1017-1024","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1017","pmid":"30499429"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"zvz7t2wmirgidbsx6mogmjnkge","title":"How Should Clinicians Address a Parent's False Belief Generated by Denial or Grief About How to Care Well for a Child?","state":"active","ident":"4mhya6elgfgehnw7mvvokczq24","revision":"7ca18df2-a159-40ae-9db0-98799b57606e","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1025 {"abstracts":[{"sha1":"ce2d9853a3754dc537550e49996976d7c0f7a01f","content":"Veganism has grown in popularity in recent years. We argue that physicians should share the best available evidence on the efficacy of such diets while respectfully trying to understand the perspectives of patients who choose vegan diets. The first section establishes the need for physicians to understand reasons behind patients' dietary and health preferences. The second section considers evidence, or lack thereof, for nutritional supplementation in special populations, such as those practicing veganism.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Elizabeth Southworth","given_name":"Elizabeth","surname":"Southworth","role":"author","extra":{}},{"index":1,"raw_name":"Kayhan Parsi","given_name":"Kayhan","surname":"Parsi","role":"author","raw_affiliation":"A professor and the director of graduate programs in the Neiswanger Institute for Bioethics and Health Policy at Loyola University Chicago Stritch School of Medicine in Maywood, Illinois.","extra":{}}],"language":"en","pages":"E1025-1032","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1025","pmid":"30499430"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"joaundxwpjg6jazoqozikqoshy","title":"How Should a Physician Counsel a Vegan Patient With IBD Who Might Benefit From Supplements?","state":"active","ident":"ihoml5txcbfybcogdqp6sagv5i","revision":"4c8114a8-7763-421d-9dab-8f8d8a391bc9","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1033 {"abstracts":[{"sha1":"b2244e2af8835090255ceedebde996e1038c4879","content":"Internet technology makes information from both peer-reviewed sources and crowdsourced content, such as Wikipedia, instantly accessible. Health sciences education must adapt by providing learners with the skills needed to effectively and appropriately access and use information. In this article, we introduce a conceptual framework for teaching and learning using crowdsourced content. Using this framework, we show how educators can help learners develop the skills they need for critically assessing information quality, acquiring knowledge, and making clinical decisions.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Jennifer Meka","given_name":"Jennifer","surname":"Meka","role":"author","raw_affiliation":"The director of the Woodward Center for Excellence in Health Sciences Education and the director of the Cognitive Skills Program at Penn State College of Medicine in Hershey, Pennsylvania, where she is also an assistant professor of psychiatry and humanities, and served as vice president for educational systems development at an international company for educational technology.","extra":{}},{"index":1,"raw_name":"Alyssa Vigliotti","given_name":"Alyssa","surname":"Vigliotti","role":"author","extra":{}}],"language":"en","pages":"E1033-1040","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1033","pmid":"30499431"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"elstj2g5n5hyzofekpxia6jl7e","title":"Should Crowdsourced, Unvetted Content on Wikipedia Be Used in Health Sciences Teaching and Learning?","state":"active","ident":"2yh64qdacfc6xl3voyyisn2lpq","revision":"d20f2f18-86c8-4534-847f-05d8acb6e7de","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1041 {"abstracts":[{"sha1":"3eeb84c2555c4d66e55b91aa922d74e63c9b24ba","content":"False beliefs in medicine can be regulated by constitutional doctrines of false speech and professional speech, whereby government can restrict professionals' false beliefs or impose its own false beliefs on professionals. In our allegedly \"post truth\" society, such regulations and their foundations can have an important influence on health care practice.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Scott J Schweikart","given_name":"Scott J","surname":"Schweikart","role":"author","raw_affiliation":"A senior research associate for the American Medical Association Council on Ethical and Judicial Affairs in Chicago, Illinois, and the legal editor for the AMA Journal of Ethics, and worked as an attorney editor and reference attorney at Thomson Reuters and practiced law in Chicago.","extra":{}}],"language":"en","pages":"E1041-1048","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1041","pmid":"30499432"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"uv5onfqz3bg7jp7ekxp3riz7ci","title":"Constitutional Regulation of Speech (and False Beliefs) in Health Care","state":"active","ident":"hyejslslrfeabjcxr72od3keui","revision":"da8c71ad-2233-4aca-9864-6cc3e6e6fa4d","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1049 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1049-1051","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1049"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"dc4cb3ydgjaqrg2a4o72pjoywi","title":"AMA Code of Medical Ethics' Opinions Related to False Beliefs in Health Care","state":"active","ident":"lxzoxtzoyrc6fd4eiojof3bbl4","revision":"ec874ba7-2f40-4746-a458-91d5da87b91f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1049"],"type":"journal-article"}}} +10.1001/amajethics.2018.1052 {"abstracts":[{"sha1":"2f6a64668c6db29eea899ecfb4c96a79399c3291","content":"Broad dissemination and consumption of false or misleading health information, amplified by the internet, poses risks to public health and problems for both the health care enterprise and the government. In this article, we review government power for, and constitutional limits on, regulating health-related speech, particularly on the internet. We suggest that government regulation can only partially address false or misleading health information dissemination. Drawing on the American Medical Association's Code of Medical Ethics, we argue that health care professionals have responsibilities to convey truthful information to patients, peers, and communities. Finally, we suggest that all health care professionals have essential roles in helping patients and fellow citizens obtain reliable, evidence-based health information.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Joel T Wu","given_name":"Joel T","surname":"Wu","role":"author","raw_affiliation":"A clinical ethics fellow at Children's Minnesota and Abbott Northwestern Hospital in Minneapolis, Minnesota, and a senior lecturer at the University of Minnesota School of Public Health in the Division Health Policy and an affiliate faculty member of the Center for Bioethics at the University of Minnesota.","extra":{}},{"index":1,"raw_name":"Jennifer B McCormick","given_name":"Jennifer B","surname":"McCormick","role":"author","raw_affiliation":"A member of the Penn State Clinical and Translational Science Institute's program leadership and the American Society of Human Genetics' Social Issues Committee.","extra":{}}],"language":"en","pages":"E1052-1058","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1052","pmid":"30499434"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"u77tl2mcvjbg3ljwnd56uiksae","title":"Why Health Professionals Should Speak Out Against False Beliefs on the Internet","state":"active","ident":"bua5wdjggbhwxopz2hubccrrwq","revision":"13dc6f1b-b973-48e3-bc30-d36c893eb5a1","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1059 {"abstracts":[{"sha1":"c4a7c9b0cc0afd7dcd15bdae17ce74062e561c95","content":"Many adults, physicians, and medical students search the internet for health information. Open access has many benefits, but the variable quality of internet health information-ranging from evidence based to false-raises ethical concerns. Using Wikipedia as a case study, this article argues that everyone engaging with internet health information has ethical responsibilities. Those hosting and writing for health websites should ensure that information is evidence based, accurate, up to date, and readable and be transparent about conflicts of interest. Health care professionals, including medical students, have both ethical responsibilities to help patients avoid false or misleading health information and practical opportunities to improve the quality of internet health information. All users of such information-professionals and patients alike-should develop critical appraisal skills and apply them to internet health information to distinguish the good from the junk.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Dónal P O'Mathúna","given_name":"Dónal P","surname":"O'Mathúna","role":"author","raw_affiliation":"An associate professor in the College of Nursing at the Ohio State University in Columbus, Ohio, and an associate professor in the School of Nursing and Human Sciences at Dublin City University in Dublin, Ireland.","extra":{}}],"language":"en","pages":"E1059-1066","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1059","pmid":"30499435"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"jmifq3l6lfgm3eeqlavw554pwq","title":"How Should Clinicians Engage With Online Health Information?","state":"active","ident":"vopl33ooebhbxodvkbha35v6cm","revision":"f7312c09-33f5-49b6-b113-a4798fe0076a","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1067 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1067-1074","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1067","pmid":"30499436"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"36ztbo52n5h2xma7hhyanymy3q","title":"Public Accommodation Laws and Gender Panic in Clinical Settings","state":"active","ident":"ogc64kpoejao3paceaaegg3qua","revision":"bb6b17c7-dbd5-4cb8-bab9-39ea4ae1fd9b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1067"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1075 {"abstracts":[{"sha1":"ea4f25e6a01085a5f37ca87fa01026dd142e1319","content":"Despite the prodigious medical literature on cancer care, some patients rely on celebrity narratives as frameworks for understanding their experiences of cancer and as benchmarks for decision making. Regardless of whether these narratives are appropriate sources of health information for patients, it has been shown that celebrity narratives influence patterns of care. Three cases-John McCain, Angelina Jolie, and Jimmy Carter-are presented to illustrate how media coverage of cancer can have unforeseen consequences on individual patients exposed to these kinds of stories. For this reason, clinicians should become familiar with these narratives and comfortable with discussing how celebrity narratives can shape patients' views and decisions.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Divya Yerramilli","given_name":"Divya","surname":"Yerramilli","role":"author","raw_affiliation":"A resident in the Harvard Radiation Oncology Residency Program in Boston, Massachusetts.","extra":{}},{"index":1,"raw_name":"Alexandra Charrow","given_name":"Alexandra","surname":"Charrow","role":"author","raw_affiliation":"Fifth-year resident in the Harvard Combined Dermatology Residency Program in Boston.","extra":{}},{"index":2,"raw_name":"Arthur Caplan","given_name":"Arthur","surname":"Caplan","role":"author","raw_affiliation":"The Drs William F. and Virginia Connolly Mitty Professor and founding head of the Division of Medical Ethics at the NYU School of Medicine in New York City, and the Sidney D. Caplan Professor of Bioethics at the University of Pennsylvania Perelman School of Medicine.","extra":{}}],"language":"en","pages":"E1075-1081","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1075","pmid":"30499437"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"g2wmcs54dzeyfjj67fbnn7zh3e","title":"How Should Clinicians Respond When Patients Are Influenced by Celebrities' Cancer Stories?","state":"active","ident":"jbmfm6u3nbci3dgz34wb7h2ioq","revision":"12dcd685-d7ed-4897-a258-a4413bc49791","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1082 {"abstracts":[{"sha1":"52c603a6b8c2d6ca0ce754423d68c68becfeaf3f","content":"Ten advertisements and labels from the American Medical Association (AMA) Historical Health Fraud and Alternative Medicine Collection illustrate false health beliefs perpetuated in 20th-century medical quackery promotions. This article canvasses some of the claims made and responses to these ads and labels.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Amber Dushman","given_name":"Amber","surname":"Dushman","role":"author","raw_affiliation":"The manager of the American Medical Association's Department of Records Management and Archives in Chicago, Illinois.","extra":{}}],"language":"en","pages":"E1082-1093","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1082","pmid":"30499438"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"kiedmewhabh5lk2mshjcwg2som","title":"Ads and Labels From Early 20th-Century Health Fraud Promotions","state":"active","ident":"sigdx7ixyzdlpl4c3rfxlsrkcq","revision":"25609dac-8e85-487a-a887-79069768fd98","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1094 {"abstracts":[{"sha1":"19f0879f767d36af50a6872883c440b2705e2bdd","content":"Lay persons might think physicians spend all their time in hospitals or clinics or that physicians fly their private jets to exclusive resorts for long weekends. But physicians are regular people just like their patients, and, when not on the job, they do many of the same things for the same reasons: playing with pets and doing sports, music, and art. Physicians might not have a blue-ribbon dog, might not have played varsity basketball in college, might not have gone to Julliard before medical school, might not have had one-person exhibits at the Metropolitan Museum of Art, but what they do when they are not wearing their white coats can make them better physicians when they put the coats back on again.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Joseph Gascho","given_name":"Joseph","surname":"Gascho","role":"author","raw_affiliation":"A cardiologist at Penn State College of Medicine in Hershey, Pennsylvania.","extra":{}}],"language":"en","pages":"E1094-1099","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1094","pmid":"30499439"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"wshwm6n2gja6bhium23c2oaopa","title":"When I Take Off My White Coat…","state":"active","ident":"zme4cgtfwzfutht4kycjuwtczy","revision":"43e4c27d-a855-438b-a8e0-9e953595f7a2","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1100 {"abstracts":[{"sha1":"a55199bc3e238feaea7940e74a3bce9f0a865932","content":"Therapeutic misconception can be especially challenging at large research-intensive academic medical centers, where boundaries between clinical care and research can become murky. In early stage clinical trials, for example, physicians often encourage patients to enroll in a drug or an intervention study as part of a treatment plan. As a research ethicist, I have found myself having to temper researchers' enthusiasm to prevent their overemphasizing positive benefits to participants. One strategy I've used is to encourage researchers to collaborate with treating physicians and to continually engage participants in assessing risks and benefits. This strategy has been helpful not only in early stage trials but also in translational genomic studies in which research can be used in part as a means of making costly testing available to patients.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Jennifer B McCormick","given_name":"Jennifer B","surname":"McCormick","role":"author","raw_affiliation":"A member of the Penn State Clinical and Translational Science Institute's program leadership and the American Society of Human Genetics' Social Issues Committee.","extra":{}}],"language":"en","pages":"E1100-1106","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1100","pmid":"30499440"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"dvsohgm6knbqdgn3qwdoeeow7y","title":"How Should a Research Ethicist Combat False Beliefs and Therapeutic Misconception Risk in Biomedical Research?","state":"active","ident":"65osf6i6afcjto4zwr62z4v7ua","revision":"d22ae0a9-c40b-4ff5-89c2-4999877f0c33","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1107 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Annette Hanson","given_name":"Annette","surname":"Hanson","role":"author","raw_affiliation":"An assistant professor of psychiatry at the University of Maryland in Baltimore, Maryland, where she is also the director of the forensic psychiatry fellowship.","extra":{}},{"index":1,"raw_name":"Ron Pies","given_name":"Ron","surname":"Pies","role":"author","raw_affiliation":"Professor emeritus of psychiatry at State University of New York (SUNY) Upstate Medical University in Syracuse, New York.","extra":{}},{"index":2,"raw_name":"Mark Komrad","given_name":"Mark","surname":"Komrad","role":"author","raw_affiliation":"An assistant professor of psychiatry at the University of Maryland School of Medicine in Baltimore, Maryland.","extra":{}}],"language":"en","pages":"E1107-1109","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1107","pmid":"30499441"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"lfk7z366zranznwrgiafhjylvu","title":"Added Points of Concern About Caring for Dying Patients","state":"active","ident":"lefani2wyrfs7kacj5wc7oyque","revision":"79a6868c-05af-4872-9592-fed0a8d072e9","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1110 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Alexander Craig","given_name":"Alexander","surname":"Craig","role":"author","extra":{}},{"index":1,"raw_name":"Elizabeth Dzeng","given_name":"Elizabeth","surname":"Dzeng","role":"author","raw_affiliation":"An assistant professor at the University of California, San Francisco (UCSF) in the Division of Hospital Medicine and Social and Behavioral Sciences, Sociology program, where she directs the ethics curriculum for medical students.","extra":{}}],"language":"en","pages":"E1110-1112","issue":"11","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1110","pmid":"30499442"},"release_year":2018,"release_date":"2018-11-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"r2exlgavbzcajgmkaapmdsd2ee","title":"Response to \"Added Points of Concern About Caring for Dying Patients\"","state":"active","ident":"nputd7ypkjdxbcyle5y7cdng5m","revision":"60481e4d-ef98-4a1e-9de7-66cdc7754ea0","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1115 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1115-1118","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1115"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bsrk2ihk6vcunae5w2txjx7f2i","title":"What Are Ethical Ramifications of a Physician's Power to Name?","state":"active","ident":"birjyxqwjnazjces36ctd33xse","revision":"1b62ff21-d95d-4de3-8bb8-d80b66fa975f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1115"],"type":"journal-article"}}} +10.1001/amajethics.2018.1119 {"abstracts":[{"sha1":"80a816a9714efb7f8bdc1249fa77a00420413b93","content":"Patients with delusional infestation are unlikely to agree to take the mainstay of treatment-antipsychotic medication. While stressing the general importance of truth telling in medicine, we suggest that, in some cases of delusional infestation, patients' lack of decision-making capacity will-provided a series of criteria are met-justify briefly withholding their diagnosis. We acknowledge this action as a kind of deception with ethical pitfalls and discuss those related to prescribing antipsychotic medication without frank disclosure. We recommend full disclosure of a delusional infestation diagnosis when the patient is recovered, despite this action's potential to exacerbate stigma.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1119-1125","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1119","pmid":"30585573"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2gryr2qrznfj5hatzevpzuvvem","title":"How Should Physicians Use Their Authority to Name a Stigmatizing Diagnosis and Respond to a Patient's Experience?","state":"active","ident":"gmh5ybut3veyfjvrj7d57b5rkm","revision":"8d5a1f61-9b2d-4b63-8e68-9633f7b79de8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1119"],"type":"journal-article"},"pubmed":{"pub_types":["Case Reports","Journal Article"]}}} +10.1001/amajethics.2018.1126 {"abstracts":[{"sha1":"63a55bd8e4ba76b1d5c49d9fa97fcc9ef52c3920","content":"Pediatric obesity is a major public health problem, and weight reduction in children and adolescents with obesity is associated with improvement in health outcomes. This case of an adolescent diagnosed with obesity whose mother disagrees with the diagnosis illustrates challenges often encountered in clinical practice, including (1) diagnosing a disease in an asymptomatic patient whose future risk for negative health outcomes is uncertain, (2) addressing ethical implications of naming a stigmatizing disease, and (3) resolving conflicting goals and opinions of a patient, caregiver, and physician. Suggestions for navigating disagreement and implementing courses of action are discussed.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1126-1132","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1126","pmid":"30585574"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"so3ee6dzjfejdms4ra2gxp76wa","title":"How Forcefully Should Clinicians Encourage Treatment When Disagreement Persists About Obesity Risk?","state":"active","ident":"gjm3definfavrgqobkcpvtpwlu","revision":"2fcfb5e3-2648-4165-a6cb-72629605f479","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1126"],"type":"journal-article"},"pubmed":{"pub_types":["Case Reports","Journal Article"]}}} +10.1001/amajethics.2018.1133 {"abstracts":[{"sha1":"bc22c06c2e721960e3502843d722c31c754605eb","content":"This case of an elderly patient taking 17 medications, who presents with new neurological symptoms, raises multiple philosophy of medicine questions, including, What is a disease? And what would it mean to treat iatrogenic polypharmacy? Polypharmacy can obscure whether a patient like the one in this case has a neurological disease. I argue that, insofar as polypharmacy is likely to have caused, or at least contributed to, this patient's symptoms, her physician should treat it as a disease.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1133-1138","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1133","pmid":"30585575"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7f3tucrayrhoblcnfuf4u2zcae","title":"When Should Iatrogenic Polypharmacy Be Considered a Disease?","state":"active","ident":"6i4u6wvclbh4xayo3ham2f6fvi","revision":"da3e7acd-32d1-44f9-96a6-4ad90cf59334","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1133"],"type":"journal-article"},"pubmed":{"pub_types":["Case Reports","Journal Article"]}}} +10.1001/amajethics.2018.1139 {"abstracts":[{"sha1":"35b7dd4dbdbed76112fc73beb3bc750dc7598bc8","content":"The AMA Code of Medical Ethics offers guidance on ethical issues related to naming a condition via diagnosis. This article discusses 3 case examples that consider how the AMA Code can be applied.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1139-1142","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1139","pmid":"30585576"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"k4n4kcylbzcdzjf3dbbg4ufbna","title":"AMA Code of Medical Ethics' Opinions Related to a Physician's Power to Name","state":"active","ident":"hw37s72nmjehrkd54vuzbb3dm4","revision":"70ee9ec0-d868-4ef9-a50e-807e78205c37","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1139"],"type":"journal-article"},"pubmed":{"pub_types":["Case Reports","Journal Article"]}}} +10.1001/amajethics.2018.1143 {"abstracts":[{"sha1":"d3042a3a0e9e959e76f598882610d6ce7d4b79d6","content":"The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is the system used by clinicians and medical coders to document diseases, symptoms, social circumstances, and external causes of illness and injury. ICD-10-CM codes for various forms of abuse and violence perpetrated against children and adults exist and facilitate the study of incidence, social context, and comorbid illness and injury. Extant abuse codes, however, fail to capture the profoundly exploitative nature of trafficking and adequately distinguish trafficking patients from other types of abuse patients. As a result, the first trafficking-specific codes have been approved for the 2019 ICD-10-CM update and are expected to strengthen data collection on incidence of and risk factors for trafficking, the burden of comorbid illness and injury, and resources needed to effectively care for trafficked persons.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1143-1151","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1143","pmid":"30585577"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"4lzthpe7lfh7dctwpligyv3exm","title":"Diagnosis Codes for Human Trafficking Can Help Assess Incidence, Risk Factors, and Comorbid Illness and Injury","state":"active","ident":"qpcu5d64kfhbnfqjrrnaea24ni","revision":"a8516b27-fc01-48b0-b107-ae99c095a92a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1143"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1152 {"abstracts":[{"sha1":"f112222b264bb2f9db290d46d1961accf5aad5ed","content":"Disparities in access to infertility care and insurance coverage of infertility treatment represent marked injustices in US health care. The World Health Organization defines infertility as a disease. Infertility has multiple associated billing codes in use, as determined by the International Statistical Classification of Diseases and Related Health Problems. However, the often-prohibitive costs associated with infertility treatment, coupled with the lack of universal insurance coverage mandates, contribute to health care inequity, particularly along racial and socioeconomic lines.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1152-1159","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1152","pmid":"30585578"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"m5u7snonpnevna3mdmjlauacky","title":"Infertility, Inequality, and How Lack of Insurance Coverage Compromises Reproductive Autonomy","state":"active","ident":"kmqccuun6ve6fbhn3pfiwsqfwa","revision":"40f285e4-1271-4bb9-9678-555872a0413a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1152"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1160 {"abstracts":[{"sha1":"10d8ef3261a3dc4e71db9f172900c4db564a6093","content":"Unlike in many European countries, preimplantation genetic diagnosis (PGD) is not regulated in the United States. As a result, PGD may be used for any condition for which genetic testing is available, at the discretion of fertility specialists and their patients. This essay explores the question of who should be responsible for regulating PGD in the United States. Federal or state regulation of PGD in the United States is likely to be challenging and problematic for several reasons, including the proximity of PGD to the abortion debate. I propose that PGD regulation in the United States can be most appropriately performed by health professionals using professional society guidelines that set standards for clinical practice.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1160-1167","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1160","pmid":"30585579"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"uiqydz4xjrhx5ndibtzivwtqay","title":"Who Should Regulate Preimplantation Genetic Diagnosis in the United States?","state":"active","ident":"q54yeegtxzbyfgturk3765oos4","revision":"eb600ce4-66f4-4ee3-9ba8-8e1c34babf58","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1160"],"type":"journal-article"},"pubmed":{"pub_types":["Comparative Study","Journal Article"]}}} +10.1001/amajethics.2018.1168 {"abstracts":[{"sha1":"0f47c761b30d32837117b6eab1a7f59c53e6fd2a","content":"Much has been made of distinguishing natural from medical in childbirth in both popular and professional contexts. But what do we really mean by natural childbirth? This essay examines the history behind the natural childbirth movement and suggests that distinguishing natural from medical childbirth is no longer productive in ongoing efforts to improve maternal health care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1168-1174","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1168","pmid":"30585580"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xlz752mbnzeahkeeowmfjicszq","title":"Beyond the Nature/Medicine Divide in Maternity Care","state":"active","ident":"fhshwud56napxjrgltf7usxgii","revision":"15ebbdd7-a47e-4a07-bc6f-087e44c5a5c8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1168"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1175 {"abstracts":[{"sha1":"cc2c3fece30c3984260209bac7668b890a6f2fb9","content":"In abortion care, the term \"elective\" is often used as a moral judgment that determines which patients are entitled to care. Secular health care organizations that attempt to avoid controversy by allowing \"therapeutic\" but not \"elective\" abortions are using medical terminology to reinforce regressive social norms concerning motherhood and women's sexuality because what distinguishes pregnant women with medical indications for abortion is that they originally wanted to become mothers or, in cases of rape, that they did not consent to sex. Secular health care organizations should stop denying the moral agency of patients and physicians who conclude abortion is morally acceptable and should only use the word elective when billing codes require it. Regardless of reason, the proper label for all abortion is health care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1175-1180","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1175","pmid":"30585581"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2pvi6tzt55buzce43yl6bd4oru","title":"Why We Should Stop Using the Term \"Elective Abortion\"","state":"active","ident":"vls5toxcmbdxdghk3qslgdfkju","revision":"ca7326e2-6b0b-42c4-8ee9-1e12785b4f36","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1175"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1181 {"abstracts":[{"sha1":"214fb832babdf261190b49fb974da73e6a0ce1f6","content":"The historical relationship between health care professionals and people with disabilities is fraught, a fact all the more troubling in light of the distinctive roles clinicians play in both establishing and responding to that which is considered normal or abnormal by society at large. Those who wish to improve their clinical practice might struggle, however, to keep up with developments across numerous disability communities as well as the ever-growing body of disability studies scholarship. To assist with this goal, I offer an overview of recent disability theory, outline a set of responsibilities clinicians have to disability communities, and provide recommendations for clinicians who hope to justly treat patients with disabilities and improve their care and health outcomes.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1181-1187","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1181","pmid":"30585582"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"aeqxmxyoarg6xdjbwdhouo7pji","title":"Three Things Clinicians Should Know About Disability","state":"active","ident":"3wzuxiix6bcs3lwtzos6pxokjm","revision":"e681ca56-d6af-4f11-bb4a-d66a80e9f364","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1181"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1188 {"abstracts":[{"sha1":"8f4d6f6e522469dd3f6ad787ec0169d51d72d211","content":"Dichotomies in medicine are real, and the boundaries that define them are constantly shifting. Radical antitheses such as healthy versus ill, reconstructive versus aesthetic, or medical dermatology versus cosmetic dermatology can be more clearly understood by considering the cultural context of medicine. This essay examines the latter two antitheses and asks whether medical dermatology should be a category limited to somatic illness. It also examines how the tendency to create and endorse dichotomies distorts the meaning and delivery of surgical procedures as well as reimbursement practices in contemporary medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1188-1194","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1188","pmid":"30585583"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"jn6cbu6idrgofcx37mndnfkczi","title":"Historical Situatedness of Categories' Meanings in Medicine","state":"active","ident":"i74feapr4zea7etna32x3lpuqm","revision":"375ef69f-214b-477c-b754-8c9c2d93a47c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1188"],"type":"journal-article"},"pubmed":{"pub_types":["Historical Article"]}}} +10.1001/amajethics.2018.1195 {"abstracts":[{"sha1":"013dac44ea7db95d1ab0361854c4d2bc131e0c27","content":"Addressing the question of how medicine should engage with people who consider their clinical disease condition to be importantly constitutive of their identity, this article focuses on one group-advocates for the fat acceptance (FA) or body positivity movement in American society. Drawing on philosophical analysis, I try to show that FA and physician communities represent different traditions within the larger culture and that whether obesity should be considered a disease is a culture battle. I argue that diseases (medical) and illnesses (cultural) are 2 different designations of clinical symptoms and that both disease and illness designations can change over time or be uncertain.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1195-1200","issue":"12","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.1195","pmid":"30585584"},"release_year":2018,"release_date":"2018-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gwuasc6usjel7a6hjk4dnsgqri","title":"Why Naming Disease Differs From Naming Illness","state":"active","ident":"albpqudq75ek3a7444mu35vuci","revision":"988b3f3a-1bf7-4156-9ca1-0ee71ba27c84","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.1195"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.1201 {"abstracts":[{"sha1":"17326bca59eedc504ed0651e6bcf8564607d0f1a","content":"Resources from the American Medical Association (AMA) Archives facilitate historical consideration of how physicians' authority has been exercised in naming diseases, epidemics, and other health-related issues of national importance. 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We then present a concrete framework that clinicians can directly apply when faced with difficult cases such as this one. We outline how exploring motivations, obtaining informed consent, defining goals, and examining alternatives can help guide physicians like the one in this case. We conclude by summarizing one way in which physicians might balance these issues while still remaining within the constraints of the law.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E690-698","issue":"8","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.690","pmid":"30118418","pmcid":"PMC6642362"},"release_year":2018,"release_date":"2018-08-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"iuxveopks5fatgk7xlkjn3sk74","title":"How Should Physicians Care for Dying Patients with Amyotrophic Lateral 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This commentary examines the following ethical questions about machine learning in a case of a patient with new onset psychosis: (1) When is clinical innovation ethically acceptable? 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Specifically, we propose 3 lessons from the last decade of applying genomics to rare diseases: (1) precision can end one odyssey and start another; (2) precise interventions can exacerbate health disparities and create other ethical dilemmas; and (3) democratization of data will transform research and translation. By studying experiences of patients with rare diseases, researchers, clinicians, and policymakers can anticipate similar challenges in precision medicine and hopefully mitigate potential harms or injustices.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Holly K Tabor","given_name":"Holly K","surname":"Tabor","role":"author","raw_affiliation":"An associate professor in the Stanford University Department of Medicine and the associate director for clinical ethics and education at the Stanford Center for Biomedical Ethics in Stanford, California.","extra":{}},{"index":1,"raw_name":"Aaron Goldenberg","given_name":"Aaron","surname":"Goldenberg","role":"author","raw_affiliation":"An associate professor of bioethics and the associate director of the Center for Genetic Research Ethics and Law at Case Western Reserve University School of Medicine in Cleveland, Ohio.","extra":{}}],"language":"en","pages":"E834-840","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.834","pmid":"30242814"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"3dbayvjd75bbhob6nn6okedp4m","title":"What Precision Medicine Can Learn from Rare Genetic Disease Research and Translation","state":"active","ident":"yxb4fpth7ra2fpv3bwrmme3sre","revision":"c2ab42aa-d20d-4a39-a5b7-f61052f62d60","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.841 {"abstracts":[{"sha1":"c651dfca414c42efba2f235bbb54882bc9e1823f","content":"As clinicians have begun to provide targeted pharmacotherapy for children with inflammatory bowel disease (IBD), several ethical challenges have arisen. In this paper, we review 3 challenges related to applying a precision health approach to pediatric IBD populations: selection of a disease monitoring method, pharmacotherapy optimization, and economic considerations in clinical decision making.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Anava A Wren","given_name":"Anava A","surname":"Wren","role":"author","raw_affiliation":"An instructor in the Department of Pediatrics, Division of Gastroenterology, at Stanford University School of Medicine in Palo Alto, California, and a clinical psychologist at Stanford Children's Inflammatory Bowel Disease (IBD) Center, where she provides support to pediatric patients and families from diagnosis of IBD through their transition to adult care.","extra":{}},{"index":1,"raw_name":"K T Park","given_name":"K T","surname":"Park","role":"author","raw_affiliation":"An associate professor in the Department of Pediatrics, Division of Gastroenterology, at Stanford University School of Medicine in Stanford, California, and the codirector of Stanford Children's Inflammatory Bowel Disease (IBD) Center.","extra":{}}],"language":"en","pages":"E841-848","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.841","pmid":"30242815"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"5l52k4aqpjbbzc5kuaftxtrgwi","title":"Targeted Dosing as a Precision Health Approach to Pharmacotherapy in Children with Inflammatory Bowel Disease","state":"active","ident":"x55gx5wy7bhjxkc7o3dygmholi","revision":"2b038ada-d1d7-4a1b-98f0-607e6b142245","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.849 {"abstracts":[{"sha1":"ee4f47470fa71d19fef95e755b0b890c9d1296c3","content":"Humans exploring beyond low-Earth orbit face environmental challenges coupled with isolation, remote operations, and extreme resource limitations in which personalized medicine, enabled by genetic research, might be necessary for mission success. With little opportunity to test personalized countermeasures broadly, the National Aeronautics and Space Administration (NASA) will likely need to rely instead on collection of significant amounts of genomic and environmental exposure data from individuals. This need appears at first to be in conflict with the statutes and regulations governing the collection and use of genetic data. In fact, under certain conditions, the Genetic Information Nondiscrimination Act (GINA) of 2008 allows for the use of genetic information in both occupational surveillance and research and in the development of countermeasures such as personalized pharmaceuticals.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Rebekah Davis Reed","given_name":"Rebekah Davis","surname":"Reed","role":"author","raw_affiliation":"An attorney and bioethicist and currently serves as chief of the Space and Occupational Medicine Branch at the National Aeronautics and Space Administration's Johnson Space Center in Houston, Texas.","extra":{}},{"index":1,"raw_name":"Erik L Antonsen","given_name":"Erik L","surname":"Antonsen","role":"author","raw_affiliation":"An attending physician and assistant professor of emergency medicine and space medicine at Baylor College of Medicine in Houston, Texas, and the assistant director for Human Systems Risk at the National Aeronautics and Space Administration's Johnson Space Center, where he worked as an element scientist.","extra":{}}],"language":"en","pages":"E849-856","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.849","pmid":"30242816"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"t7hmhjfpzbd3djs3fw53ywjmui","title":"Should NASA Collect Astronauts' Genetic Information for Occupational Surveillance and Research?","state":"active","ident":"rzglynpvyngunokzposklv3ffq","revision":"5958843b-f0bb-4cce-947b-bf4ef27a4c80","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.857 {"abstracts":[{"sha1":"e28ec11fd81491824f7f2bdf613a696b6c3af780","content":"A learning health system provides opportunities to leverage data generated in the course of standard clinical care to improve clinical practice. One such opportunity includes a clinical decision support structure that would allow clinicians to query electronic health records (EHRs) such that responses from the EHRs could inform treatment recommendations. We argue that though using a clinical decision support system does not necessarily constitute a research activity subject to the Common Rule, it requires more ethical and regulatory oversight than activities of clinical practice are generally subjected to. In particular, we argue that the development and use of clinical decision support systems should be governed by a framework that (1) articulates appropriate conditions for their use, (2) includes processes for monitoring data quality and developing and validating algorithms, and (3) sufficiently protects patients' data.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Emily L Evans","given_name":"Emily L","surname":"Evans","role":"author","raw_affiliation":"A program officer for the Clinical Effectiveness and Decision Science program at the Patient-Centered Outcomes Research Institute (PCORI) in Washington, DC, and served as a consultant to the Institute of Medicine Committee on Ethical and Scientific Issues in Studying the Safety of Approved Drugs and as a member of research teams at the Johns Hopkins School of Medicine.","extra":{}},{"index":1,"raw_name":"Danielle Whicher","given_name":"Danielle","surname":"Whicher","role":"author","raw_affiliation":"A senior program officer for the Leadership Consortium for a Value and Science-Driven Health System at the National Academy of Medicine in Washington, DC, and previously a program officer for the Clinical Effectiveness and Decision Science program at the Patient-Centered Outcomes Research Institute, a project coordinator at the Johns Hopkins Berman Institute for Bioethics, and a guest lecturer at Johns Hopkins Bloomberg School of Public Health.","extra":{}}],"language":"en","pages":"E857-863","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.857","pmid":"30242817"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"32wdyd4xrfdbhcefayvuw5nkqm","title":"What Should Oversight of Clinical Decision Support Systems Look Like?","state":"active","ident":"rnsl64mwqbcszcowzrdho5dafm","revision":"bce79794-be2b-4fa8-8532-4d4e11c50667","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.864 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E864-872","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.864","pmid":"30242818"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xaza2prrffhnraltofw6ssqxzu","title":"How Could Commercial Terms of Use and Privacy Policies Undermine Informed Consent in the Age of Mobile Health?","state":"active","ident":"h7zifuc6ujduhavodvg4ijo3we","revision":"6bf1bf5a-8157-46ee-b026-bf681ea58a68","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.864"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.873 {"abstracts":[{"sha1":"ff153728b4b654e15493486556b378c5a3d413f1","content":"Precision medicine research initiatives aim to use participants' electronic health records (EHRs) to obtain rich longitudinal data for large-scale precision medicine studies. Although EHRs vary widely in their inclusion and formatting of social and behavioral data, these data are essential to investigating genetic and social factors in health disparities. We explore possible biases in collecting, using, and interpreting EHR-based social and behavioral data in precision medicine research and their consequences for health equity.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Brittany Hollister","given_name":"Brittany","surname":"Hollister","role":"author","raw_affiliation":"A health disparities postdoctoral fellow at the National Human Genome Research Institute within the National Institutes of Health in Bethesda, Maryland.","extra":{}},{"index":1,"raw_name":"Vence L Bonham","given_name":"Vence L","surname":"Bonham","role":"author","raw_affiliation":"An associate investigator in the Social and Behavioral Research Branch (SBRB) of the National Human Genome Research Institute within the National Institutes of Health in Bethesda, Maryland.","extra":{}}],"language":"en","pages":"E873-880","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.873","pmid":"30242819"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"gubzzqn7fbf77j4fjcbr65t35y","title":"Should Electronic Health Record-Derived Social and Behavioral Data Be Used in Precision Medicine Research?","state":"active","ident":"eyfnnbac6rd3binmtvkwdrrk24","revision":"ca0d5a2f-2240-4c2b-87e9-e663c50134e1","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.881 {"abstracts":[{"sha1":"01298736840feb4c506f6b1470a0e5d1671c2564","content":"Efforts to conceptualize the application of human genomics to health care have displayed an evolving set of translational research goals. Under personalized genomic medicine, the aim was to individualize treatment and empower patients to take more responsibility for their own health. With the rise of interest in expert interpretation of multifactorial risk stratification, emphasis shifted to giving clinicians better tools and more authority to use them under the rubric of precision medicine. The statistical nature of risk stratification, in turn, led to the movement's importing public health goals and expanding its scope to precision prevention at the population level. Today, the confluence of precision medicine and precision prevention in precision health is leading to wellness genomics aimed at achieving goals beyond health care entirely. Each of these reorientations suggests important ethical questions for the medical community.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Eric T Juengst","given_name":"Eric T","surname":"Juengst","role":"author","raw_affiliation":"A professor of social medicine and genetics, a co-investigator at the Center for Genomics and Society, and the director of the Center for Bioethics at the University of North Carolina School of Medicine in Chapel Hill.","extra":{}},{"index":1,"raw_name":"Michelle L McGowan","given_name":"Michelle L","surname":"McGowan","role":"author","raw_affiliation":"A research associate professor in the Ethics Center at Cincinnati Children's Hospital Medical Center and in the Department of Pediatrics and the Department of Women's, Gender, and Sexuality Studies at the University of Cincinnati in Ohio.","extra":{}}],"language":"en","pages":"E881-890","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.881","pmid":"30242820"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"tfheelqytbffxlh5ukudzyvsse","title":"Why Does the Shift from \"Personalized Medicine\" to \"Precision Health\" and \"Wellness Genomics\" Matter?","state":"active","ident":"33gqg7dt7bfvdavag5aq2fd4yu","revision":"146269cd-420c-4e14-8514-b4b3350ce11f","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.891 {"abstracts":[{"sha1":"4dd802cbb66453b140b31e1801c9f2c5ae63790b","content":"The Precision Portrait is a mixed-media portrait illustrating the future of precision medicine and its ethical challenges.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Samuel Rodriguez","given_name":"Samuel","surname":"Rodriguez","role":"author","raw_affiliation":"A pediatric anesthesiologist and educator in medical humanities at Stanford University School of Medicine in Stanford, California.","extra":{}},{"index":1,"raw_name":"Nick Love","given_name":"Nick","surname":"Love","role":"author","raw_affiliation":"A medical student at Stanford University School of Medicine in Stanford, California.","extra":{}}],"language":"en","pages":"E891-893","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.891","pmid":"30242821"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"ib3creik7fhx7ob7mo4wnoeokq","title":"The Precision Portrait","state":"active","ident":"nvrkx5kijbfqderxbnepbthc34","revision":"c2f67d17-d4e0-4281-8dfe-f9289492c401","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.894 {"abstracts":[{"sha1":"22c1fe6b2d505213e4699ae3b7d314fd5bd88b7b","content":"This image seeks to iteratively represent themes related to the availability of life-saving and life-threatening medications. The photograph also suggests the importance of several ethical questions.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Audrey Gray","given_name":"Audrey","surname":"Gray","role":"author","raw_affiliation":"A third-year family medicine resident physician at Ventura County Medical Center in Ventura, California.","extra":{}}],"language":"en","pages":"E894-896","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.894","pmid":"30242822"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"hch4ewhuyfgi5pges4mkt7laam","title":"Kaleidoscope","state":"active","ident":"ekzk3qbzjzbojocnxei7cu7ytu","revision":"1345bbb1-e476-4e7f-a565-c44d3747ae52","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.897 {"abstracts":[{"sha1":"ec62a7539c1ade79129a871c7074a9ade1f7904a","content":"Increasing reliance on statistics for treatment and clinical risk assessment not only leads to the reductive interpretation of disease but also obscures ambiguities, distrust, and profound emotions that are important parts of a patient's lived experience of illness and that should be regarded as clinically and ethically relevant. Enabling critique of the limitations of statistics and illustrating their hegemonic impact on the patient's experience of illness, graphic medicine emerges as a democratic platform where marginalized perspectives on illness experiences are vindicated. Through a close reading of two carer narratives, Mom's Cancer (2006) and Janet & Me: An Illustrated Story of Love and Loss (2004), we illustrate how graphic pathographies represent experiential features of illness that are obscured by overreliance on statistical data.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Sathyaraj Venkatesan","given_name":"Sathyaraj","surname":"Venkatesan","role":"author","raw_affiliation":"An associate professor of English in the Department of Humanities and Social Sciences at the National Institute of Technology, Tiruchirappalli, in Tamil Nadu, India, and previously a fellow at the School of Criticism and Theory at Cornell University and is currently an international field bibliographer for the MLA International Bibliography.","extra":{}},{"index":1,"raw_name":"Sweetha Saji","given_name":"Sweetha","surname":"Saji","role":"author","raw_affiliation":"A research scholar in the Department of Humanities and Social Sciences at the National Institute of Technology, Tiruchirappalli, in Tamil Nadu, India.","extra":{}}],"language":"en","pages":"E897-901","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.897","pmid":"30242823"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"aj4ehbasjfacnbmyd4rx2ht5mm","title":"Graphic Medicine and the Limits of Biostatistics","state":"active","ident":"7mpcnllkibcvngzdk7lhesjlni","revision":"a9bec2c0-96d6-40dc-a5d8-51b15212e4dd","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.902 {"abstracts":[{"sha1":"f9f3e6913afdfbb735d123a49c5600445c4c7f2e","content":"A significant proportion of elderly and psychiatric patients do not have the capacity to make health care decisions. We suggest that machine learning technologies could be harnessed to integrate data mined from electronic health records (EHRs) and social media in order to estimate the confidence of the prediction that a patient would consent to a given treatment. We call this process, which takes data about patients as input and derives a confidence estimate for a particular patient's predicted health care-related decision as an output, the autonomy algorithm. We suggest that the proposed algorithm would result in more accurate predictions than existing methods, which are resource intensive and consider only small patient cohorts. This algorithm could become a valuable tool in medical decision-making processes, augmenting the capacity of all people to make health care decisions in difficult situations.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Camillo Lamanna","given_name":"Camillo","surname":"Lamanna","role":"author","raw_affiliation":"An internal medicine physician affiliated with the University of Cape Town in South Africa.","extra":{}},{"index":1,"raw_name":"Lauren Byrne","given_name":"Lauren","surname":"Byrne","role":"author","raw_affiliation":"An emergency department physician affiliated with the University of Sydney in Australia.","extra":{}}],"language":"en","pages":"E902-910","issue":"9","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.902","pmid":"30242824"},"release_year":2018,"release_date":"2018-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"cdr3l4y27nfujel5hzk2gslv7y","title":"Should Artificial Intelligence Augment Medical Decision Making? The Case for an Autonomy Algorithm","state":"active","ident":"u7rkkgqzrvdqbgcvzguom2nqae","revision":"274e7296-b2f1-44ea-89cd-457f141cf8fd","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.913 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E913-917","issue":"10","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.913"},"release_year":2018,"release_date":"2018-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"efmpzelervcmdnkfkl5qd3qgn4","title":"The Ethics of Food in the Health System Architecture","state":"active","ident":"4ai35sirtndkbdwijkjwavp4oa","revision":"e3e41771-b234-4ce5-8a06-8b009c162d97","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.913"],"type":"journal-article"}}} +10.1001/amajethics.2018.918 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E918-923","issue":"10","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.918"},"release_year":2018,"release_date":"2018-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"n2kab3mnarglrpcmib2lyzyyyy","title":"How Should Physicians Counsel Patients Who Live in Food Deserts?","state":"active","ident":"cgdil2wlxrbzpbjnblxmkyafxa","revision":"b9a2378f-39f4-45fd-899a-b8737cd662d0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.918"],"type":"journal-article"}}} +10.1001/amajethics.2018.924 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E924-931","issue":"10","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.924"},"release_year":2018,"release_date":"2018-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mddrai2ly5caflnw3ckfx23p5u","title":"Do Infant Formula Giveaways Undermine or Support Women's Choices?","state":"active","ident":"fo4buoaxireg5oqs7thmyzsula","revision":"51bc3099-b8ee-4bae-aba7-4ec79b41c7c2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.924"],"type":"journal-article"}}} +10.1001/amajethics.2018.932 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E932-940","issue":"10","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.932"},"release_year":2018,"release_date":"2018-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"y6tasko5obgu3ndcerk7scbkj4","title":"How Should Physicians Help Patients Who Are Ill Because They Work in Agriculture?","state":"active","ident":"5c4dsixskbemrk6xzgjdvupf6q","revision":"0e52f136-6eeb-43d5-a021-3ba6fda3d4cd","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.932"],"type":"journal-article"}}} +10.1001/amajethics.2018.941 {"abstracts":[{"sha1":"310a1ac98507fc53cf794a9f6526f17fefae12e9","content":"In a 2015 paper published in the Journal of Bioethical Inquiry, bioethicist Henk ten Have identifies vulnerability as a \"controversial topic in bioethics\" and argues that bioethical attention to vulnerability comes at the expense of sufficient attention to the social structures that shape human life. In this paper, we situate ten Have's argument within the broader bioethical literature, emphasizing how critiques of vulnerability can enrich approaches in clinical settings, including in nutrition, where the concept of vulnerability is not foreign (eg, children are often labeled members of a vulnerable group). We use an example of food (in)security to show how reframing vulnerability to capture \"layers of marginalization\" can help clinicians and organizations more clearly identify who is most in need, develop solutions for what should be done, and determine how and by whom those solutions should be implemented.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E941-947","issue":"10","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.941","pmid":"30346922","pmcid":"PMC6450799"},"release_year":2018,"release_date":"2018-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"44hntfuh2rapxc3jaw3kjszd2e","title":"Why Marginalization, Not Vulnerability, Can Best Identify People in Need of Special Medical and Nutrition Care","state":"active","ident":"7sn4snejxzb2vjngu3vgwel2gu","revision":"8620e4b5-3c56-47cb-851c-9b3c12308b15","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2018.941"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2018.948 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E948-959","issue":"10","volume":"20","ext_ids":{"doi":"10.1001/amajethics.2018.948"},"release_year":2018,"release_date":"2018-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American 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{"abstracts":[{"sha1":"8d45c6c2aebc6bb1f8018af2bf540d198e0cd8e3","content":"Physicians and other health care professionals who work in hospitals and clinics serving low-income populations will encounter undocumented immigrants as patients, family members, community members, and persons whose health-related rights can be overlooked, imperiled, or difficult to use. The routine uncertainty arising in how to provide good care to patients who are excluded from key public insurance provisions, together with the desire to be a good advocate for this patient population, can give rise to so-called workarounds as problem-solving strategies. This article explores the ethics of workarounds in the care of undocumented patients and considers how advocacy by health care professionals and organizations can assist immigrants in communities they serve.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E100-105","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.100","pmid":"30672426"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vicwtjdnkzgmlbi6ji2qayuavm","title":"Is It Ethical to Bend the Rules for Undocumented and Other Immigrant Patients?","state":"active","ident":"wfo5remnargercef3o2wtu4f3u","revision":"a7db2629-742f-4a97-9f28-feb74a23f755","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.100"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1003 {"abstracts":[{"sha1":"31bd4b0847908a3b4ed659e20b491fbcb5f91b6e","content":"With close attention to the film Wonder, this article examines how a narrative of community acceptance offers sustaining relationships for people with unusual facial appearance. This article argues that premodern responses of wonder can help reframe modern understandings of looking different.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1003-1008","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1003","pmid":"31742550"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"b55vgjiiyvg65insk2b7ffl4za","title":"What Do Unusual Faces Teach Us About the Ethics of Recognition?","state":"active","ident":"dlw7bg4nu5dfliarhrsnujzxf4","revision":"dda4ace2-39db-4a1e-929d-9feffd2dff91","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1003"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1009 {"abstracts":[{"sha1":"fe3ea7c6b7ce0fd8a13c3bcfc9f9b8186e80b10a","content":"Artificial intelligence (AI) is now integrated into a variety of fields, including medicine. AI applications raise numerous ethical questions, particularly about quality of care and patient-clinician relationships. This article accompanies 2 digital photo-paintings that address these ideas narratively and visually, with special emphasis on communication, compassion, and competence.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1009-1013","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1009","pmid":"31742551"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"zj5l2ls75nfuvckg36ay6xf2ja","title":"Representing Communication, Compassion, and Competence in the Era of AI","state":"active","ident":"xzehzbq65nbnvof5gnvb7lycnu","revision":"1078941d-5626-4245-bf26-233527e72bb7","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1009"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1017 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1017-1020","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1017"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"53uubqwfqncydflo7bcung236e","title":"Ethics, Values, and Responsibility in Human Genome Editing","state":"active","ident":"f7oq4mv4gzbg3bs3i3qq24fhqa","revision":"2db6e16e-ba92-4d5f-8bdb-b2ed74cb27d5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1017"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.1021 {"abstracts":[{"sha1":"e7879c88e9d939b145363f75fa2777b6478c4981","content":"Hundreds of gene therapies are currently in various stages of research and development. A subset of these involve gene editing technologies such as CRISPR. In this hypothetical case, a patient with chronic pain has initiated a CRISPR-based intervention obtained from a clinic in the Cayman Islands. His physician doubts it is approved by the US Food and Drug Administration and worries about its safety. The case presents ethical questions about potential violations of US regulations regarding the sale of products intended to affect human health, patients' lack of understanding about risks of unproven drugs, and suboptimal support for and management of patients with chronic pain. We discuss how physicians should address these questions.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1021-1028","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1021","pmid":"31876464"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"t32c3xnfiffdpij6wj6eo46qdy","title":"How Should Physicians Respond When They Learn Patients Are Using Unapproved Gene Editing Interventions?","state":"active","ident":"fxfvmbu7fffqphqd6i5f2jbxju","revision":"a93143d2-35de-4cac-8f2e-8b20c51a8b9f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1021"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1029 {"abstracts":[{"sha1":"e1222dc61381d775ec5438814f5f06d0a3f27456","content":"As patients with genetic diseases seek to have healthy biologically connected children, they will undoubtedly turn to trusted health care professionals for guidance. \"Doctor, should I enter a clinical trial to edit my embryos?\" is likely to become a query posed by patients with genetic illnesses. Physicians need both empathic communication skills and a framework for responding to this question. Applying the 4-S framework to gene editing can guide clinicians' responses to patients' CRISPR queries by facilitating discussion of (1) safety, (2) significance of harm to be averted, (3) impact on succeeding generations, and (4) social consequences.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1029-1035","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1029","pmid":"31876465"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"pqwvzxzuuba5dnsylzo4uk2kka","title":"Using the 4-S Framework to Guide Conversations With Patients About CRISPR","state":"active","ident":"5tjlawbakfhyrh4zgpzubbsdtq","revision":"5987ef68-7b8e-4a04-a2f2-fe93c444f108","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1029"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1036 {"abstracts":[{"sha1":"4fa1fa8aa67039d025ae4223bdf79351c097bee4","content":"Gene-edited babies who might be born in the future should be monitored over the course of their life. These patients' physical, mental, and social health monitoring should be coordinated by clinicians in ways that anonymize patients' data for privacy protection but also allow for national and international aggregate evaluations. Transnational monitoring efforts should focus on safety and efficacy, social and disability justice, what constitutes the standard of care, and how best to promote both access to care and social and genomic research and innovation. In addition, effective and binding mechanisms for stopping or limiting uses of gene editing technology should be developed.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1036-1041","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1036","pmid":"31876466"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"jfc2n6ricfhdplh7lqhucjyqxm","title":"How Should \"CRISPRed\" Babies Be Monitored Over Their Life Course to Promote Health Equity?","state":"active","ident":"vga4ubq7ujgwtlfphpebi3d2za","revision":"760e3d54-e01f-4ed5-a7d8-ba8764843ad2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1036"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1042 {"abstracts":[{"sha1":"07e071505cfbd23f61e73d88d471f6924101c949","content":"CRISPR technology has made questions about how best to regulate human genome editing immediately relevant. A sound and ethical governance structure for human genome editing is necessary, as the consequences of this new technology are far-reaching and profound. Because there are currently many risks associated with genome editing technology, the extent of which are unknown, regulatory prudence is ideal. When considering how best to create a prudent governance scheme, we can look to 2 guiding examples: the Asilomar conference of 1975 and the German Ethics Council guidelines for human germline intervention. Both models offer a path towards prudent regulation in the face of unknown and significant risks.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1042-1048","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1042","pmid":"31876467"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kqvhvp6tybhjfehd4gxmiemoym","title":"What Is Prudent Governance of Human Genome Editing?","state":"active","ident":"r2zqbudonzba7g4ccij64my7bm","revision":"82bcbfc9-a1cb-4c18-9663-71ab6cead842","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1042"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1049 {"abstracts":[{"sha1":"87c567b2b69abdabc51183dec695f1acadca18f8","content":"Gene editing technologies offer enormous potential for scientific advancement in fields such as medicine and agriculture, but their use also raises serious ethical and public policy concerns. Although advisory groups like the World Health Organization question whether certain forms of gene editing should be permitted, the US Patent Office routinely issues patents protecting this technology. This article considers what the term patented means, provides an overview of the US patent system, and discusses the scope of patentable subject matter under US patent law and the role of ethical, safety, and legal considerations in the patent examination process.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1049-1055","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1049","pmid":"31876468"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"njsaoywwyzbnroa7tqfy5eq5qq","title":"Is Gene Editing Patentable?","state":"active","ident":"mlamr24zofcsbicfrhzs7326y4","revision":"06c974cc-56cc-41ba-8e67-3f1cc66b218a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1049"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1056 {"abstracts":[{"sha1":"35c9f174bb1d498fafd2639e429ab7fff77fda74","content":"Recent research using gene editing technologies has made such tools more accessible and easier to use, fueling the promise of their therapeutic capacity. However, development of gene editing tools reminds professionals and the public that these technologies' potential use extends beyond treating somatic disease to germline editing, with consequences yet unknown. This article canvasses AMA Code of Medical Ethics' opinions and policies relevant to gene editing.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1056-1058","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1056","pmid":"31876469"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"jrz4xjftive3rkgkhqnrdd6r4m","title":"AMA Policies and Code of Medical Ethics� Opinions Related to Human Genome Editing","state":"active","ident":"4gb32cayxjawzfxsls6dvc2zo4","revision":"f6fd965d-2578-4abd-83d0-ce394c417f51","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1056"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1059 {"abstracts":[{"sha1":"e104468fe4f59b01ecd08343d585e67143455a92","content":"Gene editing, because it is a new technology, presents challenges to health care organizations' risk managers. At this time, little claims data exists upon which to make informed decisions about loss control and to draw upon when developing risk mitigation strategies. This article explores gene editing through the eyes of risk managers and underwriters and concludes that traditional risk management tools must be used to reduce risk until more is known about the frequency and severity of claims.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1059-1064","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1059","pmid":"31876470"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ba5zh6gztvarfdk37yfvjynyka","title":"How Should Gene Editing Be Managed by Risk Managers?","state":"active","ident":"lkf2sytwqnaureadha3m7wyuei","revision":"db424f07-b445-44cf-af10-99eabf6f595a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1059"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.106 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E106-110","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.106"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kg3y4rpimbavbdis2kokwdpxcy","title":"Journeys of Immigrant Families Across the Border","state":"active","ident":"ki3reij7endepn4xiivwjqhea4","revision":"8bac6e78-2ca7-4206-87cd-b8fdc41d1237","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.106"],"type":"journal-article"}}} +10.1001/amajethics.2019.1065 {"abstracts":[{"sha1":"baeae3bd421b301499945ba477d7b6df03bd6d35","content":"With the birth of genetically engineered twins in November 2018, international debate about human genome editing governance has moved from an emphasis on mutual engagement among multiple stakeholders to a self-regulatory model enacted through high-level expert groups with little or no public input. This article reconstructs this paradigm shift and suggests that inclusive public deliberation should still have a role in public decision making about genome editing.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1065-1070","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1065","pmid":"31876471"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gd5j7aen2zchnhm5xu3uvhtcse","title":"Why Include the Public in Genome Editing Governance Deliberation?","state":"active","ident":"5kw2zpoqdjedjpmuu6ndjbxy6y","revision":"c3628dd5-2f4f-4eaa-8836-051e700bd3f5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1065"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1071 {"abstracts":[{"sha1":"931fa88a1d4b3af32a6f4c3bc50b3e99d8f4e556","content":"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 and members of families, but key discussions about women's health and well-being as patients and subjects are lacking. This neglect is due in part to restrictions on uterine transfer of modified human embryos, a boundary that has now been crossed. As a result, only scant discussion has taken place about safeguards needed to ensure that women who participate in germline modification research are not exposed to disproportionate risk in exchange for benefits they might expect for future offspring. This omission sets the stage for serious ethical implications for women and their families.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1071-1078","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1071","pmid":"31876472"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"sjfl7diqgzf6fb7o4o3g24awtm","title":"Prioritizing Women's Health in Germline Editing Research","state":"active","ident":"ypim5bgkfrhqvfq6kse73bob3m","revision":"e39b1e8b-f968-49f8-83f3-43b8c7e12be0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1071"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1079 {"abstracts":[{"sha1":"77fbf1d0de0d26133663f6b68de39fb3fed62a49","content":"This article chronicles a didactic encounter between an ethics-minded physician-scientist and a personified genome editing technology called clustered regularly interspaced short palindromic repeats (CRISPR) and CRISPR-associated proteins, commonly abbreviated as CRISPR/Cas, or simply CRISPR. The interview considers clinically and ethically relevant questions about this technology related to patient safety, therapeutic efficacy, equitable access, and global governance of humanity's genetic legacy.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1079-1088","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1079","pmid":"31876473"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"5rwwrfrylfexhdb7uv47nc2nca","title":"An Exclusive Interview With CRISPR","state":"active","ident":"e4xtwpatzrapddj3lsxkqiwz3m","revision":"ea999ee2-be75-4f86-a67a-58583b93e8d0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1079"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1089 {"abstracts":[{"sha1":"f6bc971d3aaa897825daab1483bbb0b8a78afdb0","content":"Genome editing holds tremendous promise for preventing, ameliorating, or even curing disease, but a thorough discussion of its bioethical and social implications is necessary to protect humankind against harm, a central tenet of the original Hippocratic Oath. It is therefore essential that medical students, physicians, and all health care workers have a working understanding of what gene editing entails, the controversy surrounding its use, and its far-reaching clinical and ethical implications.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1089-1097","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1089","pmid":"31876474"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"rsgjnia5xbajpboea3zsyolsjy","title":"What Should Clinicians Do to Engage the Public About Gene Editing?","state":"active","ident":"dpyxo5c3lrcxhp7ddtdm2bmm3m","revision":"dce3be0f-d2b0-46b0-bf5d-851d4abfbb61","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1089"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1098 {"abstracts":[{"sha1":"288c5ea6756ca6833eba8caaff5933c44350ece2","content":"This article considers ethical questions about artwork reproduction and how they can be applied to germline editing. Walter Benjamin's 1935 essay, \"The Work of Art in the Age of Mechanical Reproduction\" is a good starting point, as it discusses how the concept of authenticity is ethically and aesthetically relevant when considering works of art intended to be created as multiples or in editions of identical works: photographs and cast sculpture. When producing multiples of a work of art, authenticity tends to be perceived in proximity to an artist's original intention. In germline editing, this concept can help generate insights to guide future research.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1098-1102","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1098","pmid":"31876475"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ii2wq4q3r5dilojetb3ow6lyl4","title":"What Does Multiple Production of Artworks Teach Us About Authenticity and Germline Editing?","state":"active","ident":"zca3xsl6u5e5fh5pkj6wqsv7hu","revision":"1af7bb3c-9f21-446b-83e9-af09a3379c42","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1098"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1103 {"abstracts":[{"sha1":"ad42388e0ffe0617a4c3748d1e0bc6cf4fdb2397","content":"This image of a silhouetted figure looking out over a body of water at sunset aims to promote reflection about patients' feelings of sadness, despair, helplessness, and uncertainty upon being diagnosed.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1103-1104","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1103","pmid":"31876476"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"lo2v3s63urdpnb23twgrfaxy64","title":"Sunset","state":"active","ident":"aheo3slebraprms2v7ckunimom","revision":"4b71e677-a050-42e9-a51b-7597471a3195","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1103"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.1105 {"abstracts":[{"sha1":"1d17eeaccbe424ad32c47dbfc70558f7e429c615","content":"For the better part of a dozen years and over 3 US presidential terms, heated debates about the ethics of cloning and embryonic stem cell research helped to define the American political landscape. Current lack of public controversy about regulation of human genome editing does not signal that ethical issues about engineering human embryos have been settled. Rather, while genome editing raises old ethical questions about the value of human life, eugenics, and the weight of unintended consequences, it also came into being in a political landscape that vastly differs from the early aughts when bioethics was last a major topic of political controversy.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E1105-1110","issue":"12","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.1105","pmid":"31876477","pmcid":"PMC7001785"},"release_year":2019,"release_date":"2019-12-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bwoaihetkfh3vdbcljejvivhz4","title":"Genome Editing, Ethics, and Politics","state":"active","ident":"7aryjg3ckza7rnknfzfvmmfeuq","revision":"52a9238c-6961-4936-bbe8-f975f557e78e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.1105"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.111 {"abstracts":[{"sha1":"9f91a3f0df46713f17a5434d6f2e0c51fa02dae8","content":"This graphic narrative is a storybook drawn on sketch paper with graphite and charcoal pencils and scanned into Microsoft Word. Sofia represents children of undocumented families currently living in the United States who are being denied fundamental human rights including health care, education, shelter, and food.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E111-112","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.111","pmid":"30672428"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"qeszdpowg5hf7ompqgkq5i2mb4","title":"Sofia's Story: The Sad Reality Behind a Humanitarian Crisis","state":"active","ident":"bh3fhwma7vepblwxwhuuyas5da","revision":"6386123e-94ed-4943-a172-ec2feb82e85d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.111"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.113 {"abstracts":[{"sha1":"b62ddc4ec8cb50dc172788080f9d25d47e522b9f","content":"More people, including children and pregnant women, are being detained for longer periods in a patchwork of over 200 detention centers around the country, most of which are private facilities or county jails. Human Rights Watch has documented systemic medical care failures at these facilities, including incompetent treatment, which is linked to patient deaths. Clinicians working in these facilities face formidable obstacles to providing adequate care, two of which are the Department of Homeland Security's lack of reasonable alternatives to detention and insufficient staffing. Harm caused by these conditions and detention itself should be enough to prompt clinicians to insist that the government enable provision of care consistent with generally accepted standards, including through reducing the detained population.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E113-118","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.113","pmid":"30672429"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ymuv7smggzdjhhzf6ooyo7xpm4","title":"How Should Health Professionals and Policy Makers Respond to Substandard Care of Detained Immigrants?","state":"active","ident":"yhb6odkguzewbbhyudup4xs4cm","revision":"acc39832-8720-4e7a-a8dc-598dde692793","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.113"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.121 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E121-124","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.121"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mxzbsvgpjfgslni3tm2umrjzo4","title":"Ethical Dimensions of Using Artificial Intelligence in Health Care","state":"active","ident":"vcyd7lhgcjejfhtflxbsa6qr7e","revision":"f2f9f3c7-359a-4b08-aa7e-450c703e5d57","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.121"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.125 {"abstracts":[{"sha1":"3858eb63f960b56b19f3dbab76a1f68c3dafc7df","content":"Should an artificial intelligence (AI) program that appears to have a better success rate than human pathologists be used to replace or augment humans in detecting cancer cells? We argue that some concerns-the \"black-box\" problem (ie, the unknowability of how output is derived from input) and automation bias (overreliance on clinical decision support systems)-are not significant from a patient's perspective but that expertise in AI is required to properly evaluate test results.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E125-130","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.125","pmid":"30794121"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xsr2rjhxwnckbmksqqrtyswjr4","title":"How Should AI Be Developed, Validated, and Implemented in Patient Care?","state":"active","ident":"zlnm5idvhrdppe7pdez7osrp2q","revision":"fffad55c-1497-4f8d-a388-13aa04a2247b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.125"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.131 {"abstracts":[{"sha1":"d2750769362a13306ac4576c912b09787786aef1","content":"This article discusses ethical responsibility and legal liability issues regarding use of IBM Watson™ for clinical decision making. In a case, a patient presents with symptoms of leukemia. Benefits and limitations of using Watson or other intelligent clinical decision-making tools are considered, along with precautions that should be taken before consulting artificially intelligent systems. Guidance for health care professionals and organizations using artificially intelligent tools to diagnose and to develop treatment recommendations are also offered.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E131-137","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.131","pmid":"30794122"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vwtl4uqylrahjh446r2ofwdq5i","title":"Should Watson Be Consulted for a Second Opinion?","state":"active","ident":"z2smoqdbwfeeteaohzr2q5jc5u","revision":"98001be1-d597-4380-b776-00d78d93196f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.131"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.138 {"abstracts":[{"sha1":"43e3f6d240052cb1fc259a15d0b5388a1b888435","content":"This commentary responds to a hypothetical case involving an assistive artificial intelligence (AI) surgical device and focuses on potential harms emerging from interactions between humans and AI systems. Informed consent and responsibility-specifically, how responsibility should be distributed among professionals, technology companies, and other stakeholders-for uses of AI in health care are discussed.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E138-145","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.138","pmid":"30794123"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"hd755jtkofbatoaw72mkkrrfn4","title":"How Should Clinicians Communicate With Patients About the Roles of Artificially Intelligent Team Members?","state":"active","ident":"2yquqjcg45bgxjfxzruibr7btq","revision":"6c73764d-0deb-48ae-92de-87874eb4b792","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.138"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.146 {"abstracts":[{"sha1":"0e10956c09958378662c57d9838aaa39a70c8c3b","content":"Available medical knowledge exceeds the organizing capacity of the human mind, yet medical education remains based on information acquisition and application. Complicating this information overload crisis among learners is the fact that physicians' skill sets now must include collaborating with and managing artificial intelligence (AI) applications that aggregate big data, generate diagnostic and treatment recommendations, and assign confidence ratings to those recommendations. Thus, an overhaul of medical school curricula is due and should focus on knowledge management (rather than information acquisition), effective use of AI, improved communication, and empathy cultivation.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E146-152","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.146","pmid":"30794124"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xefofgpwerhclpzoou7pcvtvsm","title":"Reimagining Medical Education in the Age of AI","state":"active","ident":"vzmqpqzpdvdtrmhqosjih5ozuy","revision":"a2ae5fa7-259b-438f-a159-2f69ae6553d5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.146"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.153 {"abstracts":[{"sha1":"aa727300ba4ee60ef98cc1e845f330a74b823c5d","content":"Today's web-enabled and virtual approach to medical education is different from the 20th century's Flexner-dominated approach. Now, lectures get less emphasis and more emphasis is placed on learning via early clinical exposure, standardized patients, and other simulations. This article reviews literature on virtual patients (VPs) and their underlying virtual reality technology, examines VPs' potential through the example of psychiatric intake teaching, and identifies promises and perils posed by VP use in medical education.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E153-159","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.153","pmid":"30794125"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"k7distrpfnfkba3mzpjgsk5i6u","title":"Emerging Roles of Virtual Patients in the Age of AI","state":"active","ident":"bjolkhts6vb7xpoizl2ugtlu3a","revision":"0287cc99-a8f1-4b0d-ab52-3dd4f4e8e784","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.153"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.160 {"abstracts":[{"sha1":"0c8a39ae9fc7ca83868d61348c9651ef66ce79ad","content":"As capabilities of predictive algorithms improve, machine learning will become an important element of physician practice and patient care. Implementation of artificial intelligence (AI) raises complex legal questions regarding health care professionals' and technology manufacturers' liability, particularly if they cannot explain recommendations generated by AI technology. The limited literature on liability for innovation provides opportunities to consider possible implications of AI for medical malpractice and products liability and new legal solutions for addressing liability issues surrounding \"black-box\" medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E160-166","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.160","pmid":"30794126"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"yhjgtnjforelbgvxh2p5ojw5k4","title":"Are Current Tort Liability Doctrines Adequate for Addressing Injury Caused by AI?","state":"active","ident":"unafl6lfmrhs3ahxbuytfkhp7i","revision":"22773a92-4dc5-4ae7-9b48-574438520288","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.160"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.167 {"abstracts":[{"sha1":"0aa05fefb48c7df10610decb68e9f2aeaf4adf86","content":"This analysis can provide a framework for assessing and identifying disparate impacts of artificial intelligence in health care.","mimetype":"text/plain","lang":"en"},{"sha1":"51c4d3621be2c151fa557de9d78685f2c8896140","content":"Clinical note topics and psychiatric note topics were heterogenous with respect to race, gender, and insurance payer type, which reflects known clinical findings. Differences in prediction accuracy and therefore machine bias are shown with respect to gender and insurance type for ICU mortality and with respect to insurance policy for psychiatric 30-day readmission.","mimetype":"text/plain","lang":"en"},{"sha1":"aa939caa87968008fbe5b3558394c5629fbd4c94","content":"Two case studies are examined using a machine learning algorithm on unstructured clinical and psychiatric notes to predict intensive care unit (ICU) mortality and 30-day psychiatric readmission with respect to race, gender, and insurance payer type as a proxy for socioeconomic status.","mimetype":"text/plain","lang":"en"},{"sha1":"b968e9406868b68da8b7024699c2c480075be053","content":"As machine learning becomes increasingly common in health care applications, concerns have been raised about bias in these systems' data, algorithms, and recommendations. Simply put, as health care improves for some, it might not improve for all.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E167-179","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.167","pmid":"30794127"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"fdzq4dd2bfbmzakh7yt53texxu","title":"Can AI Help Reduce Disparities in General Medical and Mental Health Care?","state":"active","ident":"zi4bymwilvggzcc6qxtqqzntea","revision":"8f9bf1ff-9dab-43a9-99df-e8c51f5fbe58","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.167"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.17 {"abstracts":[{"sha1":"5236816203836cc6da60803cc7f156a392b1d6b4","content":"Numerous undocumented children in the United States with end-stage renal disease undergo kidney transplantation funded by charitable donation or state-sponsored Medicaid. However, when these funding sources expire by adulthood, most are unable to pay for follow-up appointments and immunosuppressive medications necessary for maintenance of their organ. The organs fail and patients are then left with the options of retransplantation or a lifetime of dialysis. The dilemma of retransplantation introduces many questions regarding justice and fairness. This commentary addresses several ethical concerns about the special case of organ retransplantation for undocumented patients. Clinical guidelines and a clear public policy for best practices are needed to adequately address the challenge of retransplantation and maintenance immunosuppression in this population.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E17-25","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.17","pmid":"30672414"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bkmbj6iqfnaitaux4jioywunxq","title":"Is Organ Retransplantation Among Undocumented Immigrants in the United States Just?","state":"active","ident":"fftrhq4p7veq7c3vzjpidnw5fi","revision":"83febf44-5864-4eea-80d2-b6451ffa3442","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.17"],"type":"journal-article"},"pubmed":{"pub_types":["Case Reports","Journal Article"]}}} +10.1001/amajethics.2019.180 {"abstracts":[{"sha1":"612613b808b25727f3adc3b0a158c65bf7657063","content":"Applications of facial recognition technology (FRT) in health care settings have been developed to identify and monitor patients as well as to diagnose genetic, medical, and behavioral conditions. The use of FRT in health care suggests the importance of informed consent, data input and analysis quality, effective communication about incidental findings, and potential influence on patient-clinician relationships. Privacy and data protection are thought to present challenges for the use of FRT for health applications.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E180-187","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.180","pmid":"30794128","pmcid":"PMC6634990"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"4qer5orb3zgkzpit6z4efn3lq4","title":"What Are Important Ethical Implications of Using Facial Recognition Technology in Health Care?","state":"active","ident":"tiw4qp7xhzffhfdmupspoeh77e","revision":"4f5aa0e1-7a7e-4560-9f94-1dc5c5ca243d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.180"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.188 {"abstracts":[{"sha1":"ecf99c5f07e19b37363b4177e5fc715b6a070de0","content":"In June 2018, the American Medical Association adopted new policy to provide a broad framework for the evolution of artificial intelligence (AI) in health care that is designed to help ensure that AI realizes the benefits it promises for patients, physicians, and the health care community.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E188-191","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.188","pmid":"30794129"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2ihyuudvdzbw7eecuj6ofjx2ju","title":"Making Policy on Augmented Intelligence in Health Care","state":"active","ident":"f2cgmzp5gnampa2coxox3l2zsi","revision":"bad3e4c3-6679-4c95-9c3e-de324cfdcc6f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.188"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.192 {"abstracts":[{"sha1":"e51ea0bd7b322af375bd87582b5e751e366ef70e","content":"As with medicine, artistic practice has a historical relationship with technologies. As technology advances, artists and medical practitioners will struggle with the complexities of introducing artificial intelligence into pursuits that have long been defined as fundamentally human. How will intelligent mechanization continue to aid efforts in art and medicine, even as it complicates them? Which new dilemmas will arise as essentially human pursuits are ever more deeply aligned with the rise of thinking machines?","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E192-195","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.192","pmid":"30794130"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"o5jzcstr7jeu3npebpjv2qe3we","title":"What Do Warhol, Pollock, and Murakami Teach Us About AI in Health Care?","state":"active","ident":"adtajpmoqze4xjl7bb5zpedktq","revision":"7156939d-457b-4b80-9b36-874cf1491431","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.192"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.196 {"abstracts":[{"sha1":"ae0a15636e1812f8037e490f9e3b4825fa75f462","content":"Technology has enabled bionics and artificial intelligence, each of which can have important applications in health care. As we continue to substitute body parts with machinery, however, we might wonder, \"What makes us human?\" This drawing interrogates the relationship between humanity and embodiment, specifically in neck and facial musculature and brain structures.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E196-197","issue":"2","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.196","pmid":"30794131"},"release_year":2019,"release_date":"2019-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"sr6id5np2bhgfpphctcb3o6cui","title":"Technological Transformation","state":"active","ident":"mlnur3zb6ngs3e6trfcxtqxxza","revision":"b61c6855-7e87-4712-8bb3-5719f785a81e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.196"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.201 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E201-206","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.201","pmid":"30893032"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"r3ewlo3wmnawln76g5vbowohrm","title":"Evolving Roles of Health Care Organizations in Community Development","state":"active","ident":"4p3rsundorbofghgv6j6vydg7a","revision":"e9bed295-fcc6-4662-8b75-155dc285b45e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.201"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.207 {"abstracts":[{"sha1":"8a7546ea58eb5e65afe3b88f17f2f5140592c3a9","content":"This case asks how a hospital should balance patients' health needs with its financial bottom line regarding emergency department utilization. Should hospitals engage in proactive population health initiatives if they result in decreased revenue from their emergency departments? Which values should guide their thinking about this question? Drawing upon emerging legal and moral consensus about hospitals' obligations to their surrounding communities, this commentary argues that treating emergency departments purely as revenue streams violates both legal and moral standards.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E207-214","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.207","pmid":"30893033"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ggl6r3iwpndg5o4pslhpels4ua","title":"Should Hospital Emergency Departments Be Used as Revenue Streams Despite Needs to Curb Overutilization?","state":"active","ident":"ckrhlw3qsjcnzdolkr46ppmwy4","revision":"9c2e9ffb-fd68-4a1a-b98f-a08354e634b1","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.207"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.215 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E215-222","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.215","pmid":"30893034"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"hvf7copprvgfpgd343gvgtstjq","title":"What Should Be the Scope of a Health Network's Obligation to Respond After a Hospital Closure?","state":"active","ident":"hoqsoa6mufemhipwctmfq64lc4","revision":"118d9597-057d-42a2-90d9-dc197103e7aa","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.215"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.223 {"abstracts":[{"sha1":"1d2fe1f4e1d7441b1a23574a9dc829d87b67cbb5","content":"In the case scenario, RJ is a resettled refugee teenager who presents to his physician with vitamin B12 deficiency, anemia, and symptoms of mental illness. This commentary considers social determinants of refugee health and the moral importance of freedom to achieve well-being. The capabilities framework is used to analyze this case because it offers an ethical framework for understanding and evaluating social determinants of refugee health that either promote or diminish freedom to achieve well-being. By using this framework to consider social isolation as a negative social determinant of refugee health, clinicians and institutions can be caregivers as well as advocates for social justice, fulfilling 2 core ethical obligations to refugee communities.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E223-231","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.223","pmid":"30893035"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"g2j773jexjb7vm6b5tb6xwz6qa","title":"How Should Health Care Professionals Address Social Determinants of Refugee Health?","state":"active","ident":"u5juoord4vd3vntftxijwet57y","revision":"1f3011e4-2331-4dd7-84e7-314773cffea4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.223"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.232 {"abstracts":[{"sha1":"76aebe41fbc41acd4f4db12de3d8aade38cd23ee","content":"Spanish speakers make up 13.1% of the US population, and language barriers contribute to health disparities. Medical interpreters are essential for communication between patients with limited English proficiency (LEP) and their clinicians. However, there is a shortage of interpreters nationwide; free clinics, where a large majority of patients with LEP receive care, are especially affected by this shortage. Many medical schools are associated with a free clinic, and medical students who speak Spanish can help fill this gap. Loyola University Chicago Stritch School of Medicine, together with Interpreter Services at Loyola University Medical Center, created an interpreter certification program for medical students. Although there are challenges in certifying medical students as interpreters, doing so helps to build a workforce of well-trained, culturally competent physicians.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E232-238","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.232","pmid":"30893036"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"lojwutbgavgzpprawwlpzrwgvi","title":"Medical Students as Certified Interpreters","state":"active","ident":"ke4q752sdrg3vh7veykgnygega","revision":"5d629b3e-3c00-4f41-92ce-b5410f0a6102","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.232"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.239 {"abstracts":[{"sha1":"857e1aa08597e2bb22ddac2191fbbadce47651c3","content":"Traditional focus areas of medical education are insufficient for preparing future clinicians to function well in the rapidly evolving US health care system. In response, many medical schools and residency programs are integrating into their curricula health systems science (HSS), which includes health care policy, public and population health, interprofessional collaboration, value-based care, health system improvement, and systems thinking. To illustrate the value of HSS, the authors draw upon their experiences as a medical student immersed in HSS and as an educator facilitating students' cultivation of HSS skills.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E239-247","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.239","pmid":"30893037"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"nk4cd3nlofb2znejje6ctao5ba","title":"How Medical Schools Can Promote Community Collaboration Through Health Systems Science Education","state":"active","ident":"kiyzurb3nfdkthr7fm3umkle2q","revision":"3f82cc4b-be83-42f3-a53c-08dcd7c7b492","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.239"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.248 {"abstracts":[{"sha1":"0237c7d50acb23527a8e861825b06fed91fca81a","content":"Federal health care reform has expanded medical insurance to millions of people, altering the role that hospitals play in improving community health. However, current federal and state community benefit policy is an ineffective tool for ensuring that hospitals address the social determinants of health afflicting their communities. Policy shifts and other incentives that promote improved population health outcomes can encourage health care organizations to do the same.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E248-258","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.248","pmid":"30893038"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vsiruvmrw5dwdjgz4qfnomvvdm","title":"Hospitals' Obligations to Address Social Determinants of Health","state":"active","ident":"j2y4lyqn7bgsnbuwo3q6stafea","revision":"e9cdddc4-ff22-4734-aa04-2df9a47b2510","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.248"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.259 {"abstracts":[{"sha1":"4e182978388bed4031b74390104fc679e2c24e3a","content":"Physicians play important roles in community development. They seek not only to increase patients' overall well-being and the quality of care in clinical settings, but also to engage communities in health promotion and public health efforts. The AMA Code of Medical Ethics offers guidance to physicians developing community health initiatives, especially regarding health promotion, community development, and rural health care access.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E259-261","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.259","pmid":"30893039"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"zt2h2n7ekrfjdnry7tuewp6ula","title":"AMA Policies and Code of Medical Ethics' Opinions Related to Health Promotion and Community Development","state":"active","ident":"owd3uge7cjepppcnfunfphnrm4","revision":"39080de2-3733-4570-bda4-d83b31122d24","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.259"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.26 {"abstracts":[{"sha1":"57734b9bdbff28c8f159b8ef375a83e38a3bb0fa","content":"A challenge in caring for patients in resource-poor settings is the ethical discomfort and discouragement clinicians might experience when they're unable to provide optimal care due to lack of resources. This case, in which a resident is faced with rationalizing substandard care for certain classes of patients, probably represents the top of a slippery slope. This article argues that physicians should identify and advocate for optimal care for each patient. Moreover, physicians should advocate to improve the health system that allows for substandard care. Physicians should disclose to patients all available evaluation and treatment options, even those that seem cost prohibitive or unrealistic for some other reason. Transparency and objectivity in the patient-clinician relationship require good communication skills and are central to avoiding harm.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E26-31","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.26","pmid":"30672415"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gvtqfutt4neazcyzknruu332xy","title":"How Should Clinicians Respond When Different Standards of Care Are Applied to Undocumented Patients?","state":"active","ident":"awqyrjfjnvbpddusnhtcwy5nxy","revision":"19b129cc-4fa7-4ebd-bfd0-1fdfd5f03477","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.26"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.262 {"abstracts":[{"sha1":"f9c34e58c31712f909938d611907d30451a03b85","content":"Where people live and work influences how long and how well they live. Clinicians can help keep patients healthy by encouraging health care organizations to support community investments that improve conditions that contribute to health risks, outcomes, and costs. These conditions-the social determinants of health-include housing, transportation, jobs, and educational opportunities. Hospitals and health systems have assets-financial capital, land, and expertise, for example-that can be used to help support community health. Clinicians are uniquely positioned to collect data and ask questions in support of effective partnerships that address the root causes of poor health.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E262-268","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.262","pmid":"30893040"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"abbb7z2gxjfn7aur2go4iln43a","title":"How Can Clinicians Catalyze Investments to Improve Community Health?","state":"active","ident":"egvmno3emjaobbbhcmcvvqsd2y","revision":"14b573cd-8bfe-4d84-b9d1-0beae1336988","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.262"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.269 {"abstracts":[{"sha1":"3150c8b4bbdb33c1a2e8098fb2c023e3e3c40553","content":"Research on the human papillomavirus (HPV) suggests a possible relation between HPV type and geography. It also demonstrates that insurance status affects HPV vaccine uptake, which currently provides protection against 9 of the high-risk HPV types known to cause HPV-related cancers. This article reviews this literature with a focus on health justice in HPV vaccination programs. It also describes University of Illinois Health System research with members of Chicago communities to determine the prevalence of HPV, the distribution of HPV types, and strategies for better serving this population.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E269-272","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.269","pmid":"30893041"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7xpbnhq2yfbyhpaxbwit2iteqm","title":"Investigating How Geography, Citizenship, and Insurance Influence HPV Vaccination","state":"active","ident":"toxtanj4hvefnki2rbhclwdpqa","revision":"b401995a-8c03-4d7b-8ea4-e1b084b403ff","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.269"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.273 {"abstracts":[{"sha1":"d4e2dcd9838aecfdfcd89cf8518645ff24935774","content":"In 1956, the Internal Revenue Service created the expectation that nonprofit hospitals would offer uncompensated care for those unable to pay; this was the beginning of Community Benefit (CB). CB efforts tend to prioritize inpatient medical care over developing community-based health improvements, and few CB resources are directed toward responding to health disparities. Changes to federal policy should address these concerns by (1) requiring community partners' involvement in CB implementation strategies, (2) requiring that community health needs assessments (CHNAs) be completed every 5 years instead of every 3 years, (3) changing the Internal Revenue Code to recognize organizations' work on social determinants as CB, and (4) requiring CHNAs to describe a community's health disparities and clarify how their implementation strategies address them. These changes would likely promote hospitals' engagement with public health departments, collaboration with community-based nonprofit organizations, and greater focus on health equity.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E273-280","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.273","pmid":"30893042"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bs7m6uz3b5gv3lgjwyw5kynwoa","title":"How Should Nonprofit Hospitals' Community Benefit Be More Responsive to Health Disparities?","state":"active","ident":"iro7thoudfaeziy27lvyfvs7km","revision":"b7bf2f9a-d1a5-4b34-ab2b-65574cb32f3b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.273"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.281 {"abstracts":[{"sha1":"e0e150dfaab76dc11a6c7493c890c7ba169469dc","content":"In the past few decades, scholars have begun to establish ethical principles for public health engagement. A key tension has been how to reconcile public health improvement with local autonomy in decision making so as to express respect for community members' on-the-ground experience. This article describes the experience of one children's hospital in learning to ethically engage a surrounding community in conversations about housing development in partnership with a local faith-based development organization.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E281-287","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.281","pmid":"30893043"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"hcwwlrejpvbq3iqszwv6z5hisq","title":"How Should Health Care Organizations and Communities Work Together to Improve Neighborhood Conditions?","state":"active","ident":"zskkgigbxrdyzhibfzqim3c27i","revision":"481d5d4c-c1fe-44e8-8bb2-722cd581c541","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.281"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.288 {"abstracts":[{"sha1":"c4cf24b2cb724143c0c1f879a6ab7ec8099d16d5","content":"When hospitals became places of treatment and recovery rather than places of sickness and death, hospital-based patient care also changed. This article examines relationships between design-induced practice transformations in US hospitals between the 1850s and 1980s and transformations in hospitals' roles in American communities, with a specific focus on underserved communities.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E288-296","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.288","pmid":"30893044"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"jdrfud55cjfpjapgzmzdjsfpqy","title":"An Architectural History of US Community Hospitals","state":"active","ident":"2mjjo7dimfhlnodhctuigu636i","revision":"a308615c-6266-4472-b645-0d33ca1d0222","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.288"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.297 {"abstracts":[{"sha1":"768898374cfa5b56c9fedb27988ca80980e8a3bc","content":"Since the end of World War II, the Council on Medical Service of the American Medical Association (AMA) has conducted a Physicians Placement Service to assist physicians seeking a practice location and communities seeking physicians. As part of this service, the AMA offered pamphlets that included articles and exhibits. This article features select images from one of those pamphlets.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E297-299","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.297","pmid":"30893045"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"zrkzc5bacfdhrfekvaafjivkdi","title":"How Communities Attracted Physicians After World War II","state":"active","ident":"nsrm46k36rezlfaldpdqx7ihhy","revision":"6e51289f-f1ed-4056-97dd-95dd621efff5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.297"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.300 {"abstracts":[{"sha1":"1494338396ee4801450e89742a6a83ad8e9af2fa","content":"In this image, 3 figures-Hippocrates, a plague doctor, and a modern physician-represent continuity of ethical standards in ancient, medieval, and contemporary medical communities.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E300-302","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.300","pmid":"30893046"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vwzzrgconbhx7ndqu3xwowajfe","title":"Enduring Oaths","state":"active","ident":"rvgdm6aa2felpj6nsblg46d6hq","revision":"2d265c0c-552b-4e66-9ec2-25edeed50437","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.300"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.303 {"abstracts":[{"sha1":"2025a5049968e6d753d9edf036f0d41dcdf03d67","content":"Music can influence clinicians' and patients' mental states and emotions via the capacity of rhythm and tone to entrain. Entrainment can facilitate relaxation and distraction from pain and has a role to play in experiences with and in health care. In this article, we discuss the benefits of music from the perspectives of a physician and a veteran.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E303-308","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.303","pmid":"30893047"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"3jadkxnwnjfrbhlhmezqmeqawq","title":"Why We Need a Music Player in Every Patient Room","state":"active","ident":"uuwbs672anbjzovtp3tfl7zihm","revision":"ac541c4b-3e66-4a79-8595-170b3bd1feaf","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.303"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.309 {"abstracts":[{"sha1":"6364964c818e2b167317224f7b37b6e2b632746d","content":"Pastel and oil paint on wood are used to investigate the importance and challenge of self-preservation during processes of medical training and professionalization. This image considers whether, why, and how self-sacrifice is necessary to become a good physician and investigates this set of themes from ethical and aesthetic perspectives.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E309-310","issue":"3","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.309","pmid":"30893048"},"release_year":2019,"release_date":"2019-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"srfany3bjbcbxottwkho4aqbje","title":"Bleary Image","state":"active","ident":"2lygi3fca5e7hhrl3xbokqdhwq","revision":"50e2f578-9f64-4306-a72b-df536fb07cf0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.309"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.313 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E313-316","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.313"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"r4quubdon5ag3b4egh2ookt46e","title":"Innovating Nanoethics","state":"active","ident":"l7ar3gukabgk5kceleh77qj6qq","revision":"a4be91f7-d17e-4625-9bda-cf686fd9cac6","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.313"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.317 {"abstracts":[{"sha1":"693c67fc77e749c71f5d92ff833c6c92e49eecf6","content":"This case explores ethical questions about tracking medication adherence in a 16-year-old patient with schizophrenia. Relevant stakeholders are the teen, the parents, and society. How those stakeholders' interests should be considered is explored here in the context of the psychiatrist's professional care management responsibilities and the burdens each stakeholder must bear over the course of the patient's care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E317-323","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.317","pmid":"31012418"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mgwdj6ceavhidgvdjrjklkliv4","title":"Should a Psychiatrist Prescribe a Nanodrug to Help Parents Monitor a Teen's Adherence?","state":"active","ident":"6zqh7fxylvhsplyaaftxaxowrq","revision":"e52c5a80-8eeb-460c-bb7b-49dd734ebabf","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.317"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.32 {"abstracts":[{"sha1":"2b6a00f49cfc9f6e02ecc928996499521afebd64","content":"In response to a case of an undocumented patient who was reported to immigration authorities, this commentary considers whether a patient's immigration status should be deemed protected health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. A legal argument, supported by clinical data, is offered that immigration status should be regarded as PHI not subject to valid exception for release without patient authorization. This argument concludes that covered entities (eg, hospitals and health care professionals) are legally precluded under the HIPAA Privacy Rule from disclosing a patient's immigration status.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E32-37","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.32","pmid":"30672416"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"md24dephuncitdto6c3zd3qkea","title":"Should Immigration Status Information Be Considered Protected Health Information?","state":"active","ident":"2nyesnijmfddvojpkhns6nyzte","revision":"ecf73878-75ea-459d-aa13-df8dcde78734","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.32"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.324 {"abstracts":[{"sha1":"29586d1e9bf6acd88c5b0cdbd6911933c9c85d24","content":"When a patient wants to enroll in a clinical trial to gain early access to an apparently promising but unproven intervention, her physician should clarify differences between participating in research and receiving treatment to help her avoid therapeutic misconception, make a thoughtful decision, and consider relevant clinical and ethical details. These include a patient's disease and treatment experiences, needs, interests, values, the design and phase of the trial, and the nature of the intervention being studied. When an unproven intervention is a nanodrug, a physician's role is especially difficult, because though nanomedicine might offer real benefits, it can also pose unexpected or even unprecedented harms. Thus, a physician should help a patient explore possible outcomes while promoting realism, countering hype, and preserving hope.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E324-331","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.324","pmid":"31012419"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gibnz6uk4febdk4oet4tw2wwue","title":"How Should Physicians Help Patients Understand Unknowns of Nanoparticle-Based Medicines?","state":"active","ident":"7vtbn5tgmfbrznbil7bymt73iu","revision":"88ba94a3-70b4-445c-86f8-ec0ccc379d21","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.324"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.332 {"abstracts":[{"sha1":"42e7403dc1ccebbb36c49c97ad6ce32c1b0f62d3","content":"Aripiprazole tablets with sensor offer a new wireless trackable form of aripiprazole that represents a clear departure from existing drug delivery systems, routes, or formulations. This tracking technology raises concerns about the ethical treatment of patients with psychosis when it could introduce unintended treatment challenges. The use of \"trackable\" pills and other \"smart\" drugs or nanodrugs assumes renewed importance given that physicians are responsible for determining patients' decision-making capacity. Psychiatrists are uniquely positioned in society to advocate on behalf of vulnerable patients with mental health disorders. The case presented here focuses on guidance for capacity determination and informed consent for such nanodrugs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E332-336","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.332","pmid":"31012420"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"c4jix5datbasnp643yxfmcy4du","title":"Should Trackable Pill Technologies Be Used to Facilitate Adherence Among Patients Without Insight?","state":"active","ident":"gp2lgh24ojfjbnxl7tjduu3wke","revision":"f8cc227c-53d4-42b1-9eab-d9bcca5027d4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.332"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.337 {"abstracts":[{"sha1":"7941ca7e472f080c5cf0394d4d22d136d4903891","content":"The progressive growth in nanotechnology approaches to diagnostics and therapeutics, especially for cancer, necessitates training physicians in nanoethics. This article explains why it is critical for medical education to include instruction in nanotechnology, nanomedicine, nanotoxicology, and nanoethics and suggests basic concepts educators can use to infuse curricula with this content.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E337-346","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.337","pmid":"31012421"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"lbsbhgg2efcx7byws7llay65sm","title":"Which Nanobasics Should Be Taught in Medical Schools?","state":"active","ident":"3fqtzvszzzbqrpig4dvd356w64","revision":"69884a02-b266-4086-98c2-248b072e2ad6","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.337"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.347 {"abstracts":[{"sha1":"4b4cdbc2bf33cffb8681ddd8029a3a42c0d3c35e","content":"The US Food and Drug Administration (FDA) oversees safety and efficacy of a broad spectrum of medical products (ie, drugs, biologics, and devices) under the auspices of federal legislation and agency regulations and policy. Complex and emerging nanoscale products challenge this regulatory framework and illuminate its shortcomings for combination products that integrate multiple mechanisms of therapeutic action. This article surveys current FDA regulatory structures and nanotechnology-specific guidance, discusses relevant nanomedicine products, and identifies regulatory challenges.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E347-355","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.347","pmid":"31012422"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"d4kvirc3rnaotl5txuzrynkvoi","title":"Regulating Nanomedicine at the Food and Drug Administration","state":"active","ident":"wmgcucjmkndtdatzrml3xv4ihq","revision":"18cc898a-afe1-4a20-a77d-58cee8cf44f2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.347"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.356 {"abstracts":[{"sha1":"d941f27477d719a4fec9edf49d8cbeb55514e574","content":"Many employers now offer workers wearable or implantable devices that can monitor their health, productivity, and wellness. Nanotechnology enables even more powerful and functional monitoring capacity for these devices. A history of workplace monitoring programs suggests that, despite nanosensors' potential benefits to employers and employees, they can only be successful and sustainable when a company's motivations for offering them are acceptable and transparent to workers. This article describes 5 best practices for motivating nano-enabled worker monitoring programs that are acceptable, effective, and ethical.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E356-362","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.356","pmid":"31012423"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"i32bb5vlknha5acvotrcqtcpqa","title":"What Are Best Practices for Ethical Use of Nanosensors for Worker Surveillance?","state":"active","ident":"ww3rmuawcbdxnjouv3kpauppha","revision":"be97d31c-d551-4a78-8578-8cb825131d02","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.356"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.363 {"abstracts":[{"sha1":"16b663ebab98ef410e8e00d7efdd72568095e04e","content":"A central ethical and policy issue regarding minimizing and managing risks of engineered nanomaterials (ENMs) is whether existing legal frameworks sufficiently protect public health and the environment. This article argues that policymakers should (1) use existing laws to regulate ENMs and the best available evidence to inform appropriate levels of regulation and (2) support additional research on risks of ENMs. Were they to do so, public health and environmental risks of ENMs could be minimized and managed without sacrificing their potential clinical, social, and economic benefits.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E363-369","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.363","pmid":"31012424"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ctmbfcaunvgfheunu6yolghtou","title":"How Should Engineered Nanomaterials Be Regulated for Public and Environmental Health?","state":"active","ident":"uymww6wsa5brrczuhlwcnonrlm","revision":"2dc175ee-db78-4e63-b929-4bd8de6ad5ce","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.363"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.370 {"abstracts":[{"sha1":"eb0a958e6172b18beab388a042b19514930c101e","content":"This abstract painting represents how patients' experiences of darkness and doubt can be replaced by a sense of buoyancy and lightness. Color and movement convey a patient's sense of striving, aspiration, and optimism.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E370-371","issue":"4","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.370","pmid":"31012425"},"release_year":2019,"release_date":"2019-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"plfseldg7jfdljp2usxs6p6jnu","title":"Journeys","state":"active","ident":"tfsf44moure3bja55tmw25pe6y","revision":"d404ad82-ea59-480e-a91c-2c1bcc1c6da0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.370"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.375 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E375-379","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.375"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"qwwubvymsvhhnlyxk33yucghva","title":"When Clinical Advances Outpace Ethics","state":"active","ident":"gqh4udiwujeyjmlrdjonrij5sm","revision":"176b70c2-6050-4445-ad49-23ac085da258","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.375"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.38 {"abstracts":[{"sha1":"4a3c4c7ae23d53f04d36f0aa0fe5511190cb5c40","content":"Undocumented immigrants are part of the health care workforce, whether they are eligible to work in the United States through the Deferred Action for Childhood Arrivals (DACA) program or other visa programs or permits. This case commentary considers whether-and if so, when-a clinician should reveal her immigration status to patients. After reviewing the literature on clinician self-disclosure, this commentary discusses how sharing immigration status could benefit the patient-particularly if the clinician has an immigration status that could interrupt care-but could also draw the focus away from the patient, possibly eroding trust between patient and physician. Finally, this commentary addresses mental health burdens experienced by undocumented and \"DACA-mented\" trainees and considers the roles that hospitals, residency programs, and health professions schools should play to support them.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E38-43","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.38","pmid":"30672417"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"722mhfxr5rdq5d44qzcjey3ala","title":"Are Clinicians Obliged to Disclose Their Immigration Status to Patients?","state":"active","ident":"qutnlwjzoneu3b3havzqwogyby","revision":"1f892cc8-3c32-437c-8714-312de3e66743","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.38"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.380 {"abstracts":[{"sha1":"9f2036ba5691654c8c02f18656a01a0b73963a4a","content":"A case is presented of a 10-year-old girl with refractory leukemia with poor prognosis and chemotherapy-induced heart failure. She is evaluated for a ventricular assist device (VAD), but the pediatric heart failure team views VAD as clinically inappropriate due to her active oncologic problems. This article examines ethical concerns that arise in deciding whether to offer and use this technology.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E380-386","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.380","pmid":"31127916"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"p6lbn4lzjfdufmx7ewyyupabpy","title":"Should Physicians Offer a Ventricular Assist Device to a Pediatric Oncology Patient With a Poor Prognosis?","state":"active","ident":"mrlrcuwk55fmjbwhzdysvhl37i","revision":"eee8933a-a43d-4e96-bbd1-4b96379e1c8c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.380"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.387 {"abstracts":[{"sha1":"6dd620ff890894e865828c2695a0812296800204","content":"Extracorporeal membrane oxygenation (ECMO) is a new technology used to rescue patients with severe circulatory or respiratory failure and help bridge them to recovery or to definitive therapies like device implantation or organ transplantation. The increasing availability and success of ECMO has generated numerous ethical questions about its use and potential misuse. This commentary on a case of a patient who is no longer a candidate for transplant but wishes to continue ECMO identifies strategies clinicians can use to reconcile competing responsibilities.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E387-393","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.387","pmid":"31127917"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"dkmopaqp55ek5o4upjxatwhcne","title":"How Should ECMO Initiation and Withdrawal Decisions Be Shared?","state":"active","ident":"egekcf5mrfaellzpu4olbbtqua","revision":"3720ea51-3a9c-4029-a03f-63bf4b9c412d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.387"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.394 {"abstracts":[{"sha1":"4e8c5478e270e572b7f2e6089271569d1c6c552c","content":"Mechanical circulatory support devices, including left ventricular assist devices (LVADs), have become mainstream treatment for end-stage heart failure. LVADs are ethically and legally no different than other types of life support, for which patients have a right to decline or withdraw care consistent with the principle of respect for autonomy. However, the realities of LVAD complicate informed consent and shared decision making. LVAD candidates are often older and have multiple illnesses. And life with an LVAD requires a period of comprehension, adaptation, and reintegration. Therefore, clinicians must assess LVAD candidates' decision-making capacity, screen and possibly consult for depression, seek to understand whether being on LVAD is consistent with patients' values, consider temporary support options to allow for goals clarification, and ask for help from family and palliative care specialists.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E394-400","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.394","pmid":"31127918"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"st5eegemxrgyrfz37m6jel3tva","title":"How Should Physicians Respond to Requests for LVAD Removal?","state":"active","ident":"vh5rkc6k2vdvrkvix4vrlokjs4","revision":"39089a4e-f60c-4fdf-923d-13c4a8aadf94","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.394"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.4 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E4-7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.4"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ws6xbw5lcjf3dmgjl5vmetg56y","title":"Immigration, DACA, and Health Care","state":"active","ident":"dznvtfhfpzdzxjg56fzjd5efza","revision":"b5fc3890-0f4b-4725-ab29-f485b4f26585","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.4"],"type":"journal-article"}}} +10.1001/amajethics.2019.401 {"abstracts":[{"sha1":"6bb60e1c914a0b9bda61484d83b6ee517ee9b071","content":"Decision making on behalf of an incapacitated patient is challenging, particularly in the context of venoarterial extracorporeal membrane oxygenation (VA-ECMO), a medically complex, high-risk, and costly intervention that provides cardiopulmonary support. In the absence of a surrogate and an advance directive, the clinical team must make decisions for such patients. Because states vary in terms of which decisions clinicians can make, particularly at the end of life, the legal landscape is complicated. This commentary on a case of withdrawal of VA-ECMO in an unrepresented patient discusses Extracorporeal Life Support Organization guidelines for decision making, emphasizing the importance of proportionality in a benefits-to-burdens analysis.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E401-406","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.401","pmid":"31127919"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gba2lmvihngevjdulnm64ofvxi","title":"Should Long-Term Life-Sustaining Care Be Started in Emergency Settings?","state":"active","ident":"usl7vscmmjggdgrhntwrlc56ay","revision":"89598a08-db1f-4886-ae0d-5c414c5e6952","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.401"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.407 {"abstracts":[{"sha1":"cc229d8ac99a82a83f459913b18bee5a9d291c2f","content":"Mechanical circulatory support (MCS) such as extracorporeal membrane oxygenation, left ventricular assist devices and total artificial hearts have altered the natural history of heart failure, and specialists in the fields of cardiology and cardiothoracic surgery are faced with more complex ethical considerations than ever before. Residency and fellowship training programs, however, do not have formal curricula in medical ethics as it applies to MCS. In response, this article proposes that ethics be integrated into graduate medical education with a focus on the following 6 constructs: patient best interest, respect for autonomy, informed consent, shared decision making, surrogate decision making, and end-of-life care. Curricula should offer learning experiences that help physicians navigate common ethical challenges encountered in practice.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E407-415","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.407","pmid":"31127920"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"wmebtfcxpfhlpnhg6rsr7yvbve","title":"Educating Resident and Fellow Physicians on the Ethics of Mechanical Circulatory Support","state":"active","ident":"ery4m3esyfcfdlvsnxp65qu3mm","revision":"7f1b9a1e-72df-4db5-88ac-b20ca9e11e68","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.407"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.416 {"abstracts":[{"sha1":"9a47d6d8cba4da19db1fa67c34e1cd38a3aa4edb","content":"Advances in science and technology have far-reaching potential for implementation in health care and must be considered from an ethics perspective. Physicians conducting research on such technologies must consider their duties to subjects and patients. The AMA Code of Medical Ethics offers guidance on research conduct and best practices for using innovation patents.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E416-420","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.416","pmid":"31127921"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"aaszpg7j4raunbep76enprelr4","title":"AMA Code of Medical Ethics' Opinions Related to Ethics of Life-Sustaining Technologies","state":"active","ident":"ud2qn6fs6vfmpenlvz5uuqhuky","revision":"b7eb0e4c-2ce9-4845-9404-0e71e952d4a6","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.416"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Guideline","Journal Article"]}}} +10.1001/amajethics.2019.421 {"abstracts":[{"sha1":"9a85a53d4727b4c6c40ed5581d08ed3abda4fd53","content":"Early hemodialysis allocation deliberations should inform our current considerations of what constitutes reasonable uses of extracorporeal membrane oxygenation. Deliberative democracy can be used as a strategy to gather a plurality of views, consider criteria, and guide policy making.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E421-428","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.421","pmid":"31127922"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"sajpfqajsbdwxmuxsu6sx5dn7q","title":"What Should We Learn From Early Hemodialysis Allocation About How We Should Be Using ECMO?","state":"active","ident":"2ycdkgl3kzaltaptw66jwwqwd4","revision":"39632ef3-ccec-408e-9d06-0002cea08d10","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.421"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.429 {"abstracts":[{"sha1":"b78f81bc251ada0ea5dfa8088cb48769e0a31087","content":"Mechanical circulatory support (MCS) is an increasingly frequent treatment option for managing end-stage heart failure. Devices are implanted either as destination therapy or as bridge to transplant. Patients undergoing this treatment can experience significant symptoms of depression in addition to stresses associated with chronic illness. After implantation, some patients may decide that the burdens of an MCS device outweigh the benefits. Physician asked to assist in deactivating MCS devices in the face of depression must ensure appropriate assessment, informed consent, and multidisciplinary involvement to minimize suffering and maximize patient quality of life.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E429-434","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.429","pmid":"31127923"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"5su4pg5nlnhchc76zbuu2x3nnq","title":"How Should Mechanical Circulatory Support Be Deactivated for Patients With Depression at the End of Life?","state":"active","ident":"yyznqzx7zrfslb6c2ayqysnvia","revision":"b7fdc4e2-3483-4ac1-8178-8d1320a85364","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.429"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.435 {"abstracts":[{"sha1":"83ed36d4791ce952ed6d3e5727019baed484faaf","content":"Palliative care (PC) teams are primed to support patients with advanced illness, including patients with mechanical circulatory support (MCS), and are increasingly being called upon to help care for these patients. Detailed guidelines for PC engagement are lacking despite key stakeholders' endorsements of collaboration. PC should encompass the decision-making period, the duration of therapy, and end-of-life care. PC teams can assist with symptom management, advance care planning, and communication across the continuum of MCS care. However, the current state of MCS and PC collaboration is variable and can be hindered by staffing challenges and clinician discomfort. To best care for patients who receive advanced cardiopulmonary life-sustaining therapies, meaningful engagement of PC during all phases of MCS is essential.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E435-442","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.435","pmid":"31127924"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"a2ddxxzdybfezhcu4crinqvlce","title":"Palliative Care for Patients on Mechanical Circulatory Support","state":"active","ident":"t53oa3z6o5bpdcoc5ma2lzezz4","revision":"1687d1cc-31c4-4ec4-bb14-cbf684790edc","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.435"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.44 {"abstracts":[{"sha1":"0ba65543f48e7b82b4069a03fd2e3100a1e6dcd4","content":"Different standards of care for undocumented Latino patients raises ethical questions for teachers and learners. This lack of parity can cause moral distress for both and prompts consideration of whether decisions made on a patient's behalf are ethical. Teaching advocacy and creating projects and partnerships to improve access and quality of care for this vulnerable population can help fight burnout and improve health outcomes.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E44-49","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.44","pmid":"30672418"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2ap2okf7mncclfix2vyjnpotfi","title":"Best Practices for Teaching Care Management of Undocumented Patients","state":"active","ident":"tme3ncq2mndaxbrirz2fdk5u7y","revision":"74c439ff-e82b-42ef-80de-686749da3fc1","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.44"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.443 {"abstracts":[{"sha1":"75b0f4eb6a68f3d3c540cf7beea4257043a4d9a7","content":"Cardiopulmonary resuscitation has become the default treatment for all patients who suffer cardiac arrest. The history of how this came to be suggests the clinical and ethical importance of establishing more humane and appropriate indications for extracorporeal membrane oxygenation and other aggressive therapies for patients at the end of life.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E443-449","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.443","pmid":"31127925"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ruyddkib6fftbnpjy6qbueptc4","title":"Will We Code for Default ECMO?","state":"active","ident":"ba5e3bjny5ao5lm52wn5dpeou4","revision":"da441eb9-3962-4e64-bc1f-65e8d0a68c0e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.443"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.450 {"abstracts":[{"sha1":"e3e5f4be2f43582ffee343bea83875ac82127e74","content":"This article explores the complex process of sustaining the lives of art objects and considers ways in which conservation efforts in art museums parallel cultural humility cultivation among health care professionals. Conservators and scientists at the Art Institute of Chicago grapple with a number of ethical questions that emerge when preserving and caring for objects with complicated histories and entangled networks of stakeholders. What follows is an examination of these issues in relation to objects in the Art Institute's collection and the larger histories of art museums and medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E450-454","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.450","pmid":"31127926"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vmw225vd2jbo3hmi3iwuidmw2q","title":"Sustaining the Lives of Art Objects","state":"active","ident":"uzjll3xzhjdyxbku4rjftwqf44","revision":"222421fa-ac73-4b71-a811-f7109d747181","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.450"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.455 {"abstracts":[{"sha1":"7fcd63c0f36ed81edbbf869bfecebe465237d1de","content":"Alzheimer's can be a devastating disease to observe in others. From a patient's perspective, it can be frightening, too, as memories fade away. This puzzle graphic considers the physical and emotional experiences of brain deterioration.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E455-456","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.455","pmid":"31127927"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"grizm27tincqlooqmz35bui7im","title":"Fading Mind of a Patient With Alzheimer's","state":"active","ident":"ybucrqt6qbb33odgx26ej72usy","revision":"8109001b-07fe-4e42-a962-d32ad1119f22","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.455"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.457 {"abstracts":[{"sha1":"c4b7345639b3c00a1ee42ee96915aad53526948d","content":"This series of 3 paintings of figures in a bath explores emotional responses of persons experiencing or responding to others' moral distress. Intricately tied together and connected through time and space, the bodies represented suggest a complex web of relationships between clinicians and patients.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E457-460","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.457","pmid":"31127928"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"lhjk364idnc27i24nlqfinrzui","title":"Moral Distress Containment Through an Artist's and Art Psychotherapist's Lens","state":"active","ident":"fkbpsdcd5vfa7ecri5l6grykby","revision":"738679c2-b6e5-4f81-862a-195551f1828d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.457"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.461 {"abstracts":[{"sha1":"5cd58fc034467d2b24b1912ce835cbd8e354a415","content":"This personal narrative examines what physicians owe patients in ways that might be just as novel as any new technology for cardiopulmonary resuscitation (CPR). The narrative uses the actual words of Linda (not her real name), a woman who had to lead CPR on her mother. Rather than concentrating only on CPR, the narrative also discusses what happens-and does not happen-before and after an out-of-hospital cardiac arrest. Linda's story suggests possible ways to take better care of terminally and chronically ill patients at home: by listening in different ways to patients and families.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E461-469","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.461","pmid":"31127929"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"hkmbygkphzhcnbdkjjpjchmbba","title":"How Can We Make Out-of-Hospital CPR More Family Centered?","state":"active","ident":"oiruviiujjel5h4nlajvrt5dpy","revision":"12a6a9d0-f5d2-474e-ba57-f1e66647297f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.461"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.470 {"abstracts":[{"sha1":"10564626200797f8bfcec66635cbed1bd2fb4cc1","content":"New and emerging life-extension technologies require careful consideration of ethical implications related to resource scarcity and justice, prompting an analysis of what, if anything, is intrinsic to experiences we define as human. Furthermore, extended lifespans suggest the importance of reinterpreting traditional roles of health care professionals as the needs of patients, communities, and clinicians shift.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E470-474","issue":"5","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.470","pmid":"31127930"},"release_year":2019,"release_date":"2019-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"r5nirw46vngmdepfh4uwuvru4y","title":"How Should One Live Everlasting Life?","state":"active","ident":"hwc2gir3ofga3noiprvklaoo5a","revision":"7c55fa70-c0bd-4d20-babf-c6ac5b57152d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.470"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.477 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E477-479","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.477"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"jlzhrwg4zvckdncu4sx5rlul5y","title":"What Are Reasonable Limits to Patient Preferences About Their Caregivers?","state":"active","ident":"j6be52xflremdlb2pioaltwrm4","revision":"1886b14e-9861-4135-aa00-959d160d9605","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.477"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.480 {"abstracts":[{"sha1":"8c0b7cec8bdde2911317a9b4a1dda9aa2879d6e2","content":"This commentary responds to a case in which a senior resident physician, an attending physician, and a medical student who is a person of color treat a patient expressing racial bias. By applying affect labeling (naming of emotions), this commentary illustrates how to balance patient preferences with a duty to treat and demands of justice in a way that can be healing for all stakeholders.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E480-484","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.480","pmid":"31204987"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"s74gnpnvi5avfcla72nfttzmrm","title":"How Should Clinicians and Trainees Respond to Each Other and to Patients Whose Views or Behaviors Are Offensive?","state":"active","ident":"7anw54qrbzfvrcx2kzvekmji34","revision":"c41debb6-983f-4238-9124-9f7ec6bda759","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.480"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.485 {"abstracts":[{"sha1":"01a1c79afee9294d8727db7b2f5fd14b4ffbe467","content":"In which ways and in which circumstances should institutions and individual physicians facilitate patient-physician religious concordance when requested by a patient? This question suggests not only uncertainty about the relevance of particular traits to physicians' professional roles but also that medical practice can be construed as primarily bureaucratic and technological. This construal is misleading. Using the metaphor of shared language, this article contends that patient-physician concordance is always a question of degree and that greater concordance can, in certain circumstances, help to obtain important goals of medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E485-492","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.485","pmid":"31204988"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kjt5ssl7sfb4rk7fswijt7daw4","title":"How Should Physicians Respond to Patient Requests for Religious Concordance?","state":"active","ident":"tgpzo4qa3vdc7knusfmqv5djoy","revision":"3b97ff2e-bbce-42b3-8691-fd5a83998c04","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.485"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.493 {"abstracts":[{"sha1":"7197ea465ceb1d3e2f2f71c3bf3c3e2a7c2a7111","content":"This article analyzes a child psychiatrist's referral approach when the patient's care must be transferred to an adult psychiatrist and the otherwise best adult psychiatrist has \"accented\" language, which is associated with the patient's prior trauma. The analysis considers the value of simplicity and a related \"simplicity strategy,\" revealing that many ethical factors lay behind the simplicity approach. The inquiry then addresses simplicity regarding practical wisdom and context. The paper argues that simplicity should mean considering just what's relevant and no more. Applied to the case, simplicity includes respect for persons, openness, honesty, trustworthiness, beneficence, nonmaleficence, ethics of care, professional empathy, group inquiry, epistemic humility, and justice. An objection regarding undue complexity is noted and refuted.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E493-498","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.493","pmid":"31204989"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"cfbnkmwsiraergyhpf7rtdt2zq","title":"Does a Patient's Trauma History Ethically Justify a Discriminatory Clinical Referral?","state":"active","ident":"d4qceexfpjc57mxy64sv4svule","revision":"04b5a42d-c262-4d04-a0f6-82fff6fc00c6","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.493"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.499 {"abstracts":[{"sha1":"06e534adb7ab502bb3b3136d0b6c03edcf4ac529","content":"This case and commentary considers how organizations should respond to overt racism expressed by patients. The article considers the nature and scope of organizations' responsibilities to train both professional and nonprofessional staff and to enact zero-tolerance policies to address expressions of discrimination.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E499-504","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.499","pmid":"31204990"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"joo6pvw6w5alxpfiobd24c7kx4","title":"How Should Organizations Respond to Racism Against Health Care Workers?","state":"active","ident":"62vk7kfdsbhpjmwjr65bgpnjgm","revision":"cafe652a-ac04-4de8-9b65-975841ab3f5a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.499"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.50 {"abstracts":[{"sha1":"a58ad139056f3987879ec48da22068b8dc928e80","content":"How to provide good care to uninsured undocumented immigrants who are broadly excluded from federally funded health benefits in the United States can raise ethical challenges for clinicians. The chilling effect of current immigration enforcement policies on health care access affects other immigrant populations and US citizens in mixed-status families. In the current political environment, students in health professions, house staff and other early career professionals, and teachers and mentors in health care settings that serve low-income immigrant populations need a shared understanding of how to provide good care under changing and challenging conditions. This article suggests key resources for clinical teaching and learning and for self-directed learning and reflection, with special attention to the \"public charge\" rule and its effects on immigrant health.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E50-57","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.50","pmid":"30672419"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xmqrpqqlore4dgwoloxxyrduy4","title":"Resources for Teaching and Learning About Immigrant Health Care in Health Professions Education","state":"active","ident":"izdc3dcovrgovgq4os3dhlbrsq","revision":"b13902b7-efe5-4648-b345-807b004884cd","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.50"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.505 {"abstracts":[{"sha1":"b2f4b34ec191836f83eb963d49197820a0b6421a","content":"Debate about whether and when to accommodate patient requests for concordant clinicians should consider evidence. This article examines how existing evidence could be used to interpret or inform ethical arguments about whether to accommodate such requests. Studies on patient-clinician concordance yield mixed and inconclusive results. Concordance might contribute to increased patient satisfaction and trust, but these results are not consistent and could be the result of clinicians' communication skills. Given this evidence and the risk of social harm in honoring concordance requests, this article argues that patients' concordance requests should be honored only when health care services would be denied to a patient, such as in a case of a clinician's conscientious objection to providing a service. All other requests should be scrutinized for a reasonable ethical justification.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E505-512","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.505","pmid":"31204991"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ukcz5ltmmzhgfbbwv5il5b7q4y","title":"Disentangling Evidence and Preference in Patient-Clinician Concordance Discussions","state":"active","ident":"xqwaud64xberzffrsp2ryelqti","revision":"b3721e7f-104b-415d-8c78-17f2c1c6e945","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.505"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.513 {"abstracts":[{"sha1":"b3919c7bb675e6cddc939f6ae87f6698cfd61a97","content":"Some patients degrade, belittle, or harass clinicians and students based on their social identity characteristics, such as their race, gender, ethnicity, or religion. Some patients even refuse care. While this kind of behavior is difficult for all health care workers, it presents unique challenges for trainees. This article offers concrete protocols for supporting trainees when such patient encounters occur, including assessment, debriefing with affected staff, convening team meetings, event tracking, data collection, and initiating organizational cultural changes.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E513-520","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.513","pmid":"31204992"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"b663ehxgyje4jo64m75j5glf3m","title":"How Should Organizations Support Trainees in the Face of Patient Bias?","state":"active","ident":"6t5qly4ewbek3biu5iaydnq6aq","revision":"657f518c-b7d5-4a1d-91ee-eac536a06e81","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.513"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.521 {"abstracts":[{"sha1":"8b9fa51f8d72e0956a4d1017bd85f5d6c809fa2e","content":"Patient bias towards clinicians and employees in health care is common, but policy to address bias and to support staff is relatively limited. Creating a framework to address bias incidents is critical for cultivating environments that are safe for employees and patients. Mayo Clinic has created both policy to support staff and a reporting mechanism for accountability. Education, resources, and training are available and being disseminated to teach employees ways to respond to bias incidents.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E521-529","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.521","pmid":"31204993"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6cu3p7gi5bbbhnczsxhsb6rwcq","title":"Mayo Clinic's 5-Step Policy for Responding to Bias Incidents","state":"active","ident":"b37elb7tyzbxdi4z7ekxeqk66i","revision":"d25b5b72-d2d1-4508-ba59-ac9757b94a23","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.521"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.530 {"abstracts":[{"sha1":"dbb4f8a0cbdad46cb26004685627bf646e2245f4","content":"All clinicians have the right to work in environments free of discrimination. Trends such as shared decision making and tying reimbursement to patient satisfaction metrics prompt us to ask how we should respond to patient preferences that express unjust bias or prejudice. This article presents one orthopedic surgery resident physician's experience of bias incidents, suggests strategies for addressing patient discrimination, and offers patient care recommendations.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E530-535","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.530","pmid":"31204994"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"j7cyia5ehncm3mz5rjzm2ahsey","title":"One Resident's Recommendations for Responding to Unjust Patient Bias","state":"active","ident":"jfnogtenenc2dgl44f6s4bdq6y","revision":"d2fc750b-c5c9-4ab6-97b3-4941869c5901","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.530"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.536 {"abstracts":[{"sha1":"eafb9f24c54d10490f1ddda0f2ccf07a1392d926","content":"Medicine sometimes fails to address social, economic, and political determinants of health. But how far beyond clinical encounters should intervention efforts extend? Because prevention efforts can marginalize patients by stigmatizing certain behaviors, interrogating the scope of medicine's prevention obligations is important. Additionally, it is important to distinguish clinician preferences regarding patients' personal behaviors (presumably based on clinicians' hopes for patients' positive health outcomes) from clinician biases expressed (consciously or unconsciously) about those behaviors. I illustrate the urgency of asking how far medicine should be expected to go to prevent disease by sharing how my own medical training has stoked my personal fear of acquiring HIV.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E536-539","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.536","pmid":"31204995"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ptesx2zqhngf5nj6vuv2ihs4va","title":"PrEP and the Judgment of Prevention","state":"active","ident":"4tarsb2u4bhubn7jgx6ku26ocu","revision":"149ca1b7-0586-4343-aa43-594c8757b20a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.536"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.540 {"abstracts":[{"sha1":"a01f6ca9db7ae9693557e49e8f7a394942cde62c","content":"Correctional staff suffer high rates of posttraumatic stress disorder compared to military veterans, and the suicide rate among correctional officers is twice as high as that of both police officers and the general population and higher than that of all other professions combined. Correctional facilities' physician employees are at risk of not only burnout but also other adverse mental health effects related to working in a correctional facility. Prison reform efforts should address the needs of both inmates and clinical staff.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E540-545","issue":"6","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.540","pmid":"31204996"},"release_year":2019,"release_date":"2019-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7i72iswbpfd75fxqfwj2rsqvp4","title":"Health Risks of Practicing Correctional Medicine","state":"active","ident":"ndf7aa5adnaspdm3brvwodomzy","revision":"fd4da775-873d-46f2-a596-841bf2b1a035","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.540"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.549 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E549-552","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.549"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"meigfoniozdrfedx4jl3ckyd3y","title":"Representing Unrepresented Patients","state":"active","ident":"qczmkscnrncbjkxb6ofb275dre","revision":"3deba302-ddd1-462c-afa7-3acdabd7eec9","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.549"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.553 {"abstracts":[{"sha1":"9ac8ffa997f9f7003b4e36de44db02c2f49d78b9","content":"Disclosure of harmful mistakes to patients and their families can be daunting for physicians, who tend to weigh their ethical obligations to inform against possible underlying fears of retaliation, perceived incompetence, or shame. When a patient is both incompetent and unrepresented, documentation, disclosure, and rectification of errors are particularly important to consider.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E553-558","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.553","pmid":"31333169"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"cy64cjo3wnerhkz4rz73h6clla","title":"When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled?","state":"active","ident":"h45yvbqmmbewxgc5vvjaxpzv7y","revision":"6780efc1-6877-48b6-8846-7d327cf85f05","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.553"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.559 {"abstracts":[{"sha1":"020f7f34bcd9de4ebb86228a2d81e32f1001752b","content":"Caring for patients who lack decision-making capacity is common in health care and presents numerous practical and ethical challenges. Unrepresented patients are vulnerable in part because they do not have anyone to help articulate their values and preferences, and they cannot do so themselves. This commentary suggests a deliberative approach to responding to these patients' needs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E559-565","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.559","pmid":"31333170"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7s4thufe25aovclytkvlcofx2m","title":"How Should Clinicians Navigate Decision Making for Unrepresented Patients?","state":"active","ident":"4qiznrkn3nbjvdsqaqwgjgbdca","revision":"5a0943ff-3009-434b-af2a-841e10cd1997","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.559"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.566 {"abstracts":[{"sha1":"267db9f02f32947431c065a545043d21f825e98c","content":"Patient preference predictors aim to solve the moral problem of making treatment decisions on behalf of incapacitated patients. This commentary on a case of an unrepresented patient at the end of life considers 3 related problems of such predictors: the problem of restricting the scope of inputs to the models (the \"scope\" problem), the problem of weighing inputs against one another (the \"weight\" problem), and the problem of multiple reasonable solutions to the scope and weight problems (the \"multiple reasonable models\" problem). Each of these problems poses challenges to reliably implementing patient preference predictors in important, high-stakes health care decision making. This commentary also suggests a way forward.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E566-574","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.566","pmid":"31333171"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"5gufyptxjrbnjikjslvmorov4y","title":"Should Aggregate Patient Preference Data Be Used to Make Decisions on Behalf of Unrepresented Patients?","state":"active","ident":"zvgkvthkazexvn7bqz5d7f5e5i","revision":"d2357c44-4bf0-4eb3-80e9-68b8af4b59b2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.566"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.575 {"abstracts":[{"sha1":"86a36998ebd0f14b2d3c63b4fbf3662cdf1111e5","content":"Unrepresented patients (also referred to as unbefriended, patients alone, patients without proxy, or isolated patients) are among the most vulnerable persons entering the health care system. Legislation concerning these patients varies across the United States, resulting in disparities in care. For example, the statutory definition of who is unrepresented varies. In some states, clergy or close friends may act as surrogates; in other states, they cannot do so. Available end-of-life options also differ, creating significant disparities in end-of-life care for these patients.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E575-581","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.575","pmid":"31333172"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"tcx4gvktvbad3kxlwhozy24key","title":"Should Dialysis Be Stopped for an Unrepresented Patient With Metastatic Cancer?","state":"active","ident":"j6adbvxpxbbqvegzq3lwgxl4ru","revision":"08fc4bce-0482-4304-8188-ae66f0fb1fa4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.575"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.58 {"abstracts":[{"sha1":"f62c1335b1fafd29892a8e19c9992575da6e48f2","content":"In 1989, the United Nations adopted the Convention on the Rights of the Child (CRC), which the United States provided significant guidance in drafting. The CRC focused on those under 18 years of age, recognizing the rights most other international conventions and declarations accorded to adults. This article explores the ethical and health implications of the United States' failure to ratify the CRC with an emphasis on refugees. Federal policies have led to separation of families, mass detention of children and families, and accelerated removal, revealing the United States' disregard for global concern about children and families. By failing to ratify the CRC, the United States not only abdicates moral leadership, but also invites other nations to emulate its lack of care for children.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E58-66","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.58","pmid":"30672420"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"3mdqecpxmfbfrja6m7zpamtq5a","title":"Rights Disappear When US Policy Engages Children as Weapons of Deterrence","state":"active","ident":"7qseohvrsjaqflhefwotip4w4m","revision":"57ee6d43-9de2-4079-a779-8c9c912e8e4d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.58"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.582 {"abstracts":[{"sha1":"bae922acf21e8da0439542bdc23398b0ec02cd2f","content":"Increasingly, clinicians confront patients who are incapacitated and have no available surrogate. Such unrepresented patients cannot consent to proposed health care, and nobody else is available who is authorized to consent on their behalf. Despite the challenge of decision making for unrepresented patients, few laws or professional organization policy statements offer a solution. This article helps fill this void by describing the top 5 things clinicians should know when they are caring for unrepresented patients: (1) realize that these patients are highly vulnerable; (2) confirm that the patient is incapacitated; (3) confirm that the patient is unrepresented; (4) appreciate variability among state law decision-making processes for unrepresented patients; (5) use guardianship only as a last resort.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E582-586","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.582","pmid":"31333173"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vc7d4zsuendxhea32a4acegwuq","title":"Five Things Clinicians Should Know When Caring for Unrepresented Patients","state":"active","ident":"mybl3m6atnhvfctnumiiorjdvq","revision":"a727cff0-6995-41a2-8910-db54d5032eac","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.582"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.587 {"abstracts":[{"sha1":"fa6adfa7980facb3856302430353ce9558567bca","content":"Unrepresented patients are those who have no surrogate or advance directive to guide medical decision making for them when they become incapacitated. While there is no perfect solution to the problem of making medical decisions for such vulnerable patients, 3 different approaches are noted in the literature: a physician approach, an ethics committee approach, and a guardianship approach. Recent policies and laws have required an approach that is \"tiered\" with respect to both who is involved and the gravity of the medical treatment questions at issue. In a general sense, some variant of a tiered approach is likely the best possible solution for jurisdictions and health institutions-both those already with and those without a tiered approach-to the challenging puzzle of treating unrepresented patients.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E587-593","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.587","pmid":"31333174"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"pj7ec7ma5zcohhhcmu4wd5hjia","title":"Who Makes Decisions for Incapacitated Patients Who Have No Surrogate or Advance Directive?","state":"active","ident":"rdd6briag5doznujzoodgwz5ou","revision":"d1e8e5af-ac6b-4c0d-8b9c-d9fb33f2acc7","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.587"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.594 {"abstracts":[{"sha1":"71f7dabe579cc3a7754fa7066a55022abdede416","content":"Acute care hospitals and extended care facilities across the United States care for patients who lack capacity to make medical decisions. When such patients are hospitalized and have no identifiable surrogate, their unrepresented status prompts questions about who should make decisions. This article explores using a regional state unrepresented patient advocacy committee as an alternative to appointment of a legal guardian or to using clinicians as decision makers.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E594-599","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.594","pmid":"31333175"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7dvmc2xm35f33ntppdknq5vyea","title":"Regional Unrepresented Patient Advocacy Committee as an Alternative for Decision Making","state":"active","ident":"266ejenbc5hv7bpl5qa5eulal4","revision":"7dce3021-fa7b-46c9-adeb-d99c4e30ce8d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.594"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.600 {"abstracts":[{"sha1":"aee426ee7824746d4eb88fecebe950c536106b84","content":"The AMA Code of Medical Ethics offers guidance on decision making for unrepresented patients in Opinion 5.2, \"Advance Directives.\" This opinion discusses situations in which a surrogate is needed because the patient is unable to make his or her own health care decisions, but none is available.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E600-602","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.600","pmid":"31333176"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"4sb2fwzt7rh7jnuglizraeidee","title":"AMA Code of Medical Ethics' Opinions Related to Unrepresented Patients","state":"active","ident":"3hgymvigdzdw7ajn2j7z5ibqze","revision":"8b92efc7-6acd-43f9-a71f-e011e6a76b45","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.600"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.603 {"abstracts":[{"sha1":"b1183ed0a51646fc9554111887847ceabeeafb56","content":"Current policies and ongoing border crossings have increased the number of unaccompanied minors and the length of time they spend in detention. The US Department of Health and Human Services Office of Refugee Resettlement and its detention facilities currently determine what constitutes appropriate medical care for unaccompanied minors in immigration detention. This care might not be in a child's best interest. In contrast, juvenile detention and human subject research regulations rely on child advocates and court orders to protect children from coercion and safeguard a child's best interest. It is urgent that the medical community advocate for these same safeguards to be put in place for the unaccompanied minors in immigration detention.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E603-610","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.603","pmid":"31333177"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"admfjuanjzghthozamr3tggdc4","title":"How Should Unaccompanied Minors in Immigration Detention Be Protected From Coercive Medical Practices?","state":"active","ident":"tqngwf54hvecvfuva4ctwcyclm","revision":"9ccfbe81-d763-4861-8166-8e8b71fcde93","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.603"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.611 {"abstracts":[{"sha1":"3492317585cdc25556ebd51bdee3523a9c898baa","content":"Unrepresented patients are hospital patients who lack decision-making capacity but have no advance directive and no one to serve as a legally authorized surrogate. An important first step in efforts to change the law and develop organizational policies that help respond to these patients' needs is determining which patients should be considered unrepresented and which aspects of hospital care should receive attention. This article proposes working definitions of unrepresented patient and important medical decisions based on the work of one statewide initiative, the Unrepresented Patients Project for Illinois.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E611-616","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.611","pmid":"31333178"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"w7fqigkdwjdilnjqnoduvwya4i","title":"Who Are \"Unrepresented\" Patients and What Count as \"Important\" Medical Decisions for Them?","state":"active","ident":"l5azxdtfnvcbdm5tanyyqwa75e","revision":"c81a5137-89bb-4d29-a5b9-538a3c0bf8d8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.611"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.617 {"abstracts":[{"sha1":"3ed959d928c1f7ebfa90e1326e0ce4533a1ffe5f","content":"The United States has a high incarceration rate. Incarceration is associated with increased risk for cancer, chronic illness, serious mental illness, and substance use disorder. People who are incarcerated are less likely to be offered or participate in advance care planning, less likely to document their treatment preferences, and might not have a surrogate if one is needed. This article explores medical decision making for patients who are incarcerated and unrepresented and considers advantages and disadvantages of different classes of decision makers for them.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E617-624","issue":"7","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.617","pmid":"31333179"},"release_year":2019,"release_date":"2019-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"b2pi6aovafehbkryorya5nyy3q","title":"Who Should Make Decisions for Unrepresented Patients Who Are Incarcerated?","state":"active","ident":"swagi2lcrjcdxfgpuqp7onaqge","revision":"5d48eebd-a2b8-4dbb-bd44-9a2ddb4a4355","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.617"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.627 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E627-629","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.627"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ksnorxskefhxnjsi6qjht3ntra","title":"Ethics of Prescription Medication Access, Innovation, and Prescribing","state":"active","ident":"if6jh4ir4vhmrcq3watf5xgmxq","revision":"4b7af5fe-b70a-4a0e-ba3d-2b9bb1ed2db8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.627"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.630 {"abstracts":[{"sha1":"b9b63b8e189e39d50e995539a574d642a72889d1","content":"Hepatitis C poses public health and fiscal crises for state Medicaid programs trying to respond to this epidemic. Meager funding streams, a lack of negotiating power, and escalating pharmaceutical prices exacerbate the financial strain placed on these programs as they struggle to meet public health priorities. The Louisiana Department of Health has adopted a subscription model for hepatitis C treatment, but costly medications continue to challenge states' capacities to cover patients who need costly drugs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E630-635","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.630","pmid":"31397656"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kd7epnrefbbunog5r3vou3rdq4","title":"How Should Physicians Steward Limited Resources While Ensuring That Patients Can Access Needed Medicines?","state":"active","ident":"we67imyjyjfmbmk2jgc5b5rx2m","revision":"01117b21-d057-4a8b-948a-cc713ccd3a8d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.630"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.636 {"abstracts":[{"sha1":"c8e17dacaf0cf5f5c4691f63a8d3bfc61dc8b553","content":"Opioid overprescribing is a key contributor to the current crisis. Changing how ethics is taught in connection with opioid prescribing is one area for improvement. In US medical schools, current training in ethics and opioid prescribing is variable, incorporating a diverse range of concepts, teaching modes, assessment strategies, and faculty experience. This article recommends integrating clinical case-based teaching and longitudinal application, comprehensive assessment, and additional training in ethical deliberation about opioid prescribing to better prepare physicians to responsibly prescribe and manage opioid-based phases of patients' pain care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E636-641","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.636","pmid":"31397657"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"64xbyyowwrhxnhwm4s5v2jbjge","title":"How Should Medical Education Better Prepare Physicians for Opioid Prescribing?","state":"active","ident":"tlvxqgfn2rb6be7csdjlyr6fpa","revision":"e9e2d590-2822-42b0-81ad-27014a6910ed","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.636"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.642 {"abstracts":[{"sha1":"28a75d95963e575e47a3839868ecf4a2d9871090","content":"The AMA Code of Medical Ethics offers guidance on topics related to prescription drugs, including access, stewardship, and professionalism.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E642-644","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.642","pmid":"31397658"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"4hmhdqfmunet7jcb3yb6t5ivny","title":"AMA Code of Medical Ethics' Opinions Related to Prescription Drugs","state":"active","ident":"lefckave2nemfkosw7lluknrfa","revision":"04f49e4d-f2f3-4e2b-9f53-071aa0bf07e0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.642"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.645 {"abstracts":[{"sha1":"f7d8ff33bbff81d095a6d9f6dbf08f381b5dd54b","content":"Medicaid covers approximately 1 in 5 Americans and accounts for one-sixth of US health care spending. Despite having to navigate increasing and variable spending on prescription drugs, Medicaid programs must balance their annual budgets, and they rely heavily on the Medicaid Drug Rebate Program (MDRP). The MDRP requires programs to maintain an open formulary covering all of a manufacturer's drugs in exchange for being given the lowest price in the market. Recent attempts by states to close their formularies signal that the benefit of this program might be attenuated by the lack of negotiating leverage in the rest of the market, exposing Medicaid to higher prices. Regardless of whether closed formularies would succeed in constraining Medicaid prescription drug spending, this trend raises important questions about the usefulness of a system that pegs Medicaid drug spending to net prices negotiated by others in the market.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E645-653","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.645","pmid":"31397659"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bskxxzbszvegxhidcbl255s3u4","title":"Evolving Medicaid Coverage Policy and Rebates","state":"active","ident":"vlz6vghncjgh3g4iuot7tfemea","revision":"8c53ac91-9b0b-41dd-ba77-136bd2bfaee3","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.645"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.654 {"abstracts":[{"sha1":"e8d9906119212cb78fe404eec073de30756974d0","content":"State Medicaid programs have proposed closed formularies to limit spending on drugs. Closed formularies can be justified when they enable spending on other socially valuable aims. However, it is still necessary to justify guidelines informing formulary design, which can be done through a process of decision making that includes the public. This article examines criticisms that Medicaid closed formularies limit deliberation about decisions that affect drug access and unfairly disadvantage poor patients. Although unfairness to poor patients is a risk, it is not a problem unique to Medicaid, since private insurance programs have also implemented closed formularies.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E654-660","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.654","pmid":"31397660"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"aawdlu67ore2xbpaoprow3gbti","title":"Are Medicaid Closed Formularies Unethical?","state":"active","ident":"yv33mliv5vddhlskpbz66agh4q","revision":"b86b8996-8df0-4d15-9e66-8aeb5999b8bb","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.654"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.661 {"abstracts":[{"sha1":"a330bba794d86d2dfa9dd4687db05278bd31bfe9","content":"Prescription drug prices are a top health care concern among US consumers. Although this issue is at the forefront of current policy discussions, it is not new. In 1984, the Drug Pricing Competition and Patent Term Restoration Act (colloquially, the Hatch-Waxman Act) addressed drug pricing concerns. This article argues that Hatch-Waxman properly applies utilitarian principles to complex issues of biopharmaceutical development by balancing innovation and availability. However, the statute's efficacy has been marred by so-called pay-for-delay arrangements, which disrupted that carefully constructed equilibrium. This article also argues that the 2013 US Supreme Court holding in Federal Trade Commission v Actavis, Inc appropriately restored the utilitarian balance initially achieved by Hatch-Waxman.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E661-667","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.661","pmid":"31397661"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gm5agummxnbxnhfpqnsh4d5wvm","title":"Should a Law Governing the Pharmaceutical Market Be Ethically Examined Based on Its Intent or Its Practical Applications?","state":"active","ident":"wcwwzukawndu7i3envfcrvyrhm","revision":"a0204a81-6819-4a7c-8dcd-2f297691af88","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.661"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.668 {"abstracts":[{"sha1":"c95dc4ff051a064abf39e3eb93dfd10cc5fa0b60","content":"Biologics are among the most expensive prescription drugs in the United States, posing significant barriers to patient access to necessary treatments. An abbreviated approval pathway for biosimilars, near-identical versions of biologics made by different manufacturers, was created by Congress in 2010 to stimulate competition in hopes of driving down costs and expanding access. However, as of February 2019, only 17 biosimilars have been approved, with only 7 currently on the market. Of the few biosimilars currently available to patients, overall utilization has been limited. This article examines the current landscape of the biosimilar market, characterizes tactics employed by biologics manufacturers to delay market entry and deter prescribing of biosimilars, and assesses ethical issues related to increasing the adoption of biosimilars.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E668-678","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.668","pmid":"31397662"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"v3bulsg3mncovihtbewcvobcse","title":"Why Are Biosimilars Not Living up to Their Promise in the US?","state":"active","ident":"pcqghegdofglpdqh7y42ayjbpi","revision":"eaaea91c-6039-46c2-8202-e6a45029e405","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.668"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.67 {"abstracts":[{"sha1":"7e27e80c8399788de6aab87cfcb4ee4f91ca542b","content":"A lawsuit filed in April 2018 alleges unlawful administration of psychotropic medications to detained immigrant children in US custody. The suit, under jurisdiction of the Flores Settlement Agreement of 1997, alleges misuse of psychotropic medication to chemically restrain and control immigrant children and prolong their detention. This article describes the legal scope of the suit and considers significant ethically and clinically relevant questions it poses.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E67-72","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.67","pmid":"30672421"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"3kzrh2zerfdq7evnxcwpuc7kwa","title":"April 2018 Flores Settlement Suit Challenges Unlawful Administration of Psychotropic Medication to Immigrant Children","state":"active","ident":"wdhox3urgnchniokbsns6gttzi","revision":"40151676-b6ae-4258-9804-1767036bdaca","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.67"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.679 {"abstracts":[{"sha1":"c73b2b2ba00c526047e5affcbbcfa2bb6af28c12","content":"Using cost-effectiveness analysis (CEA) to inform prescribing can promote equitable drug access from a utilitarian perspective. Some theorists of equity, such as Rawls or Powers and Faden, however, would not consider CEA as promoting equity, as they endorse nonutilitarian theories of equity. Novel advances in CEA methodology seek to integrate broader equity concerns but may raise transparency concerns. We argue that incorporating CEA into qualitative multi-criteria decision analysis to inform prescribing decisions could promote equity more effectively and transparently than using CEA alone. Such applications should be implemented, along with recommendations, at the health system level rather than be carried out by individual clinicians alone.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E679-685","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.679","pmid":"31397663"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ylnspu2hube47proo4xni3q5gi","title":"Does Incorporating Cost-Effectiveness Analysis Into Prescribing Decisions Promote Drug Access Equity?","state":"active","ident":"dmm7mmscpfardpc45aa3xul63y","revision":"b41adaa2-326f-47fa-b8fd-05385e3f636c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.679"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.686 {"abstracts":[{"sha1":"061a583c611850628d174fa25548fc95def92c3a","content":"Since the 1960s, the United States Adopted Names Program has been assigning generic (nonproprietary) names to all active drug ingredients sold in the United States. Pharmaceutical names are assigned according to a scheme in which specific syllables in the drug name (called stems) convey information about the chemical structure, action, or indication of the drug. The name also includes a prefix that is distinct from other drug names and that is euphonious, memorable, and acceptable to the sponsoring pharmaceutical firm. Drug names are the product of complex, multiparty negotiations in which the needs and desires of various stakeholders (patients, pharmaceutical firms, physicians, pharmacists, other health care professionals, and US and international regulators) must be balanced.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E686-696","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.686","pmid":"31397664"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"gbhfjlqbjza43m7xdhfkwfqjjq","title":"How Do Drugs Get Named?","state":"active","ident":"e6wodanhnrbrpiwnrpmooj3rmy","revision":"9f5e1b7d-a198-4555-8b37-b93f2563bb99","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.686"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.697 {"abstracts":[{"sha1":"a334cea145be3bd777a1e489bda7c8c42b41c079","content":"This mixed media collage, assembled from magazine drug advertisement fragments, explores pharmaceutical companies' influence on the daily lives of American citizens and on patient-physician relationships.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E697-698","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.697","pmid":"31397665"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xz3zixwpjbawbdmvxnrfqzfcsa","title":"If _____ Is Right for You","state":"active","ident":"fzqkypffwzgu3bbixjzs6decu4","revision":"4118b783-60e8-4868-ba13-1021b891ed19","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.697"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.699 {"abstracts":[{"sha1":"d2b24f80811d3d59ac968910a5d2c0640d71ad9d","content":"In 2017, Hurricane Maria devastated Puerto Rico and prompted a shortage of normal saline in US health care organizations. This graphic narrative considers ethics and justice in the supply, demand, and allocation of intravenous fluids in clinical settings during this time.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E699-700","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.699","pmid":"31397666"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"4dsxuhmqdjailc7monh7nxxk4m","title":"Normal Saline","state":"active","ident":"t3r2p7tbeja5hpjgtyyiy7r4wi","revision":"6c580698-385c-43ce-9735-293301a7f9f4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.699"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.701 {"abstracts":[{"sha1":"70debb2a15c557a7b27eab353feeb6acce78af0d","content":"Corpus Delicti is a collection of drawings on 30\" × 22\" paper. Each is inspired by seeds, which hold quiet, hidden potential for transformation and regeneration. Botanicals are familiar but mysterious in their capacity to enact cycles of birth and death. In nature as in medicine, themes of health, illness, reciprocity, and vulnerability are essential features of participation in these cycles. Patients and clinicians in particular negotiate compassion, respect, and dignity in their relationships and clinical encounters. These drawings offer visual exploration of these and other values.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E701-708","issue":"8","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.701","pmid":"31397667"},"release_year":2019,"release_date":"2019-08-09","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"cof3liyu7ne4jeeajup44z462a","title":"Selected Drawings From Corpus Delicti","state":"active","ident":"adxdekckz5fgvmtlylnxze4j4e","revision":"215f05f0-cd2c-45a2-9d80-85f302afffcf","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.701"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.711 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E711-714","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.711"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mslcq364ufh4lg7vwctyywqliq","title":"Ethical Issues in Global Health Education and \"Immersion\" Experiences","state":"active","ident":"xm5s3sdsd5ga3dkixqek3fpafy","revision":"01f85d97-cfe1-4f18-a1fb-2cab6e8c232d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.711"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.715 {"abstracts":[{"sha1":"e024a440a20fbf070cb17aa258050efbc49b0a81","content":"Service learning trips can be a powerful means of fostering cultural competency as well as an opportunity for students to expand their clinical skill set. However, if not planned and executed thoughtfully, they might not provide lasting benefit to the communities they seek to serve. Through analysis of a case in which participants question the value of their short-term international service learning trip, we argue that such trips should be designed with the community's needs in mind, preferably as identified by the community. Ideally, both the service group and the community should seek opportunities for teaching and exchange in order to expand the community's ability to provide care to the local population long after the service learning group has left.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E715-721","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.715","pmid":"31550217"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mc4ncm4lcjclbk7lzbml5htrhe","title":"Who Is Served Best by Health Professions Service Learning Trips?","state":"active","ident":"paasn5grjfelrdrcyjln2mije4","revision":"6fd6f082-d076-47b0-b357-1e4234823711","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.715"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.722 {"abstracts":[{"sha1":"f9b7d2a6ce8bce4c66d43286f2de036c9cc86c2f","content":"Opportunities to study and practice health-related professions internationally offer transformative benefits for patients, educators, and students. Institutions and educators should model ethical behavior and set examples for global health trainees. Toward this end, it is imperative that universities engaging in international immersion experiences ensure that principles of respect, beneficence, and justice are upheld.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E722-728","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.722","pmid":"31550218"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xrl4hcy7gfg6zayd3hhv7abvii","title":"How Should Mission Trips Be Administered?","state":"active","ident":"6423xrmrnfcdzo7tkiyelx7afq","revision":"ed530624-fb19-4451-b403-08b0b41af808","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.722"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.729 {"abstracts":[{"sha1":"22bfd1d8bfc6b52b9a776e424b670c5e2cddfa9a","content":"This case of cleft lip and palate repair by a surgical mission team is common. Low-risk, single-procedure surgical interventions requiring minimal follow-up with substantial quality of life improvement are well suited for this type of mission. However, cleft repair can also be quite complex and require multiple surgeries and other care over time, postoperative surveillance, and speech therapy. These benefits and burdens prompt us to investigate, from clinical and ethical perspectives, whether and when some surgical care is better than none. We argue that, when performing surgical interventions in low- and middle-income countries, mission teams should consider a systems-based approach that emphasizes collaboration, context, and sustainability.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E729-734","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.729","pmid":"31550219"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"wspn25ufujagjly5xpdwo3tlae","title":"How Should We Decide Whether and When Some Care Is Better Than No Care?","state":"active","ident":"6u7w756zdbfgzjrtjrhd7rpmg4","revision":"bee4e20e-14cd-406f-af28-7d34bfe7926d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.729"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.73 {"abstracts":[{"sha1":"f92b5e1fee89930e7fc2dc625fc6e8c5baf84375","content":"Accessing health care resources in the United States often proves to be a difficult task for vulnerable populations. Immigrants, in particular, face barriers and difficulties in obtaining continuous medical care, which negatively impacts both patients and clinicians. The AMA Code of Medical Ethics offers guidance on how physicians and health care systems can best support undocumented and lawfully present immigrants alike to promote the best possible care for all who need it.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E73-77","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.73","pmid":"30672422"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"e27zpjhpsncyhi5ecnmltvrl2m","title":"AMA Policies and Code of Medical Ethics' Opinions Related to Health Care for Patients Who Are Immigrants, Refugees, or Asylees","state":"active","ident":"7mcrfskowjctrdclw2pn3mcmgq","revision":"7ff34042-8713-451d-9058-e003ba4a1109","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.73"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.735 {"abstracts":[{"sha1":"a748143d6a6e2630f8feb52b3ef0fe8d93522596","content":"A lack of health technology is an obstacle to health system growth in low- and middle-income countries (LMICs). US-based clinicians participating in global health efforts might sometimes wonder about clinical and ethical standards by which they should judge short- and long-term risks and benefits of bringing technological assistance with them to care for patients in LMICs. These countries are heterogeneous and changing, so establishing an evidence base for clinical and ethical decision making about technology use could be an important priority. This article suggests clinically and ethically relevant criteria according to which health technologies' use and influence can be evaluated.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E735-741","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.735","pmid":"31550220"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xhpil3tw45dv5kwvpo4dc7hfke","title":"What Are Criteria for Considering Technologies' Uses and Influences in LMICs' Health Care Infrastructures?","state":"active","ident":"t5k3geekdrac7cpvdff35laaxi","revision":"afa41a28-c420-42bc-b35c-b05da99e1332","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.735"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.742 {"abstracts":[{"sha1":"ed5bfd577b9afb20b6a52757ae7c5f5ff2b853c5","content":"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 areas of breakdown in this social contract, and calls for medical schools, licensure boards, STEGH-sponsoring organizations, and professional societies to take active roles in addressing these ethical challenges.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E742-748","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.742","pmid":"31550221"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"pko2ejqg3bdf3jzay5me3nbr7m","title":"How the Social Contract Can Frame International Electives","state":"active","ident":"n4hwlu2iyncehdquic7bc27anq","revision":"0eac0e97-1935-4ef5-80ac-2128a96cf343","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.742"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.749 {"abstracts":[{"sha1":"2a541fe127b53b0c662e83c911077342929a25ce","content":"Much has been written about the need for participants on global health service-learning experiences to contemplate ethical features of their involvement. This literature tends to neglect the role of self-interest in global engagement, however. This article explores how awareness of one's own interests is critical to successfully engaging in global health experiences and proposes how US-based health professions students and trainees can practice critical self-exploration. Six themes beginning with the letter I (identity, ideology, ignorance, imagination, intention, and investment) are introduced as guides to nourish conscientious, collaborative global health learning and practice.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E749-758","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.749","pmid":"31550222"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"t5p66kusl5fgbnrmfi7dhwycxq","title":"Facilitating Critical Self-Exploration by Global Health Students","state":"active","ident":"lfssfhyxmngb7patez5ocnwtfq","revision":"9b7fa74c-dbd3-41b2-a0c7-c863cc035434","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.749"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.759 {"abstracts":[{"sha1":"a3603de5a7799ab2e193bbea83096923a052fdfe","content":"Motivated by interest in enhancing their clinical experience and contributing to communities in need, US medical resident physicians are increasingly keen to train abroad. Guidelines are needed to help ensure that trainee, institutional, and faculty engagement in global health is ethically appropriate and mutually beneficial for all involved. Supported by the nonprofit organization Seed Global Health, the WWAMI-University of Malawi/College of Medicine partnership leverages long-term US faculty to structure rotations for Malawian and American trainees and endorses strong onboarding, monitoring, and evaluation practices and a mutually beneficial bidirectional international partnership and exchange model.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E759-765","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.759","pmid":"31550223"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ln5pa3mzfjbylk2rkwo2no5gkq","title":"What Does a Mutually Beneficial Global Health Partnership in Family Medicine Residency Look Like?","state":"active","ident":"5uf6ezy62raajikuowlagacvly","revision":"c415af51-c285-469c-a74f-a8fa8fffb172","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.759"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.766 {"abstracts":[{"sha1":"6b08e38c99f1e6bb7f0cf3aedcfe79380734176a","content":"Almost all allopathic medical schools in the United States allow students to participate in global health immersion experiences. The Liaison Committee on Medical Education accreditation requirements specify that students' home institutions are responsible for overseeing learning experiences, assessing and mitigating risk, ensuring appropriate supervision, and offering instruction about what to expect, ethically and culturally, in a learning setting. Students should also have opportunities to debrief about their experiences.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E766-771","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.766","pmid":"31550224"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"32akm7iakvepxghexo3erhilum","title":"Which LCME Accreditation Expectations Support Quality and Safety in Global Health Immersion Experiences for Medical Students?","state":"active","ident":"qweall5ignc7njy7pzchy7mvte","revision":"1fbc6959-53b3-4e79-b477-8893bd9e36f4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.766"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.772 {"abstracts":[{"sha1":"5361b2a55f83a4cf3237ae0671a51a173d3b1ed5","content":"In the past decade, more students than ever entered medical school with the desire, if not the expectation, of participating in meaningful global health experiences. Schools must now weigh benefits to students of global experiences against burdens of students' learning experiences on institutions and individuals with whom schools partner. Most often, global health training is done as offsite immersion rotations in research or clinical settings. This article explores ethical dimensions of expanding global health offerings while respecting local partners' goals by focusing on the experience of the University of Pennsylvania's global health training programs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E772-777","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.772","pmid":"31550225"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"wkokrxpq5jb7facgt6yufdq57u","title":"How Should Schools Respond to Learners' Demands for Global Health Training?","state":"active","ident":"2t5nacc7bvhzvpwc7xullznbqi","revision":"59648c80-5b6c-445b-b64d-96bee3dd8dd9","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.772"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.778 {"abstracts":[{"sha1":"5c690140ef61d8d38fd77598b53c5645feb98d28","content":"Academic medical centers (AMCs) promote educational benefits to students of immersive global health experiences (GHE), both abroad and locally in low-resource settings. Within the United States, these opportunities are called domestic GHEs and tend to take place in student-run indigent care clinics (SRCs) that serve vulnerable populations. Domestic GHEs offer perspectives on the health care system that are similar to those of GHEs. In both, AMCs must balance benefits to students and patients against potential harms of student caregiving. This article reviews the roles of AMCs in preparing students for domestic GHEs with a focus on SRCs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E778-787","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.778","pmid":"31550226"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"m2lgzrwuhbclbcsy45cltj6edu","title":"How Should Academic Medical Centers Administer Students' \"Domestic Global Health\" Experiences?","state":"active","ident":"japgou7mwbdnze46djflad7p7m","revision":"b0d79aac-6c6a-4d2a-960a-fc2a065172a3","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.778"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.78 {"abstracts":[{"sha1":"414fe34f30d7ceabf40b4188af4e78d64efd27b7","content":"Clinicians whose practice includes a significant immigrant population report a climate of fear adversely affecting their current patients. Increased immigration enforcement targeting undocumented immigrants increases these patients' stress and negatively affects their willingness to seek medical care. To address these concerns, this article draws upon the literature and the authors' experience to develop guidance on sanctuary doctoring. These materials provide opportunities for patients to open a dialogue about their immigration concerns and can assist clinicians in connecting patients to networks and resources that can address their needs. The materials are designed to be used in single, brief clinical encounters.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E78-85","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.78","pmid":"30672423"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ld2vfd35y5a5rmwnsjaqr5b5h4","title":"Good Sanctuary Doctoring for Undocumented Patients","state":"active","ident":"3zkrz7e7dfdbnel2oiz2k5qbbm","revision":"855e6c20-e8fd-4e57-a9fd-b7b340bb22f8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.78"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.788 {"abstracts":[{"sha1":"ceb5b33b7cd68d5dca2dd2a9cc81bbeab2fdabd0","content":"The Millennium Development Goals (MDGs) are a set of 8 aims adopted by the United Nations to create a more peaceful, prosperous, and just world. Four MDGs directly concern public health, and public health schools should be involved in meeting them. The Johns Hopkins University-directed Fogarty Global Infectious Disease Research Training Program in Peru and Bolivia, funded by the Fogarty International Center of the National Institutes of Health, has spanned nearly 3 decades and provides a case study of how low-resource interventions can help meet MDGs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E788-795","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.788","pmid":"31550227"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xw3raeroejfhfpi2up5fw2dkfa","title":"How Should Public Health Schools Help Meet Millennium Development Goals in Latin America?","state":"active","ident":"bfastadmnnhy3cte766xj4fw5m","revision":"6dbb2bbd-c652-4ac8-aa3d-ed825ef99e4d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.788"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.796 {"abstracts":[{"sha1":"de5e71e1732f45816b36636f91c7913dcb964960","content":"Changes made in 2017 to the World Medical Association Physician's Pledge strive to keep in step with geopolitical trends by addressing respect for patients' dignity and autonomy and respect among colleagues. Health professions students should continue to proactively insist on patient care, research, and advocacy efforts that uphold human rights and the principles of beneficence, nonmaleficence, justice, and respect for autonomy regardless of a patient's origins or locale. US students should enter clinical encounters, both domestically and abroad, with cultural humility but should hold institutions accountable for ethical violations committed or observed during immersion experiences. As part of global and cultural humility, students should also remain cognizant of their privileged position as international observers.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E796-800","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.796","pmid":"31550228"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6hn6a4wvnrh4zothf4yy5gi3ha","title":"Is Updating the WMA Physician's Pledge Enough?","state":"active","ident":"tkepbjzddjh27bqefcufegt4ya","revision":"86b0c7ca-e986-4390-88df-0da2d8976edd","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.796"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.8 {"abstracts":[{"sha1":"6a44329b896cf1c5ca3426bf24c18ad131598d40","content":"The documentation of immigration status in patient records poses a challenge to clinicians. On one hand, recording this social determinant of health can facilitate continuity of care and improved communication among clinicians. On the other, it might expose patients or their family members to immediate and unforeseen risks, such as being stigmatized and discriminated against by nonimmigrant-friendly clinicians or being exposed to immigration enforcement if staff contact immigration officials in violation of patient confidentiality. Patients may raise concerns about the purpose and risks of such documentation alongside fears about potential data sharing and violations of privacy and confidentiality. This commentary explores clinicians' options for documenting immigration status within the context of ethical, legal, and historical considerations in caring for stigmatized populations in changing political landscapes.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E8-16","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.8","pmid":"30672413"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bni2klbr65gl5n225rp2nr4tti","title":"Should Immigration Status Information Be Included in a Patient's Health Record?","state":"active","ident":"xaffu37qmzdubpyhudaviiruce","revision":"01e82b90-3389-4282-82eb-a52af8bcf2c2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.8"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.801 {"abstracts":[{"sha1":"94bcad2a1ddaba6ce2f437c533f796345c7cb68a","content":"In clinical settings, exploitation of patients who live in poverty can be exacerbated when health professions students' educational goals are overemphasized relative to patients' and communities' needs. Continuity of care relies on health system infrastructure and its capacity to keep patients engaged. Achieving just health care delivery in domestic and international settings requires balancing students', patients', and communities' interests. This article examines how students' interests in learning should be considered relative to patients' and communities' interests in receiving quality care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E801-805","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.801","pmid":"31550229"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xarj6d7q4nat7frex6krquvkfu","title":"Are Patients' and Communities' Poverty Exploited to Give Health Professions Students Learning Experiences?","state":"active","ident":"ter5vcqwifeb5kxiyqg2thyp5q","revision":"191731f6-6668-4a3c-a7c7-52c85fdbc2d4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.801"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.806 {"abstracts":[{"sha1":"0f8287ba10242e5d7655cb5850d6556623ef3431","content":"This article draws on resources from the American Medical Association Archives on the Volunteer Physicians for Vietnam Program (1966-1973) to consider benefits and costs of immersion opportunities in medical education. Selected images and reports illuminate how such programs can influence both physicians-in-training and the environments in which they are immersed.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E806-812","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.806","pmid":"31550230"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"3xrr5rfvwfeplfwqhhtyrxde5q","title":"Volunteer Service From American Physicians During the Vietnam War","state":"active","ident":"fozqwuflorh4vfzouxbfhgbfom","revision":"63a97eb4-647b-46c2-8ed9-d0d224628e0a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.806"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.813 {"abstracts":[{"sha1":"2347b84ec859b7d34319a6cdbb64c110bf3defad","content":"A reductive linocut is created in progressive stages from a single block. Each color is printed on top of a previous layer, such that each cut is irremediable. This reductive linocut print is of a young woman's face with one side exposing what lies below her skin. The finality imposed by this medium offers an apt analogy to a medical student's first human cadaver anatomy dissection.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E813-814","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.813","pmid":"31550231"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xhobwczzlfgq3eark3cmszdjja","title":"Anatomy of a Medical Student","state":"active","ident":"y5klyw3ianev7ikc32nwp2776i","revision":"75184b71-fcf5-49ec-bfb0-b6cbc0828c7a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.813"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.815 {"abstracts":[{"sha1":"6d915e5d94af34b429fa0a2e02ec869fe1637cdc","content":"A rise in international medical volunteering (IMV) poses complex issues for organizations, clinicians, and trainees to navigate. This article explores ethical implications of IMV, such as scope of practice, continuity of care, and erosion of local health systems, and offers a personal perspective from a related field.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E815-822","issue":"9","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.815","pmid":"31550232"},"release_year":2019,"release_date":"2019-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xductuy3kbbylbtywhozzbf6am","title":"Voluntourism","state":"active","ident":"2g7thsubyzflreoxb2on4ybivy","revision":"7618f858-0fe6-4092-bea9-12c9a8a6e207","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.815"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.825 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E825-830","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.825"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ivau2xuxi5aprmw4xgjf4gs4aa","title":"The Value of Decision Science for Clinical Ethics","state":"active","ident":"h46z2ou775bc3k2cjlpc2a4m3m","revision":"dbd581a1-81bf-4f36-921a-ce19c1caf344","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.825"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.831 {"abstracts":[{"sha1":"f23233105670de5d40ca7cabba448fcbd09a5d38","content":"Clinical ethics consultants (CECs) frequently provide guidance to parents feeling grief and uncertainty. In response to a case in which a CEC works with parents making end-of-life decisions for their child, we argue that CECs should use insights from decision science to consider how emotional distress, information-processing heuristics, and person-environment relationships can influence decision making. Rather than rely on decision aids, CECs should take a personalized, values-based approach to facilitating decision making that acknowledges context and a plurality of possible \"right\" answers. By using this approach and insights from decision science to support parental decision making, the consultation itself becomes a decision aid, as consultants and parents engage in shared decision making through facilitated discussion and reflection.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E831-837","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.831","pmid":"31651381"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"tjt3j5n2jzauzngnjbtemhnahy","title":"How Should Clinical Ethics Consultants Support Parents' Decision Making?","state":"active","ident":"r4igksxpu5codnnis2zyq5oq2m","revision":"c8cb6ebd-e0cc-47c3-8f31-3d8f47920a7d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.831"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.838 {"abstracts":[{"sha1":"d693346f82a14282297220bbec45290134c34e23","content":"This commentary responds to a case and examines pragmatic concerns about operating a busy outpatient practice in compliance with new laws that regulate opioid prescribing. Specifically, the article considers how regulating opioid prescribing can influence the therapeutic alliance in patient-physician relationships and how innovations in decision science can facilitate shared decision making given time constraints.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E838-843","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.838","pmid":"31651382"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"5puet7jgrvh5dak2qyo3ngxjvq","title":"How Should a Physician Respond to a Patient's Pain When New Opioid Prescribing Laws Limit Shared Decision Making?","state":"active","ident":"hgh3tw4rlja3jkkz7u65joxv7m","revision":"cb2c351a-64de-44a3-b9b7-3da52946996d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.838"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.844 {"abstracts":[{"sha1":"e13cb253039dea7e638cad1da6379de65709dfa0","content":"In 2017, the US Food and Drug Administration approved the first chimeric antigen receptor (CAR) T-cell therapies for patients with relapsed or refractory B-cell leukemia and selected B-cell lymphomas. This novel form of cellular immunotherapy creates a \"living drug\" that effectively reprograms a patient's T cells to target specific antigens on the surface of a tumor. The therapy has high response rates in patients with refractory disease, although a single infusion of CAR T cells costs hundreds of thousands of dollars. A value analysis is required to determine whether and how to offer patients these expensive, customized drugs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E844-851","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.844","pmid":"31651383"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"phcrglmivvaszpzysv36ojqr6e","title":"How Should We Determine the Value of CAR T-Cell Therapy?","state":"active","ident":"meekuspmv5fhzenqgfzsyveeha","revision":"289fadb6-dbf5-4383-8dde-b4f1f5fc6632","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.844"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.852 {"abstracts":[{"sha1":"e0a4c2223a9213ef2596eaa28a1517bf6ce59082","content":"Blood products are a scarce resource in our health care system. This article discusses a pediatric case involving large quantities of blood products transfused at the end of life. It argues that decision aids could help clinicians determine when to request ethics consultation or re-evaluation of blood product usage in a specific patient care situation and considers questions about scarce resource allocation, futility, and parental involvement in decision making.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E852-857","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.852","pmid":"31651384"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"s2vim5dszfbq5bmuqfvbsaejdu","title":"How Should Decision Science Inform Scarce Blood Product Allocation?","state":"active","ident":"n4aswyr2h5cydo5ykqnodexbfe","revision":"f4a70a79-a4cf-49b4-b4d9-c0479759f64a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.852"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.858 {"abstracts":[{"sha1":"2d77fc48e0f1811f7de04cff9a5ee100cc9839b8","content":"Many patients choose to undergo some type of carrier screening when pregnant or planning to become pregnant. \"Expanded\" carrier screening products test all patients for the same conditions, regardless of family history, race, or ethnicity. Proponents of expanded screening argue that testing everyone for everything can identify more couples at risk of having an affected fetus. However, most conditions on expanded carrier screening panels do not adhere to criteria recommended by professional organizations and can leave patients with a positive test result but little helpful information about actual clinical risk for their future baby. Confusion persists about whether clinicians should leave carrier screening decisions to patients.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E858-864","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.858","pmid":"31651385","pmcid":"PMC6988386"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"k6r6xyepxvfffnvdraab37u3xm","title":"Should Clinicians Leave \"Expanded\" Carrier Screening Decisions to Patients?","state":"active","ident":"kkdxk765frfx5e6ixaot5gicyy","revision":"c92f12cb-eb95-4622-8e66-99de79d330eb","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.858"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.86 {"abstracts":[{"sha1":"fdb71b6b6d6983418dfbe02212a79b2970c20775","content":"It is a tough road for undocumented immigrants with kidney disease. There are many barriers that these patients must overcome, which prevents them from receiving proper treatments to prevent or slow the progression of their kidney disease. Those who are dialysis dependent also face an uphill battle, as some states limit access to regular dialysis. This article describes specific struggles faced by undocumented immigrants with kidney disease and how some physicians have tried to guide their treatments. It also considers how these patients might be helped through health policy changes at the national level.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E86-92","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.86","pmid":"30672424"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"was7niwhqzeeznkcas6rkv57mq","title":"Strategies for Responding to Undocumented Immigrants With Kidney Disease","state":"active","ident":"26opip5ktbcjtagzxziplt74ly","revision":"4dd11c18-5ef0-4918-8c6a-126447c1b4c0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.86"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.865 {"abstracts":[{"sha1":"b7722418a5505b16cc76fd5e9c1fc58006dfbdbe","content":"People with genetic predispositions to disease are faced with uncertainty about whether, when, and to what extent an illness will actually develop. This prognostic uncertainty, combined with knowledge that preventative interventions (eg, risk-reducing surgeries for familial cancer syndromes) could significantly affect people's lives, renders prevention decisions especially challenging. This article illuminates ethical questions about the use of decision aids for people with genetic predispositions and calls for approaching individual decisions in light of ongoing communication and reflection about a person's life goals and values.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E865-872","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.865","pmid":"31651386"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7j7by5rtvrgtrfsjg67f46swza","title":"How Should Decision Aids Be Used During Counseling to Help Patients Who Are \"Genetically at Risk\"?","state":"active","ident":"2zpzuip4qbgnti3z3wddz7jepe","revision":"0d1dd7c0-d430-4f91-a8e8-aaf46e63803e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.865"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.873 {"abstracts":[{"sha1":"a7e32869de589f36c02bf5defcf6c017f8e45167","content":"Hospice and palliative care clinicians have the potential to advocate for high-quality medical care for patients with obesity. This article explores current evidence on obesity at the end of life and ethical questions that emerge when a decision is made to enroll a patient with obesity in hospice.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E873-878","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.873","pmid":"31651387"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"qjgk6fiu2fgetjglziaatyipgq","title":"Which Ethical Considerations Should Inform Hospice Decisions About Caring for Patients With Obesity?","state":"active","ident":"n6gngiwfzbcfdm3lquqpktuqou","revision":"ab37ca19-d0d2-4d9f-a0f4-2246bb0b0c54","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.873"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.879 {"abstracts":[{"sha1":"0393f5638e6bf1cf436fdd85364db243d324fed1","content":"The Body Issue: What Global and Historical Perspectives of the Ideal Female Body Can Teach Us About Our Own Present-Day Bodies is a graphic memoir that explores cultural and social factors that influence women's body image and restrict their decisions about their bodies. Drawing from historical and contemporary sources, such as advertisements, magazines, and body satisfaction surveys, as well as personal experience, the memoir offers insight into the cultural and social overemphasis on women's physical appearance. This article summarizes key points from The Body Issue and invites readers to consider bodies as a means to individuality instead of assimilation.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E879-901","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.879","pmid":"31651388"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"hhoz2jwbyzdg7kt36ok5hqk6du","title":"What Historical Ideals of Women's Shapes Teach Us About Women's Self-Perception and Body Decisions Today","state":"active","ident":"mklv4ihucndqldcuunqtlxuasy","revision":"80a17789-5c23-4e5e-a9f9-2f572186486e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.879"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.902 {"abstracts":[{"sha1":"2e3437a53ec580075f35c73748e41f3a326ad3e4","content":"Many health professions students struggle with deciding whether and when to challenge their teachers. This graphic memoir, When Good Women Do Nothing, conveys what happened one day in the life of a paramedic student called to help an incarcerated, handcuffed woman in labor who gave birth on a stretcher. The memoir documents numerous clinical and ethical disagreements and decision points throughout the paramedic team's time with this patient.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E902-903","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.902","pmid":"31651389"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kcta2hkgtnfclfm6a4mebntjai","title":"When Good Women Decide to Do Nothing","state":"active","ident":"vtoklr7avjapfoim2qtcvwx4cy","revision":"12cf33fb-b031-427e-bfd4-5b3f764a59c9","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.902"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.904 {"abstracts":[{"sha1":"41d87196e64daeaef5d53a57a120529262b9f1d4","content":"Word Choices is a mixed-media digital illustration that explores the importance of clinicians' word choices during their encounters with patients. Clinicians often face ethical questions about sharing information with vulnerable patients, dimensions of which are represented by the illustration's content and colors.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E904-905","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.904","pmid":"31651390"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"l2g4dzbkirgenk4paqy6v4fyxy","title":"A Matter of Words","state":"active","ident":"pqvktng34ne2xhgbfkgcbp5psa","revision":"c99cdd20-f38c-42b8-98a1-9c62ed7dc01b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.904"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.906 {"abstracts":[{"sha1":"7d1a75e98cd2a74769a54cc1a89ecf5f3c7b107a","content":"Many components of decision science are relevant to clinical ethics practice. Decision science encourages thoughtful definition of options, clarification of information needs, and acknowledgement of the heterogeneity of people's experiences and underlying values. Attention to decision-making processes reminds participants in consultations that how decisions are made and how information is provided can change a choice. Decision science also helps reveal affective forecasting errors (errors in predictions about how one will feel in a future situation) that happen when people consider possible future health states and suggests strategies for correcting these and other kinds of biases. Implementation of decision science innovations is not always feasible or appropriate in ethics consultations, but their uses increase the likelihood that an ethics consultation process will generate choices congruent with patients' and families' values.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E906-912","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.906","pmid":"31651391"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"pu2terrfcrbfzb5xfukl4ct6ci","title":"What Clinical Ethics Can Learn From Decision Science","state":"active","ident":"6jzx6nqx7vgt3dxpcchemnpk3u","revision":"e8f168c5-adf2-4ed8-afbf-07123ddb4364","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.906"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.913 {"abstracts":[{"sha1":"35167cf1d52882e736eda58783ff1c3860e12fab","content":"In clinical decision making, facts are presented and discussed, preferably in the context of both evidence-based medicine and patients' values. Because clinicians' values also have a role in determining the best courses of action, we argue that reflecting on both patients' and professionals' values fosters good clinical decision making, particularly in situations of moral uncertainty. Moral case deliberation, a form of clinical ethics support, can help elucidate stakeholders' values and how they influence interpretation of facts. This article demonstrates how this approach can help clarify values and contribute to good clinical decision making through a case example.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E913-919","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.913","pmid":"31651392"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"voqawcvn4ndvrlxcak4lib7wd4","title":"How Moral Case Deliberation Supports Good Clinical Decision Making","state":"active","ident":"b7nhs5zhufezjidp6n5zylv4dm","revision":"24daab11-8789-4f4c-b7ff-7115ca9ccb89","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.913"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.920 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E920-925","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.920","pmid":"31651393","pmcid":"PMC7294847"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"pifxjjbbd5enfo4e6wwwryuweu","title":"Response to \"Emerging Roles of Virtual Patients in the Age of AI\"","state":"active","ident":"fwkq3lnhbvdunpt6r45qaxa5xm","revision":"9f460c89-87a2-44ea-b022-337860f78f51","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.920"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Letter"]}}} +10.1001/amajethics.2019.926 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E926-929","issue":"10","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.926","pmid":"31651394"},"release_year":2019,"release_date":"2019-10-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"iz3mic567bf65mm7vkvstnhoh4","title":"Response to \"Will We Code for Default ECMO?\": Clarifying the Scope of Do-Not-ECMO Orders","state":"active","ident":"euwv6zdzlvcixk2bqqbcqe5yla","revision":"9af960b6-28f9-4104-92a6-2fab6f2a18ce","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.926"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Letter"]}}} +10.1001/amajethics.2019.93 {"abstracts":[{"sha1":"5f827dba11368d6c6c71fab72b0e6790a0722955","content":"Nearly 7% of US citizens born each year have at least one undocumented parent, but many pregnant undocumented immigrants are ineligible for public insurance covering prenatal care due to their immigration status. This article reviews national-level and state-level policies affecting access to prenatal care for members of this population. This article also considers ethical challenges posed by some policies that create obstacles to patients' accessing health care that is universally recommended by professional guidelines.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E93-99","issue":"1","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.93","pmid":"30672425"},"release_year":2019,"release_date":"2019-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xpfxnywebrfw5kokqr2kvcz76q","title":"Why Physicians Should Advocate for Undocumented Immigrants' Unimpeded Access to Prenatal Care","state":"active","ident":"ylqyn267hjbuhkspp4dj5phe7u","revision":"e6864c77-760d-41ed-abb8-93ecac41f914","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.93"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.933 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E933-935","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.933"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"e3w5xourkbg7zin2up6fed4jfy","title":"Assessing Quality of Life in Reconstructive Transplantation","state":"active","ident":"xvernk6xuzf57me3qnc5vs4via","revision":"de4f36e3-daec-4881-af2d-61b52d8b5a1b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.933"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2019.936 {"abstracts":[{"sha1":"79668b4283afcc4c35f93af67ccf7f8477abe01b","content":"Consent to any experimental procedure, even when offered as therapeutic, involves extensive discussion between patient-subjects and clinician-researchers. Decision making should be shared with a focus on potential risks and benefits of enrolling in a protocol. Just as patients who underwent nonexperimental interventions might experience regret or reconsider autonomously made choices, patient-subjects who are undergoing or who have undergone experimental therapies should be afforded latitude to reconsider their decisions. Although clinician-researchers tend to be deeply invested in gathering data about patient-subjects' experiences, they are obligated to express respect for patient-subjects' fundamental right to stop being enrolled in research.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E936-942","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.936","pmid":"31742541"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"czhywi7khrau5k6f6tx7u3hgii","title":"In Experimental Hand Transplantation, Whose Views About Outcomes Should Matter Most?","state":"active","ident":"4s6qzsjlc5cjlk4rvu4oo7pxdi","revision":"ff0bb6c8-c6db-4d93-adcd-88287c4db13c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.936"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.943 {"abstracts":[{"sha1":"e8bf74fb0a9f6e04f9c558dcdab069d55006c649","content":"A goal of hand and upper extremity transplantation is to return motor and sensory function to an amputee. Given the integral roles of one's hands in activities of daily living and social interaction, however, restoring psychosocial well-being should also be a priority. Based on the authors' experience, double-hand transplantation success depends significantly on strong social support, physical rehabilitation, medication adherence, and social integration. Because caregiving is demanding, tasks should be distributed among members of a patient's family and social network. This article analyzes how to respond to an overwhelmed caregiver by drawing on solid organ transplant literature about caregiver fatigue.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E943-952","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.943","pmid":"31742542"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"dvaezy6lvbhh7gxskmku3lguce","title":"Should a Caregiver's QoL Be Considered in Decisions About Whether a Patient Has an Experimental Double-Hand Transplant?","state":"active","ident":"ujrq6wwoezhvhmh53wzlmwe4zm","revision":"2fcd68a1-a084-4209-bad6-b57a396ecb62","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.943"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.953 {"abstracts":[{"sha1":"324f6ea54997c34e415dc998c4317fd23a400d14","content":"Clinical and ethical issues involved in counseling a patient about reconstructive surgery for a traumatic and disfiguring injury require special consideration. This article proposes prioritizing 2 considerations: (1) the influence of traumatic experiences on a survivor's cognitive processes and (2) insights into a survivor's acceptance of his or her posttrauma appearance or consent to high-risk or experimental surgery, which can be gained from dialectical behavior therapy. This article argues that these priorities should be explicitly discussed by plastic surgeons counseling patients whose appearances are altered by trauma.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E953-959","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.953","pmid":"31742543"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bleisk3pefff3g7gwy74lnkf7i","title":"How Should Surgeons Balance Transplantation Innovation With Acceptance of a Trauma Survivor's Appearance?","state":"active","ident":"cafc7vqw7zgj7c3vw7ilqlmsf4","revision":"070b647a-1b98-4234-b4f8-d007083e1fcc","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.953"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.960 {"abstracts":[{"sha1":"8af4b1faad046913af8909b1f79f8de315e671ab","content":"Patients who might benefit from some form of vascularized composite allotransplantation (VCA) can be expected to have prior long-standing relationships with one or more primary care professionals or specialists who are well-positioned to help patients make well-informed decisions about whether and when to pursue VCA. Helping patients decide requires becoming familiar with VCA, its various forms, eligibility criteria, prior and possible outcomes, and potential risks and benefits. This article shares key points for helping patients.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E960-967","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.960","pmid":"31742544"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"yzoc3pca4vdebjr5zgyavclmai","title":"How to Help Patients Considering VCA","state":"active","ident":"2cmxwrhwbbbcndrrb6wyxubh6a","revision":"cc92deb9-bae7-400e-b51e-7d98cf8dffa2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.960"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.968 {"abstracts":[{"sha1":"9cde1c02a6235b49315dbddb65511c40f6ee6b3a","content":"Drawing on the principles of respect for autonomy and beneficence, many scholars have argued that despite significant drawbacks of immunosuppression and surgery, vascularized composite allotransplantation (VCA), such as hand and face transplantation, has the potential to enhance the lives of patients who meet appropriate criteria and are well supported. This article provides a brief overview of the literature on VCA with a focus on hand transplantation (HTx) and offers a critique of the lack of empirical data on HTx patients' perspectives.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E968-973","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.968","pmid":"31742545"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bptlacra7ngytg5n2r7pfowk6q","title":"What's Missing in Our Thinking About Quality of Life in VCA?","state":"active","ident":"z4lhm6lmr5favcvqavggaxy5ge","revision":"84c12d86-79b2-4d82-828b-90936ce4f444","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.968"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.974 {"abstracts":[{"sha1":"6efd5aad802db2edc4dce0e124a9b5bab062b495","content":"This article argues for 3 mutually reinforcing interventions in the field of hand transplantation (HTx): (1) collection of qualitative data about hand transplant recipients' subjective quality of life (QoL) outcomes, (2) multicenter standardization of data collection, and (3) use of data to develop evidence-based, standardized protocols for HTx candidate evaluation and information disclosure. These interventions are needed to improve candidate evaluation and informed consent processes in HTx, wherein the highly personal nature of desired outcomes justifies holding a candidate's consent to a standard approaching authenticity rather than the usual minimal standard of being informed and voluntary.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E974-979","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.974","pmid":"31742546"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"my3nk2msuzhw7kevhjccsab4ci","title":"Why Quality-of-Life Data Collection and Use Should Be Standardized When Evaluating Candidates for Hand Transplantation","state":"active","ident":"svboqdcivvfsjl4o7yicbyjxe4","revision":"bfa3ac59-ccea-407d-94cb-bc2d19d4c104","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.974"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.980 {"abstracts":[{"sha1":"cf0c162aaf0561a8946e72fc352e0c109e10cdf5","content":"Facial transplantation has gained increasing acceptance as a treatment option to improve quality of life (QoL) for persons suffering from severe facial disfigurement. Despite its growth, the field has yet to establish a consistent approach to assessing QoL in face transplant candidates and recipients that includes integration of meaningful patient-reported outcomes. The published literature suggests that face transplant programs currently use a wide variety of assessment tools and strategies. Moreover, confusion remains as to how best to weigh patients' lived experiences and incorporate them into QoL assessments. Qualitative research can illuminate the dimensions of QoL that are meaningful to face transplant candidates and recipients. Coupled with collaboration and data sharing across face transplant programs, qualitative research will help to bring conceptual clarity and transparency to the assessment process.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E980-987","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.980","pmid":"31742547"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"javr72esb5flpnc35buw63n6bm","title":"How to Integrate Lived Experience Into Quality-of-Life Assessment in Patients Considering Facial Transplantation","state":"active","ident":"5aqydngtojg6hgpztb37qr7zgi","revision":"6c018388-e422-4868-a0c9-cf9a5f4e5ce9","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.980"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.988 {"abstracts":[{"sha1":"08b9ed29590f71260460b293e0e8c94b2f89fc49","content":"Recent advances in uterus transplantation (UTx) suggest it is on a trajectory toward becoming an accepted clinical practice to treat absolute uterine factor infertility (AUFI). Additional uses have been envisioned but not studied. UTx programs thus far have relied largely on ethical frameworks associated with clinical research, surgical innovation, organ transplantation, and assisted reproductive technologies, as reflected in the Revised Montreal Criteria and the Indianapolis Consensus. This article argues that it is time to develop integrated guidelines that incorporate existing evidence, acknowledge and address tensions among the ethical frameworks that have informed judgments of UTx for AUFI thus far, identify and address ethical questions on which existing frameworks are silent, and anticipate future ethical issues in UTx research.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E988-995","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.988","pmid":"31742548"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"j2xaq3gdn5fkrc6pbj7xbnhw5q","title":"What Are Good Guidelines for Evaluating Uterus Transplantation?","state":"active","ident":"f2ikvlswwrecdajnlyse5zaqri","revision":"deabdd02-c515-4768-84ff-286c9a20ca17","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.988"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2019.996 {"abstracts":[{"sha1":"74d5766270f518fffeed5189ac73326d44690d1f","content":"While stakeholders in hand transplantation (HTx) recognize the importance of assessing quality of life (QoL), QoL has historically been inadequately defined and measured in such assessment procedures. Current conversations related to QoL in HTx could be enhanced by a phenomenological account of the lived body-namely, by illuminating the ways in which humans develop a holistic QoL through meaningful orientation in their interactions with the world and others. This meaningful orientation involves many factors; this essay considers how QoL is shaped by temporality (how past and future inform present satisfaction), embodiment (habituated, generally unconscious, meaningful attunement to the world), and intersubjectivity (how our identity as selves is constructed through social relationships).","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E996-1002","issue":"11","volume":"21","ext_ids":{"doi":"10.1001/amajethics.2019.996","pmid":"31742549"},"release_year":2019,"release_date":"2019-11-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ie3zbwwrq5fthlq5berdvl5bvi","title":"What Hand Transplantation Teaches Us About Embodiment","state":"active","ident":"fv57fbis2jhftl2iww574d2yqq","revision":"3e657c88-e2a3-4b4a-ba70-0c9d7fc02613","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2019.996"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.10 {"abstracts":[{"sha1":"8b89551c72cb849817dbcbe57042e348cf2d2cae","content":"The 2014 Ebola epidemic in Sierra Leone and the current outbreak that began in 2018 in the Democratic Republic of the Congo generated numerous mental health crises that remain unaddressed by global standard infectious disease protocols. This article explores how responders should integrate mental health care into standard Ebola care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E10-15","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.10","pmid":"31958385"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"c4kddv67sjdi5cjgqk3dvyfndu","title":"How Should Clinicians Integrate Mental Health Into Epidemic Responses?","state":"active","ident":"ebvxwocdvvgypauskmqjojqfyu","revision":"f75b7869-7f03-4801-a704-f3100e286dfc","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.10"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.102 {"abstracts":[{"sha1":"077bc5a030bd7ae1571cf6b42e2cde47b39234f8","content":"Although low- and middle-income countries (LMICs) bear 75% of the cancer burden globally, their available resources to treat cancer constitute less than 5% of global health resources. This inequity makes it imperative to take appropriate measures to treat and prevent cancer in LMICs, which should include consideration of trade and patent policies. This article highlights some impediments to effective use of existing policies to promote access to treatment and prevention measures in LMICs and offers recommendations about next steps.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E102-111","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.102","pmid":"32048580"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"of53ewocsfav3m76zrzhbrmzgm","title":"Can International Patent Law Help Mitigate Cancer Inequity in LMICs?","state":"active","ident":"kmi7mmg5wfdcxc6gmq2sk5lq5i","revision":"aa352138-6af1-42e0-acad-81f230501917","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.102"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.112 {"abstracts":[{"sha1":"76c0eb95f4937b22d886e35a30227e6a353e7589","content":"Cancer is the second leading cause of death globally. Death rates from cancer reflect global inequality; approximately 70% of deaths from cancers occur in low- and middle-income countries (LMICs). Due to high costs of cancer treatment and limited access to resources, these countries are unable to use treatment as a primary means for reducing cancer burden. Thus, redirecting focus from treatment to prevention in LMICs and considering prevention as a global public health imperative are critical. The AMA Code of Medical Ethics and policies can guide efforts to promote and support cancer prevention in LMICs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E112-115","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.112","pmid":"32048581"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6jrvlijslvgotejghiebidkwfu","title":"AMA Policies and Code of Medical Ethics' Opinions Related to Cancer Prevention in Low- and Middle-Income Countries","state":"active","ident":"3hffex3kvrbxvg5r5idhr2l75u","revision":"139432ab-a00d-45bf-8661-28744f301044","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.112"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.116 {"abstracts":[{"sha1":"6e43aa9bc5d5633f8fc747d4066f3b1d1dc32f09","content":"Molecular detection of high-risk human papillomavirus (HPV) in genital cells is being widely endorsed as a preferred tool for cervical cancer screening globally. In low- and middle-income countries (LMICs) where cervical cancer remains a leading killer, HPV testing is an appealing, accessible alternative to traditional cytology (ie, Pap smear) screening that enables women to self-collect specimens. This article examines self-sampling and its suitability as a strategy for cervical cancer prevention in LMICs that would promote equitable access to cervical cancer screening.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E116-125","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.116","pmid":"32048582"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"phrem5ypjbfprc2wa7sohdym6a","title":"Why Consider Self-Sampling for Cervical Cancer Screening in Low- and Middle-Income Countries?","state":"active","ident":"ixqgtuj2wbgv5icfrzbjoy57da","revision":"219dd3dc-3f44-4492-a811-af9e36918ff7","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.116"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.126 {"abstracts":[{"sha1":"139819c38d46dfa9bc0516adf07a89195250b357","content":"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 tragedy. This article examines ethical considerations that should compel policymakers and international donors to prioritize cervical cancer prevention in LMICs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E126-134","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.126","pmid":"32048583"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"yw4u55ur2bbyvk2yy3l43e4uum","title":"How Should Cervical Cancer Prevention Be Improved in LMICs?","state":"active","ident":"iwlgmq5drfavjn6gvjortpeete","revision":"a8fce338-f50e-46f5-929c-affc52aef375","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.126"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.135 {"abstracts":[{"sha1":"8757d466d252bd444cd25693fe61bc67c26bd8f5","content":"The tobacco industry's aggressive marketing of tobacco products and electronic (e-)cigarettes is well documented. Yet existing restrictions on tobacco and e-cigarette marketing are poorly implemented in most low- and middle-income countries. Ongoing challenges include weak implementation and enforcement of some aspects of the WHO Framework Convention on Tobacco Control and a lack of consensus among health professionals on how to address the tobacco industry's health claims related to e-cigarettes and other novel tobacco products. We argue that, despite these challenges, countries must prioritize the implementation and enforcement of restrictions on tobacco and e-cigarette marketing as these products represent not only a serious public health threat but also a violation of children's rights.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E135-146","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.135","pmid":"32048584"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"dajo57c3hnbopgw3f732fx3mh4","title":"How Should Global Tobacco Control Efforts Be Prioritized to Protect Children in Resource-Poor Regions?","state":"active","ident":"khjtjowvvnac5pc3yrd25woceu","revision":"b1e29e3b-7ada-4f03-bfaf-e7f18ba57587","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.135"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.147 {"abstracts":[{"sha1":"cef3e1ce536dadeb270bca4b669b6084ad68fd3f","content":"Cancer continues to be a prominent cause of morbidity and mortality in low- and middle-income countries (LMICs). Many LMICs, however, lack adequate data to better understand and respond to trends in cancer incidence. This article highlights crucial roles that government and public-private coalitions can play in cancer surveillance in LMICs. In particular, local and global investment in LMICs can build essential structures for cancer prevention and early detection, including public health surveillance systems and cancer control coalitions. Using examples from LMICs that show the promises and pitfalls of these approaches, this article argues that comprehensive cancer control can motivate health equity.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E147-155","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.147","pmid":"32048585"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"35dnkoamorcb3jbtan7jpy72eq","title":"How Should Low- and Middle-Income Countries Motivate Equity in Cancer Prevention and Control?","state":"active","ident":"4wxecmvnnfb2ffdipywk2itcl4","revision":"6cbf65ca-43f5-4eef-a328-9f0b32a13b68","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.147"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.156 {"abstracts":[{"sha1":"fbfe61d507b6513296978e51ccf34d276490e294","content":"Development of biobanks in Africa raises ethical questions related to particular features of African cancer research contexts, such as underresourced health care and research infrastructures and low-average research literacy. This article describes ethical challenges of informed consent, benefit sharing, and stigmatization and proposes navigating these challenges by developing a comprehensive governance framework to ensure African leadership in biobanking research programs in Africa.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E156-163","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.156","pmid":"32048586"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"e3kikutxyfhixfqnk2impk2wdy","title":"How Should Biobanking Be Governed in Low-Resource Settings?","state":"active","ident":"xd5e4r3jk5dsbj7ayrj46hvzbq","revision":"c17de6e9-76dc-44aa-ab1c-8ef31018d447","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.156"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.16 {"abstracts":[{"sha1":"c8f1cfe6838ae8afd28f0fce958881f102c7a15b","content":"This case analysis examines obligations health care workers have to support relief efforts when an infectious disease outbreak could impact us all. How clinicians, institutions, and local communities ought to balance increased need for global solidarity in response to global disease outbreaks with concerns of local stakeholders is one specific tension this article investigates. We explore how emphasizing global health solidarity in the face of highly hazardous communicable diseases can help mitigate global risk.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E16-21","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.16","pmid":"31958386"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"g3lqbxtw5ffixbhoiqabm4yzki","title":"How Should Clinicians Respond to International Public Health Emergencies?","state":"active","ident":"si3nwjolibdt3j7yicf7lllmli","revision":"90a1102e-4097-4dcc-b274-628dbc73c99d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.16"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.164 {"abstracts":[{"sha1":"c9e3b1f9d9405c233990755da18efe79c14e239c","content":"This graphic narrative is a fictional case report illustrated using paint pens and histological micrographs collaged with Adobe Illustrator. The story of Mr P and his physician recapitulates an ethical dilemma presented by cancer screening: screening can save lives, but it also generates diagnostic morbidity and incurs costs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E164-165","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.164","pmid":"32048587"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"5amiotedcjgxnazvasffwn6nva","title":"Risks, Benefits, and Conundrums of Cancer Screening","state":"active","ident":"rgfwmnsisnapnnthwrqhmqjfqi","revision":"b94fab80-d7e5-4977-82b1-68947b03851c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.164"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.166 {"abstracts":[{"sha1":"9639312130b324f01ac24ba6735e62466f4682f2","content":"This colorful oil painting suggests how a fearless child can inspire compassion, particularly regarding our clinical, political, and ethical orientations to ongoing practices of separating children from parents at the US southern border.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E166-167","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.166","pmid":"32048588"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ip6l3myoj5afberpqnnepn4are","title":"Girl and Rooster","state":"active","ident":"kj3rsys545d6bi4ecyo2nlvvaa","revision":"760f8e82-5dcd-4779-b34c-08963ed9c712","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.166"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.168 {"abstracts":[{"sha1":"68d23e97be6c88e173108c4fb9df68211ff7379a","content":"Cervical cancer is most frequently diagnosed in patients ages 35 to 44, but risk persists as individuals age. Among patients who are regularly screened via the Pap test, cancer is rare and death rates have dropped dramatically in the United States. Nevertheless, access to regular screening can be difficult for transgender men (individuals assigned female at birth but with a male gender identity) due to misinformation, discomfort scheduling appointments, fear of being mistreated or of refused services, lack of insurance, and clinicians' lack of knowledge. This narrative explores 6 barriers to cervical cancer screening for transgender men and offers recommendations for eliminating cervical cancer inequality.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E168-175","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.168","pmid":"32048589"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xcook53ef5dldcipsvb3b5ksdm","title":"Six Tips for Giving Good Health Care to Anyone With a Cervix","state":"active","ident":"ydqfs7pziffq5jfinfou3wq2uy","revision":"44cf3983-674b-4ed9-8ba0-5169558d57b4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.168"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.179 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E179-182","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.179"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"sdrqkb6bcvax5a5soj2r4hpil4","title":"Oscaring Parasite","state":"active","ident":"qwq6xdy2dna4bkeesr3mu5k6oi","revision":"3f27f6df-68fb-41b7-bc6c-9b7eabc84e85","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.179"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.183 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E183-186","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.183"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"qyobkcbjsvaldek6e5fb3omfde","title":"Organizational Ethics for US Health Care Today","state":"active","ident":"47bney3oyvcvbnnfmegbgyqwuu","revision":"6c3b50a7-e4ed-4c83-978a-932913db5e72","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.183"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.187 {"abstracts":[{"sha1":"5ea5881e01731f461eddf1a7040b1e5c4000fb7a","content":"Physicians and all health professionals need to find an appropriate balance between the interests of individual patients and their organization's bottom line. Corporatization in health care has complicated such efforts. More and more health professionals function as employees of health care organizations, some of which value leaders' and shareholders' interests over those of patients. When faced with such conflicts, physicians bear a responsibility to put patients first and to advocate for their profession.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Richard Gunderman","given_name":"Richard","surname":"Gunderman","role":"author","raw_affiliation":"MD, PhD, Chancellor's Professor of radiology, pediatrics, medical education, philosophy, liberal arts, philanthropy, and medical humanities and health studies at Indiana University in Indianapolis.","extra":{}}],"language":"en","pages":"E187-192","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.187","pmid":"32220264"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"z536ybgns5dgrntndmkpybuugu","title":"How Should Commerce and Calling Be Balanced?","state":"active","ident":"u23pwuirnvhopidbzs36g2tsli","revision":"77883d25-ee1f-4346-bcd3-d1b71979b565","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.193 {"abstracts":[{"sha1":"1f441357e84280e4892b757f6ed3eed0f460837e","content":"Physicians considering unionization face many practical, emotional, and moral obstacles. Even some who feel that a collective bargaining unit is necessary remain concerned that patient care could suffer if physicians unionize. This article discusses unionized physicians' moral obligations to patient populations and health care systems' share in this responsibility. It argues that unionization can be done ethically as long as union actions are focused on improving patient care.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Danielle Howard","given_name":"Danielle","surname":"Howard","role":"author","raw_affiliation":"MD, third-year neurology resident at Duke University Hospital in Durham, North Carolina.","extra":{}}],"language":"en","pages":"E193-200","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.193","pmid":"32220265"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"nxq7amykgrelfmgdg4hmuse4fi","title":"What Should Physicians Consider Prior to Unionizing?","state":"active","ident":"73fdasmr7zhljb2g6w6jgf5qua","revision":"08b6e21d-5b5c-409f-b310-c10df296dc1c","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.201 {"abstracts":[{"sha1":"a160cd77ca9b41a80edc2e27b4fddeca05121dae","content":"This article considers a case in which a prominent researcher repeatedly made protocol deviations year after year while the institutional review board and university leadership failed to adequately address his continuing noncompliance. This article argues that, in addition to reporting this researcher's pattern of noncompliance to the Office for Human Research Protections, as required by federal regulations, the university should implement a remedial action plan.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Min-Fu Tsan","given_name":"Min-Fu","surname":"Tsan","role":"author","raw_affiliation":"MD, PhD, senior research scientist at the McGuire Research Institute in Richmond, Virginia.","extra":{}},{"index":1,"raw_name":"Grace L Tsan","given_name":"Grace L","surname":"Tsan","role":"author","raw_affiliation":"OD, staff optometrist at the VA Portland Health Care System in Portland, Oregon.","extra":{}}],"language":"en","pages":"E201-208","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.201","pmid":"32220266"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"c7ucsqcpdnefvewlyd33xuib5i","title":"How Should Organizations Respond to Repeated Noncompliance by Prominent Researchers?","state":"active","ident":"ilzb7ifgqbccfas3y3z23g7ghi","revision":"ca5d26bc-291a-46c8-91b3-bed169d359fe","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.209 {"abstracts":[{"sha1":"6523bfd5f8a9e773fc4bfd41b25c94bebf3f69be","content":"This article canvasses laws protecting clinicians' conscience and focuses on dilemmas that occur when a clinician refuses to perform a procedure consistent with the standard of care. In particular, the article focuses on patients' experience with a conscientiously objecting clinician at a secular institution, where patients are least likely to expect conscience-based care restrictions. After reviewing existing laws that protect clinicians' conscience, the article discusses limited legal remedies available to patients.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Rachel Kogan","given_name":"Rachel","surname":"Kogan","role":"author","raw_affiliation":"JD.","extra":{}},{"index":1,"raw_name":"Katherine L Kraschel","given_name":"Katherine L","surname":"Kraschel","role":"author","raw_affiliation":"JD, lecturer in law and the executive director of the Solomon Center for Health Law and Policy at Yale Law School in New Haven, Connecticut.","extra":{}},{"index":2,"raw_name":"Claudia E Haupt","given_name":"Claudia E","surname":"Haupt","role":"author","raw_affiliation":"PhD, JSD, associate professor of law and political science at Northeastern University in Boston, Massachusetts.","extra":{}}],"language":"en","pages":"E209-216","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.209","pmid":"32220267"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"kkkbftcdp5aybiet472mxgvpoa","title":"Which Legal Approaches Help Limit Harms to Patients From Clinicians' Conscience-Based Refusals?","state":"active","ident":"yjuy7uc45ngdle6ppzvyjitm2e","revision":"bc48c916-968c-4a9b-82be-ec97039dde5b","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.217 {"abstracts":[{"sha1":"c8def0be8c075eea494cd6f3e050380d4ad31f36","content":"In recent decades, organized health care has displaced some traditional solo-practitioner physician roles. As larger organizations become more influential in the health care sector, American Medical Association (AMA) positions on professionalism and organizational development, as outlined in the Code of Medical Ethics, can help physicians navigate organizations' influence on practice.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Abigail Scheper","given_name":"Abigail","surname":"Scheper","role":"author","raw_affiliation":"Fourth-year undergraduate student at North Carolina State University in Raleigh.","extra":{}}],"language":"en","pages":"E217-220","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.217","pmid":"32220268"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"lpbcat5mxnhe3ctmkkdmrcfgd4","title":"AMA Code of Medical Ethics' Opinions Related to Organizational Influence in Health Care","state":"active","ident":"skwh4tq77jggxnigxoiimppfhi","revision":"8d49dd4c-9b4f-47ec-aec8-658a975d8483","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.22 {"abstracts":[{"sha1":"fcc1c60b2ecb8fd7cd886764b59767725f461e3d","content":"Biocontaining was one way that Western, affluent, allopathic cultures tended to respond and make meaning during the 2013-2015 Ebola virus disease (EVD) pandemic. It became a pathway to restore trust in biomedicine itself, which had been shaken by unease across the globe when the EVD threat was at its height. Yet biocontaining barely qualifies as a public health measure. Successful public health efforts rely on trust, which is difficult to maintain during a pandemic. Such efforts require balancing the need to be close to patients to care well for them against the need to remain distant from a virulent pathogen. Biocontainment tries to navigate this tension and, in so doing, simultaneously frustrates and supports public trust. This article suggests 5 things clinicians and health professions students should consider about the project of biocontainment that could affect their orientation to their public health duties.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E22-27","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.22","pmid":"31958387"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mxlmpvewzfbb7ew3zdlbhsfb6u","title":"Five Things Students and Clinicians Should Know About \"Biocontainment\"","state":"active","ident":"xjzm7syiyjhe5fncp5fhgn3jxy","revision":"d952411d-ce8f-49da-b7f8-5ffe06e34d88","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.22"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.221 {"abstracts":[{"sha1":"c49773879a0708f89b58c4bf23d820040b53fcfe","content":"Whether physicians are being trained or encouraged to commit fraud within corporatized organizational cultures through contractual incentives (or mandates) to optimize billing and process more patients is unknown. What is known is that upcoding and misrepresentation of clinical information (fraud) costs more than $100 billion annually and can result in unnecessary procedures and prescriptions. This article proposes fraud mitigation strategies that combine organizational cultural enhancements and deployment of transparent compliance and risk management systems that rely on front-end data analytics.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Katherine Drabiak","given_name":"Katherine","surname":"Drabiak","role":"author","raw_affiliation":"JD, assistant professor at the University of South Florida College of Public Health and the Morsani College of Medicine in Tampa.","extra":{}},{"index":1,"raw_name":"Jay Wolfson","given_name":"Jay","surname":"Wolfson","role":"author","raw_affiliation":"DrPH, JD, Distinguished Service Professor of Public Health, Medicine and Pharmacy and associate vice president for health law, policy, and safety at the University of South Florida Morsani College of Medicine in Tampa.","extra":{}}],"language":"en","pages":"E221-231","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.221","pmid":"32220269"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"7uppqxwiwfavfba4zvepkwl7ly","title":"What Should Health Care Organizations Do to Reduce Billing Fraud and Abuse?","state":"active","ident":"6r6qhav7yza7jns45edx3kiyam","revision":"6e9d8832-3f02-4b60-abef-81a830ef0fef","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.232 {"abstracts":[{"sha1":"f307b17d0e25698217bf6e6fd1e64b921d81fa1a","content":"Lab experiments disagree on the efficacy of disclosure as a remedy to conflicts of interest (COIs). Some experiments suggest that disclosure has perverse effects, although others suggest these are mitigated by real-world factors (eg, feedback, sanctions, norms). This article argues that experiments reporting positive effects of disclosure often lack external validity: disclosure works best in lab experiments that make it unrealistically clear that the one disclosing is intentionally lying. We argue that even disclosed COIs remain dangerous in settings such as medicine where bias is often unintentional rather than the result of intentional corruption, and we conclude that disclosure might not be the panacea many seem to take it to be.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Daylian M Cain","given_name":"Daylian M","surname":"Cain","role":"author","raw_affiliation":"PhD, faculty member at the Yale School of Management in New Haven, Connecticut.","extra":{}},{"index":1,"raw_name":"Mohin Banker","given_name":"Mohin","surname":"Banker","role":"author","raw_affiliation":"PhD student in marketing at the Yale School of Management in New Haven, Connecticut.","extra":{}}],"language":"en","pages":"E232-238","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.232","pmid":"32220270"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"vphvv7oyfvew7a4sjrqtfdtsgu","title":"Do Conflict of Interest Disclosures Facilitate Public Trust?","state":"active","ident":"vasr2fu275boxioqz5valotiby","revision":"e77e7182-627c-4144-aeed-305dbac9916e","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.239 {"abstracts":[{"sha1":"ee9aabdf0f3dd40679e740ac34168cf4571e338c","content":"Mission statements communicate health care organizations' fundamental purposes and can help potential patients choose where to seek care and employees where to seek employment. They offer limited benefit, however, when patients do not have meaningful choices about where to seek care, and they can be misused. Ethical implementation of mission statements requires health care organizations to be truthful and transparent about how their mission influences patient care, to create environments that help clinicians execute their professional obligations to patients, and to amplify their obligations to communities.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Kellie E Schueler","given_name":"Kellie E","surname":"Schueler","role":"author","raw_affiliation":"Fourth-year medical student at the University of Chicago Pritzker School of Medicine in Chicago, Illinois.","extra":{}},{"index":1,"raw_name":"Debra B Stulberg","given_name":"Debra B","surname":"Stulberg","role":"author","raw_affiliation":"MD, associate professor and interim chair in the Department of Family Medicine at the University of Chicago in Chicago, Illinois.","extra":{}}],"language":"en","pages":"E239-247","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.239","pmid":"32220271"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"x5weeo5alnb6vnzm2gnofrcjka","title":"How Should We Judge Whether and When Mission Statements Are Ethically Deployed?","state":"active","ident":"7w3ckkxcmrhujk3wv5e2avypre","revision":"5c3ae711-f304-400c-bd73-3f5bf74a8f54","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.248 {"abstracts":[{"sha1":"25dbbb0c3a1128b476f669d9c6db9a326cd1c9e5","content":"The Council on Rural Health (1945-1975) of the American Medical Association (AMA) collaborated with domestic health care organizations in the mid-20th century to improve access to health care in rural areas. This council promoted health and farm safety education, public health measures, insurance plans, and construction of health facilities. It also lobbied state and county medical societies to form rural health committees. AMA archive materials document these activities and demonstrate physicians' involvement and investment in the communities they served.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Amber Dushman","given_name":"Amber","surname":"Dushman","role":"author","raw_affiliation":"MA, MLIS.","extra":{}}],"language":"en","pages":"E248-252","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.248","pmid":"32220272"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"umyy4sm44ngfnm6y22lju5tyzy","title":"Community Health in Rural America During the Mid-20th Century","state":"active","ident":"i7o6bf3pxvd7volgby6kemev2y","revision":"dfa18b4e-9fa1-4cee-ba8e-716a7bb97e30","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.253 {"abstracts":[{"sha1":"69a1cda815f80165a4a47ac8e6129200c0f7f80e","content":"One recent essay suggests that emphasis on social justice in medical education is done at the expense of clinicians' technical competency. This response to that stance is a digitally illustrated series that contextualizes patient health as both physiological and determined by social, economic, and cultural conditions.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Ryan Brewster","given_name":"Ryan","surname":"Brewster","role":"author","raw_affiliation":"Fourth-year medical student at Stanford University School of Medicine, in Stanford, California.","extra":{}}],"language":"en","pages":"E253-254","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.253","pmid":"32220273"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"qq7vqa2xsrfwtjzk4q4tp4uudu","title":"Justice is the Best Medicine. And, Yes, You Can Call Us by Our Pronouns","state":"active","ident":"zhecvyvmmbaixp7leb6zgvpdty","revision":"b4538969-1708-4e26-b764-227ed22fde21","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.255 {"abstracts":[{"sha1":"436f638f52895582ea6758ab1c3dea1c4c8bc422","content":"In September 2019, a prominent dictionary recognized they as a proper pronoun for nonbinary individuals. This change can be seen as a source of newfound legitimacy for students and trainees self-advocating for nonbinary pronoun recognition in health care practice and training. This article considers one student's experience after coming out as nonbinary and voicing that their pronouns are they/them.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Nat Mulkey","given_name":"Nat","surname":"Mulkey","role":"author","raw_affiliation":"BUSM, MD candidate at Boston University School of Medicine in Massachusetts.","extra":{}}],"language":"en","pages":"E255-259","issue":"3","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.255","pmid":"32220274"},"release_year":2020,"release_date":"2020-03-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"jruyopnb5vg4hd5uhlfm3lq7my","title":"Pronouns and Advocacy in Medicine","state":"active","ident":"yh7hvo6a7zfunmkionw6qd5iuq","revision":"473ea931-1f1d-47fc-b217-d96617550c37","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.263 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E263-266","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.263"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"erbipttdknabpgntju6vfezeou","title":"Bringing Down the Drapes","state":"active","ident":"dk2phmmdinasxhpvu3zoecip3a","revision":"5fa53177-4ca8-4a5c-a25c-d7644c623a05","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.263"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.267 {"abstracts":[{"sha1":"d3a79a82b7ec535a7cfa7519fe495495248a5236","content":"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 surgical training on outcomes, barriers to collaboration, and anesthesiologists' ethical obligations to educate surgeons and parents about anesthesia-induced neurotoxicity risks. The article also discusses how to align surgical and anesthetic practice during surgeries with prolonged anesthetic use.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E267-275","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.267","pmid":"32345418"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ifei5r5svfb65dgjgm5ihl5ady","title":"How Should Trainees' Influences on Postoperative Outcomes Be Disclosed?","state":"active","ident":"au2xx3oqtbenrpbtfuvblvm2dq","revision":"e567e2d0-b318-4d2c-a6ff-d264df1fbeb6","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.267"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.276 {"abstracts":[{"sha1":"6a6353a9bab8ff0d8c1472dadf69272c4e342b05","content":"Ear, nose, and throat procedures in intraoperative environments often involve surgeons' and anesthesiologists' use of shared and sometimes competing approaches to managing a patient's airway. Both clinicians have expertise in laryngoscopy and unique skill sets needed for advanced airway management. This article explores how joint decision making is best achieved despite disagreements and how collegial, collaborative relationships can be preserved to prioritize patients' safety during risk assessment and goal setting.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E276-282","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.276","pmid":"32345419"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"nysenfcao5gezipsz5rs2um2z4","title":"Who Should Manage a Patient's Airway?","state":"active","ident":"vr5wnzzmevendn2rae5bqhfty4","revision":"5ce2c53c-2c07-4614-bb18-a900870facfb","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.276"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.28 {"abstracts":[{"sha1":"0ffb5a393a677a473826a101d4fcfddcd1553fec","content":"In response to the 2013-2016 Ebola virus disease (EVD) outbreak primarily affecting Guinea, Sierra Leone, and Liberia, the World Health Organization (WHO) set out Guidance for Managing Ethical Issues in Infectious Disease Outbreaks, which covered social distancing, research in outbreak settings, and clinical care. This article assesses the Guidance's recommendations on research and long-term storage of biological specimens during infectious disease outbreaks and argues that the Guidance does not provide adequate direction for responders', researchers', and organizations' actions. It considers local persons' access to benefits of research in the aftermath of outbreaks and preparedness for outbreaks, drawing on lessons from both the 2013-2016 EVD outbreak and ongoing research in the Democratic Republic of the Congo.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E28-35","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.28","pmid":"31958388"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"pqc33pb5tbe23cr7x5yjlb4hm4","title":"How Should the WHO Guide Access and Benefit Sharing During Infectious Disease Outbreaks?","state":"active","ident":"ez3joevdcbb4xdsttdaimckcqe","revision":"a0fce6db-a33e-4f0f-a307-8275a1876b0e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.28"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.283 {"abstracts":[{"sha1":"f82ef41d6431638ceebe198204ba69dc38f2bacd","content":"This case examines perioperative suspension of a do-not-resuscitate (DNR) order during surgery. The commentary considers the appropriateness of DNR orders; types of DNR order suspension in the context of alternative anesthesia techniques; and what is required from a surgeon, anesthesiologist, and patient or surrogate to reach a decision expressing the patient's best interest. It concludes by offering communication recommendations based on joint discussion and decision sharing.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E283-290","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.283","pmid":"32345420"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kiak2dmtjbeehmj4qxnqpf3lm4","title":"What Should an Anesthesiologist and Surgeon Do When They Disagree About Terms of Perioperative DNR Suspension?","state":"active","ident":"kdeczlzpejfavgw6go3hasm4k4","revision":"91dc75a5-40b9-48a3-b7c9-319f0be6e1e1","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.283"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.291 {"abstracts":[{"sha1":"a1ca87c8573733443d90f694a4c8f5587e4d0a13","content":"Surgeons and anesthesiologists each have a unique sense of duty and responsibility to patients throughout all phases of perioperative care. Intraoperative cardiac arrest during elective, noncardiac surgery is rare, with an incidence between 0.8 to 4.3 per 10 000 cases. Fortunately, patients who suffer cardiac arrest during surgery are more likely to survive than patients who suffer cardiac arrest in other settings. This article considers factors that have been shown to influence outcomes after intraoperative cardiac arrest and offers a framework for analyzing and discussing these clinically, ethically, and emotionally complex cases.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E291-297","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.291","pmid":"32345421"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7ktxk6xjnzernb4toy7ni4rq7i","title":"How Should a Surgeon and Anesthesiologist Cooperate During Intraoperative Cardiac Arrest?","state":"active","ident":"j5ph5xqcvvdj3o2ywu6wcsee7y","revision":"e9461f86-f1b4-40f8-8661-31b98a2f5c5b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.291"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.298 {"abstracts":[{"sha1":"88f772c62bb03706f9d288e6eb392ee595a22fba","content":"Many procedures performed today involve a team of specialists with their own training histories and backgrounds. Some errors are inevitable in the course of clinical careers. Because errors tend to lead to complications, they often also lead to assignations of blame. When this happens, too often clinicians are at odds with each other about how to respond to a patient or a patient's loved ones after that patient suffers harm. This commentary on a case of a surgical complication examines how transparency in communication, cooperative disclosure, and working collaboratively to restore an injured patient's health support clinicians' common purpose, long-standing work relationships, and collegiality.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E298-304","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.298","pmid":"32345422"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6wdldry4pbctjob3w3g37uqihi","title":"What Constitutes Effective Team Communication After an Error?","state":"active","ident":"jlkvrmcegnchvjhicuiyjzclu4","revision":"68c4e2c0-1239-4a2a-b0cf-297e70d4938f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.298"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.3 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E3-4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.3"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vfaypxizxzfm5afrcsubptltkm","title":"Responding to Global Public Health Crises","state":"active","ident":"4e2ukav7g5cxdivtbsldgwq3ne","revision":"732e5212-e666-402f-9c50-15279618acb8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.3"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.305 {"abstracts":[{"sha1":"956c592414285e56adc78726ff7972464a0b6dda","content":"Unfortunately, the drape dividing the anesthesiologist from the surgeon is far too often a symbol of a greater divide in both communication and culture between the 2 specialties. When anesthesiologists and surgeons spend time rotating on each other's services, they develop a mutual respect for each other's clinical acumen and foster open communication channels for times of both routine clinical care and crisis. There is no better time than in residency, and no better way than cross-training, for anesthesia and surgical residents to hone these skills.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E305-311","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.305","pmid":"32345423"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"5y3avtenkrefbg73cnmg45tu4e","title":"Escape the Drape Divide by Making Off-Service Rotations a Part of Surgery and Anesthesia Residencies","state":"active","ident":"xnmvhxv34fb3ffdx6m7zg4fqei","revision":"0b15d83f-c59c-4d9e-a159-ebe5432c4f4a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.305"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.312 {"abstracts":[{"sha1":"819660f5d5de0652e12a4d8f576731d45490d837","content":"Anesthesiologists regularly take breaks during operations, whereas surgeons do so more rarely. This article considers the origins of this difference in practice in relation to different characteristics of the work of these 2 specialties as well as differences in professional identity, both of which can contribute to varying break practices and perceptions of the value of breaks. The authors draw upon current literature about the influence of breaks on attention, focus, and stamina and then reflect on the influence of breaks on the relationships between anesthesiologists and surgeons.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E312-318","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.312","pmid":"32345424"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7odq5sjgxnaodm5tdecaov5qfq","title":"Should Anesthesiologists and Surgeons Take Breaks During Cases?","state":"active","ident":"4lbhq4n5rzbingvr5gdwd2wxgu","revision":"fedf51f5-10d6-45f7-9507-eb672c4890b2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.312"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.319 {"abstracts":[{"sha1":"120d6d84727f266351735d69367dfd7292b71737","content":"Enhanced recovery after surgery (ERAS®) protocols vary by surgery type. This article examines benefits of ERAS pathways, compares ERAS pathways to traditional protocols from clinical and ethical standpoints, and discusses formal recommendations of the American College of Surgeons, the American Society of Anesthesiologists, and other groups.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E319-324","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.319","pmid":"32345425"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"lfslom36k5a7pljdrzsytzejdi","title":"Should Surgeons or Anesthesiologists Manage Perioperative Pain Protocols?","state":"active","ident":"i6ux7pbbxnc3tf4e3yvid5ymky","revision":"9e6aaa12-dc0f-4ac8-9214-c715a48d849d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.319"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.325 {"abstracts":[{"sha1":"8394756330b63b817a47e965c037f9d55fdf685f","content":"Procedural treatment teams encounter patients with preoperative do-not-resuscitate (DNR) orders who are seeking procedural interventions to improve their quality of life. Required reconsideration is the professional discussion standard that seeks to engage patients or their surrogate decision makers in revisiting patient preferences for rescinding or maintaining a DNR order perioperatively. This article canvasses features of a required reconsideration discussion and guidelines for adhering to this standard.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E325-332","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.325","pmid":"32345426"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"nxzgrfo7k5hlfjsavflt2wf32a","title":"Strategies for Collaborative Consideration of Patients' Resuscitation Preferences","state":"active","ident":"hbysbbzm5bgohha6ht7g3dbpae","revision":"820924a7-da76-4b72-9ac1-189a1c3f9b7c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.325"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.333 {"abstracts":[{"sha1":"e1fff5b6a7af5278fc9775480cccb2b49d01cb26","content":"With increasing specialization, more collaborative relationships have developed between anesthesiologists and surgeons. Specialization has influenced not only relationships but also communication between anesthesiologists and surgeons. This article considers the nature and scope of these transitions in recent histories of both professions.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E333-339","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.333","pmid":"32345427"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ehfx6sqfrzdc5k6mj5c5bxdnym","title":"From Ship Captains to Crew Members in a History of Relationships Between Anesthesiologists and Surgeons","state":"active","ident":"bnkbyokkznefpeepzsqnzuycra","revision":"796a6046-cddd-437d-8c80-fd255f0d7598","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.333"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.340 {"abstracts":[{"sha1":"a449c3a111fb8b99edea7fff11608100fd09ff67","content":"This drawing considers the nature and scope of clinicians' responsibilities to speak and act in ways that express great regard for the breadth and depth of their capacity to influence patients' pre- and postsurgical self-understandings.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E340-341","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.340","pmid":"32345428"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"b6iudydkdnbk3bt4zdfdip224u","title":"Surgical Transfiguration","state":"active","ident":"ukdnx4j5czg4fkhswhpo4oul74","revision":"cf01877d-deb1-474c-93fb-e0240ae8cc17","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.340"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.342 {"abstracts":[{"sha1":"39c2c2cc42d1cc6a265668fc32ac663a5cecb728","content":"Lobbies and waiting rooms of hospitals and clinics tend to be places where physicians spend little time. These spaces, intended for occupancy by patients and their loved ones, can accommodate a physician who is alone, in reflection, after hours.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E342-343","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.342","pmid":"32345429"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7ccucffmbbhe3jydadrbk3od4y","title":"Who's in the Hospital Lobby?","state":"active","ident":"hvoqjdoamfdlrevudyen64xnmm","revision":"af5e7313-9ea6-4069-bcf6-13e5f88f9c9d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.342"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.344 {"abstracts":[{"sha1":"601fed1f2eab5a2ce160098b65d47697c10d6535","content":"In isolation, we are physically apart; in solidarity, we are together. The COVID-19 pandemic emphasizes our social responsibility to maintain physical distance from one another. In doing so, we solidify our collective strength.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E344-345","issue":"4","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.344","pmid":"32345430"},"release_year":2020,"release_date":"2020-04-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"yskkwy4nqnc3vj635hl4edothi","title":"Cohesion in Distancing","state":"active","ident":"qgqers2myrgsxhncsuzymtifnm","revision":"6571b494-9b75-469a-a03e-0135f7e7307e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.344"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.349 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E349-351","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.349"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ha6rnrlj5zfillojrqskjsr6q4","title":"The Importance of Sharing Health Decisions","state":"active","ident":"hb4vybpa2zdcjptaol7xlpq6gm","revision":"eedaad4c-816a-441c-a906-6810ee4d1024","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.349"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.352 {"abstracts":[{"sha1":"d033e7c68720f834f3ce1edbedf3737f12e48031","content":"Shared decision making is best utilized when a decision is preference sensitive. However, a consequence of choosing between one of several reasonable options is decisional regret: wishing a different decision had been made. In this vignette, a patient chooses mastectomy to avoid radiotherapy. However, postoperatively, she regrets the more disfiguring operation and wishes she had picked the other option: lumpectomy and radiation. Although the physician might view decisional regret as a failure of shared decision making, the physician should reflect on the process by which the decision was made. If the patient's wishes and values were explored and the decision was made in keeping with those values, decisional regret should be viewed as a consequence of decision making, not necessarily as a failure of shared decision making.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E352-357","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.352","pmid":"32449649"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"oocu45525rf3jcilfesji3h6la","title":"When a Patient Regrets Having Undergone a Carefully and Jointly Considered Treatment Plan, How Should Her Physician Respond?","state":"active","ident":"geygbqzevzc55fmaokj7mdfyne","revision":"6c03aaba-123c-4f6a-95bc-e26445955881","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.352"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.358 {"abstracts":[{"sha1":"cf44a83e3432df8fb55dbe316e6382ae00261dda","content":"Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions. Shared decision making can be challenging, however, when patients have impaired decision-making capacity. Here, after presenting an illustrative case example, this paper proposes a capacity-adjusted \"sliding scale\" approach to shared decision making.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E358-364","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.358","pmid":"32449650"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"a4e2bjebwbe3jpwv56i7y6rvka","title":"Sliding-Scale Shared Decision Making for Patients With Reduced Capacity","state":"active","ident":"tssfjk6lzjaifhmmj5pv7icvvm","revision":"855f2c13-4b0f-4850-8eed-dac3bda24fa4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.358"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.36 {"abstracts":[{"sha1":"6863d4b2a7b0785383c5325cf8e3042a88a47745","content":"Vaccine refusal is a serious public health problem, especially in the context of diseases with potential to spark global pandemics, such as Ebola virus disease in the Democratic Republic of the Congo. This article examines whether and when compelling vaccination through mandates and criminalization, for example, are appropriate. It argues that some legal approaches are ethical when they preserve social stability, trust in government, therapeutic research opportunities, or when they diminish disease severity.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E36-42","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.36","pmid":"31958389"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mnsh5hayffcvdlyurrnxnitf6i","title":"When Are Vaccine Mandates Appropriate?","state":"active","ident":"dmmdenojbrgknkoshk4toltxc4","revision":"23a3841d-4ab2-42c3-af04-b027f29a3595","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.36"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.365 {"abstracts":[{"sha1":"f2986495aca210feff52530bfa4b8e45c3cea4b5","content":"Shared decision making honors patient autonomy and improves patient comprehension and therefore should be a part of every clinical decision a patient makes. Use of shared decision making in research informed consent conversations is more complicated due to diverse and potentially divergent investigator and patient interests, along with the presence of clinical equipoise. This article clarifies these different interests and discusses ways in which shared decision making can be applied in research. Provided there is transparency about competing interests, patient-centered and values-focused communication approaches embodied in shared decision making can support the ethical recruitment of patients for clinical research.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E365-371","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.365","pmid":"32449651"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"acierbvognhormublqhiggkl6y","title":"Can Consent to Participate in Clinical Research Involve Shared Decision Making?","state":"active","ident":"b24acswy4vbmdn5bpenf6fun6y","revision":"8e7fbfff-fd42-4712-8612-cd32472ed756","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.365"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.372 {"abstracts":[{"sha1":"9ea09ee19a70e8ab821fd173c2de8ef4af89036b","content":"Shared decision making (SDM) is used in adult and pediatric practice for both its ethical and its practical benefits. However, its use is complicated with adolescents whose emerging and relational autonomy is distinct from that of adults, who make decisions independently, and children, whose parents make decisions for them. This hypothetical case scenario and commentary provide clinicians with a practical and stepwise approach to SDM with adolescents as well as guidance when SDM breaks down.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E372-379","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.372","pmid":"32449652"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6veemneyjbdxjnrswckeewek5m","title":"How Should Adolescent Health Decision-Making Authority Be Shared?","state":"active","ident":"umyzq4rlojgdtozgkg374qhvii","revision":"01ead80d-e204-4526-87a7-913ef37b1eca","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.372"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.380 {"abstracts":[{"sha1":"712c9c0aeb07b40ac6878534c24c1832d3e81087","content":"Illness and injury often entail lasting health and social consequences beyond the acute event. During the immediate and long-term recovery period, consequences of illness or injury can often be mitigated and addressed. As patients and their clinicians discuss care decisions, whether for initial or ongoing management of illness or injury, they must consider patients' personal goals of recovery alongside possible clinical outcomes to choose the best path forward. Understanding the recovery process and patients' and clinicians' decision making requires clarifying the concept of recovery and its significance. This article will describe how shared decision making can support the recovery process using a case example of brachial plexus injury.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E380-387","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.380","pmid":"32449653"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"rrtpi2s23rfafd4h53xua4cdcm","title":"How Should the Recovery Process Be Shared Between Patients and Clinicians?","state":"active","ident":"wvc2mpkf2rhlnhq73jfbpuzupy","revision":"404dd744-e43f-436b-9ba1-87563ec79da7","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.380"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.388 {"abstracts":[{"sha1":"f708f73e8dbcd1d3a7c911220e004869b09ea9fa","content":"As the field of medicine shifts from a paternalistic to a more patient-centered orientation, the dynamics of shared decision making become increasingly complicated. International globalization and national socioeconomic differences have added unintended difficulties to culturally sensitive communication between physician and patient, which can contribute to the growing erosion of clinician empathy. This article offers a strategy for teaching students how to enter into conversations about shared decision making by bolstering their empathy as a result of exposing them to the many variables outside of their patients' control. Patients' historical and cultural context, gender identity, sexual orientation, and common assumptions about clinicians as well as institutional biases can severely limit students' ability to integrate patients' value-laden preferences into shared decision making about health care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E388-394","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.388","pmid":"32449654"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"b3f4kjsnzvfwjdtkx2em5eand4","title":"How Should Shared Decision Making Be Taught?","state":"active","ident":"jrawgykfp5ekljag4mx2gsg4lu","revision":"a8da1d88-44de-44e0-8541-0427291f409f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.388"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.395 {"abstracts":[{"sha1":"1889b3115d369d44cfa25b403c9bf4c66f3cb9e1","content":"Artificial intelligence (AI) could improve the efficiency and accuracy of health care delivery, but how will AI influence the patient-clinician relationship? While many suggest that AI might improve the patient-clinician relationship, various underlying assumptions will need to be addressed to bring these potential benefits to fruition. Will off-loading tedious work result in less time spent on administrative burden during patient visits? If so, will clinicians use this extra time to engage relationally with their patients? Moreover, given the desire and opportunity, will clinicians have the ability to engage in effective relationship building with their patients? In order for the best-case scenario to become a reality, clinicians and technology developers must recognize and address these assumptions during the development of AI and its implementation in health care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E395-400","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.395","pmid":"32449655"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"l3ww27yx3ffklhmgqxait4jfpm","title":"How Will Artificial Intelligence Affect Patient-Clinician Relationships?","state":"active","ident":"p5lcfugkwvcbzfcun4utxljmz4","revision":"28b32253-5274-4288-bb48-aac32bc85cfa","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.395"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.401 {"abstracts":[{"sha1":"193c7cea04805089b3890ba54e7b94cabe5cc7a2","content":"This article considers complexities of shared decision making in pediatric heart transplantation and suggests that decisions about pediatric heart transplantation should be shared between a clinical team and parents. This article also considers goals of shared decision making involving Public Health Service increased-risk donors and recommends policy changes to strengthen decision sharing.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E401-407","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.401","pmid":"32449656"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"krjrjco3r5d4ba34t34i3gmqje","title":"Should Decision Making Be Shared in High-Risk Pediatric Heart Donation?","state":"active","ident":"sv2mcebz7bedfbftkgoqjme42i","revision":"cadfe1bb-f14e-4cf1-8eda-dc26a92929d3","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.401"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.408 {"abstracts":[{"sha1":"c25c7ef324079918e3bb14d7bb73ab2799a5e24a","content":"Patient epistemic authority acknowledges respect for a patient's knowledge claims, an important manifestation of patient autonomy that facilitates shared decision making in medicine. Given the scarcity of deceased donor organs, transplantation programs state that patient promises of compliance cannot be taken at face value and exclude candidates deemed untrustworthy. This article argues that transplant programs frequently lack the data to make this utilitarian calculation accurately, with the result that, in practice, the psychosocial evaluation of potential transplant candidates is discriminatory and unfair. Historically excluded candidates, such as patients suffering from alcohol use, have turned out to benefit highly from transplantation. Transplant programs should tend to trust patients when they claim to be good potential organ stewards, thereby respecting patient autonomy, advancing justice, and saving more lives.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E408-415","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.408","pmid":"32449657"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2p5ydc3ysnh2jkykqcoed4dq2u","title":"Epistemic Authority and Trust in Shared Decision Making About Organ Transplantation","state":"active","ident":"qrbmpdepmnchfks4zduvsumwwy","revision":"ae768f9e-c69b-4618-adf9-2913b9ce668f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.408"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.416 {"abstracts":[{"sha1":"f7b0d8034b1d6b469faefd1d2484becf13bc1628","content":"Shared decision making (SDM) is a desirable process and outcome of patient-clinician relationships. Ideally, patients and clinicians have sufficient time to engage in SDM. In reality, time is often insufficient. This article explores time as a barrier to SDM, alternative ways clinicians can think about time, and steps they can take to have fulfilling SDM interactions despite time constraints. Although discussions of time typically focus on time quantity, redirecting attention to the ethical significance of time in establishing patient-clinician relationships suggests the importance of also considering time quality.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E416-422","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.416","pmid":"32449658"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ova4smopxrailc4um3jace35nm","title":"What's the Role of Time in Shared Decision Making?","state":"active","ident":"6bvopzkg6nfbjilqnlva5pvu4a","revision":"631d5d64-6867-488f-9a41-ef20445a57c2","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.416"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.423 {"abstracts":[{"sha1":"0dcca4cd45808eb1daa072b61e4a293617e7f215","content":"This article examines the legal doctrine and ethical norm of informed consent and its deficiencies, particularly its concentration on physician disclosure of information rather than on patient understanding, which led to the development of shared decision making as a way to enhance informed consent. As a vague and imprecise rubric, shared decision making encompasses several different approaches. Narrower approaches presuppose an individualistic account of autonomy, while broader approaches view autonomy as relational and hold that clinician-patient relationships grounded in good communication can assist decision making and foster autonomous choices. Shared decision making faces conceptual, normative, and practical challenges, but, with its goal of respecting, protecting, and promoting patients' autonomous choices, it represents an important cultural change in medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E423-429","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.423","pmid":"32449659"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2f7q6xnjgjdonmqehsi3yqx45q","title":"What Does the Evolution From Informed Consent to Shared Decision Making Teach Us About Authority in Health Care?","state":"active","ident":"jn5ghybqojgvhnanc7te4g4woe","revision":"fb1600b8-05db-49ee-a58d-345f623f966e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.423"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.43 {"abstracts":[{"sha1":"6c90189639eaf663bc5859d35a6c058dd335a98c","content":"Ethical and logistical challenges of deploying experimental vaccines in humanitarian emergencies are exacerbated by a paucity of safety and efficacy data. For outbreaks caused by pathogens with high mortality rates and few treatments, such as Ebola virus disease, not offering access to experimental vaccines with some evidence of efficacy can also be ethically suspect. This article recommends (1) gathering more preclinical data about experimental vaccines' safety and (2) improving research infrastructure to enable participation of a wide range of subjects in affected communities over long trial periods. Motivating these goals would facilitate clearer definitions of population vulnerability and risk acceptability.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E43-49","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.43","pmid":"31958390"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mobpztysbrgkddoz4zlq3adrre","title":"Making Emergency Use of Experimental Vaccines Safer","state":"active","ident":"mvroqvr33jfjlnnuzxrudqafwa","revision":"2a3e03a9-8ac9-4996-b191-ca3fc336843f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.43"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.430 {"abstracts":[{"sha1":"f774a638ac8666ba62278a39e6b3dfc39a3e7313","content":"Some patients' stories can be hard to tell and hard to listen to, especially in pressured, time-pinched clinical environments. This difficulty, however, doesn't absolve clinicians from a duty to try to understand patients' stories, interpret their meanings, and respond with care. Such efforts require clinical creativity, full engagement, and the recognition that emotions and personal feelings leak into the space between storyteller and story listener. Art objects are complex bodies of information that can challenge clinicians and trainees to become more comfortable with messy narratives as well as with ethical and aesthetic ambiguity. By slowing down and observing art, trainees can reflect on how clinicians make sense of stories that contain information that appears random and lacks coherence-and, more importantly, how clinicians draw on these stories to respond to patients' needs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E430-436","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.430","pmid":"32449660"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"355p7qooirhvrhj7b3o7fqrfri","title":"What Cy Twombly's Art Can Teach Us About Patients' Stories","state":"active","ident":"retj5tijxzcwtijmaoet5yqwpq","revision":"1dcac1a0-ff94-4289-a93b-6175e5dc3ac0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.430"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.437 {"abstracts":[{"sha1":"d3c9c180d77e7fdde07df425d00404584b405982","content":"Sir Luke Fildes' The Doctor, exhibited in 1891, is a classic work, celebrated for presenting a physician's posture, presence, and concentration before a patient. This reimagination of Fildes' work responds to modern demands on the patient-clinician relationship while suggesting the persistence of this relationship's sanctity.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E437-438","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.437","pmid":"32449661"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"morrznquhrafrnhlddsqtutvle","title":"Modernizing Sir Luke Fildes' The Doctor","state":"active","ident":"tzcnvytgozbhzevyot2e7g5x6y","revision":"09be1dff-39f7-4a7f-a7f1-d91748f01928","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.437"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.439 {"abstracts":[{"sha1":"2ec222dd76436e1da6a39532f51a86babf6ac011","content":"In 2010, artist Shengxun Lin created Hold Me, a cast resin replica of her own hand as a comfort object and stress reliever. This work continues that practical design theme with a focus on how use and comfort augment aesthetics.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E439-440","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.439","pmid":"32449662"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"226jkkmpvvahfj5v7tyeibxck4","title":"Hold Me","state":"active","ident":"ihsyzwmbp5ajnj6762nofj5qoq","revision":"930b3981-0938-4491-8988-63b989f1490a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.439"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.441 {"abstracts":[{"sha1":"9ddc0a314c6056c71577f0ae6095dd3774119476","content":"Health workers offer their skills and care to COVID-19 pandemic patients, just as St Roch offered healing to those stricken by bubonic plague during the Renaissance. This article interprets 3 works of art in light of Roch's story of illness and recovery and applies key insights of ethical, artistic, and clinical relevance to the COVID-19 pandemic.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E441-445","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.441","pmid":"32449663"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"hi6746mae5dhbmuf2sgudqrjsy","title":"Salvation in a Time of Plague","state":"active","ident":"cstu7yjhafho5cmh7gyrkmxor4","revision":"768d2037-3838-42bc-a893-99ef4ad6874e","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.441"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.446 {"abstracts":[{"sha1":"d9416973cb49e5ac424653e973acfa1c61d62232","content":"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 see as obstacles to even attempting SDM with patients with psychiatric disabilities. In particular, this article identifies 4 such obstacles: a patient's lack of decision-making capacity, a patient's poor insight, a health care professional's therapeutic pessimism or personal dislike, and a patient's or health care professional's conflicting recovery orientations or goals of care. This article argues that each obstacle could be overcome in many cases and that health care professionals, patients, and their caregivers should remain dedicated to attempting SDM in mental health practice.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E446-451","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.446","pmid":"32449664"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"mez5njha5zdvxln5i4pou2j4ea","title":"Overcoming Obstacles to Shared Mental Health Decision Making","state":"active","ident":"gzmizalw7zfghe3qvvhb2kbvfq","revision":"1db53c7d-6218-4b16-ad8f-d9ae4695e9b5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.446"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.452 {"abstracts":[{"sha1":"f0bdeffae672c52e6a100cf460a09cf50c99686b","content":"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 still evolving. Participants include the adolescent (whose goals might center on aesthetics and functionality), the surgeon (who might focus more on minimizing complications), the referring clinician (whose participation is mandated by present standards of care), and the caregiver (whose participation is required for patients below the age of consent). This article argues that effective, ethical SDM in adolescent GAS care requires a different conceptualization of roles than might be expected in other situations and should be a longitudinal experience rather than a singular event.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E452-457","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.452","pmid":"32449665"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6zuzlnxnhvhrfktiqqpvaxq5va","title":"How Should Decision-Sharing Roles Be Considered in Adolescent Gender Surgeries?","state":"active","ident":"qrzbhfn4knbk5kibl7eq4laok4","revision":"afdcfa39-d7d3-430d-9bd1-05acf3e2f5f5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.452"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.458 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E458-461","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.458","pmid":"32449666"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vi4xxektdzf7tgpcbt36xwpeea","title":"Response to \"How Should Academic Medical Centers Administer Students' 'Domestic Global Health' Experiences?\" Ethics and Linguistics of \"Domestic Global Health\" Experience","state":"active","ident":"dwpx7dbk3nhnln2gjmdo7vauka","revision":"cfe79052-7406-40cc-b3cc-603a3de767db","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.458"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.462 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E462-464","issue":"5","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.462","pmid":"32449667"},"release_year":2020,"release_date":"2020-05-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7iy4f6bit5a33nqzjbar4vqfeq","title":"Response to \"Ethics and Linguistics of 'omestic Global Health' Experience\"","state":"active","ident":"y6xhgxsbvbcapbkaxok56tnyne","revision":"ca08a259-45e1-418a-bd70-9c1682401481","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.462"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.467 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E467-469","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.467"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"g62hab7dtrgorgpe54qvfryvay","title":"Portraiture and Health Care","state":"active","ident":"nj26sogqyvbnfengxlzvhqrwtm","revision":"1ba5ca3b-8ec0-4691-898c-b5623d2b14db","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.467"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.470 {"abstracts":[{"sha1":"dfe33ce3eeb7aeaf06ef307610830d8e1b4b7e9d","content":"This article describes one collaborative arts-based research project. Portrait artist Mark Gilbert considers lessons for art and healing from one patient, John, whose cancer and portraiture experiences illuminate features of ethical and aesthetic significance about what it means to witness-to regard another's difficult health and health care experiences.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E470-475","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.470","pmid":"32580821"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"y4tz5jimojcz5btnivbevd7fpy","title":"Practicing Regard in Clinical Portraiture","state":"active","ident":"qvysufqvuvgp7c66cqhq7zxx2m","revision":"2fc28135-30cb-4291-9ff4-3546e0255283","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.470"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.476 {"abstracts":[{"sha1":"7d75803d545218ca3315810ed9e31532ae6cb63f","content":"This article describes one collaborative arts-based research project. Portrait artist Mark Gilbert considers lessons for art and healing from one patient, William, whose cancer and portraiture experiences illuminate reflection as a critical component of both a sitter's and an artist's coassembly of visual narrative and community.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E476-481","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.476","pmid":"32580822"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bb3h34l4oreo5dctlojingoj4i","title":"William's Portrait and Community Narrative","state":"active","ident":"rrvftkijpja7jauwfhv4lnkuqm","revision":"8aabd563-b01e-4a6d-adb3-63078f3c2add","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.476"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.482 {"abstracts":[{"sha1":"18da7f370e72fa052e949420fa77a76f61d66ae6","content":"This article describes one collaborative arts-based research project. Portrait artist Mark Gilbert considers lessons for art and healing from one patient, Lisa. Lisa took comfort in the permanence of portraiture amidst the uncertainties of tongue cancer.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E482-487","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.482","pmid":"32580823"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7tkyjuu44jg25npgkgmgjc5tda","title":"A Permanent Lisa","state":"active","ident":"2tyixu5wozbmnawmbxqc4o7owi","revision":"784dce22-6e5b-403e-8a91-ae644fa170fd","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.482"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.488 {"abstracts":[{"sha1":"dc3e02d97753b3d3c50967db4ed5f927a8497f4a","content":"This article describes one collaborative arts-based research project. Portrait artist Mark Gilbert and coinvestigators consider lessons for art and healing from one patient, Anthony, whose experience of head and neck cancer diagnosis, surgery, and recovery suggests how silence is ethically, artistically, and clinically significant.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E488-498","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.488","pmid":"32580824"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"fhs2zy7or5e5thshdfjh6vkmwq","title":"Anthony and the Role of Silence in Portraiture in Clinical Settings","state":"active","ident":"ly3cmg4h4zey3g6bkzswb6g2em","revision":"2ca923f1-a68c-40ac-a94b-1aa82083606f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.488"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.499 {"abstracts":[{"sha1":"569c9b5a3ea6441624598a9223169a56051db8d7","content":"Medical and especially surgical teaching stresses the importance of careful observation, developing tolerance for ambiguity, and cultivating empathy for patients' and colleagues' experiences of receiving and giving health care. Portraiture is defined by portraitist Mark Gilbert as a collaborative process between subject and artist; sitting is as critical to this process as painting or drawing. This article draws upon the second author's work with Gilbert to examine how portraiture can motivate key teaching and learning goals in health professions education by facilitating learners' explorations of their own and others' biases, limitations, and approaches to gathering information from and about a source (eg, a subject or a patient).","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E499-504","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.499","pmid":"32580825"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"z5d7rkqolvebxeay45lpdaeasa","title":"Why Teachers and Learners of Medicine Need Portraiture","state":"active","ident":"kfza2efyxja2llzlibsafgoqiq","revision":"99b9eab5-38a2-4f7e-a2c1-040390c0e245","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.499"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.5 {"abstracts":[{"sha1":"7e2d0998d3ccb0db8177daaa83cf1d46182956a3","content":"During the 2014-2015 Ebola epidemic in Sierra Leone, people were required by law to call a trained \"safe burial\" team to dispose of the body of a person who had died from Ebola. It took days for a team to arrive, however, due to limited resources and rural travel obstacles, so some villagers felt obliged to bury their loved ones themselves. Even with timely arrival of a team, there can be cultural priorities that deserve attention. One man's case discussed in this article suggests the need for Ebola responders to consider villagers' perspectives and possibilities for compromise.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E5-9","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.5","pmid":"31958384"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"qz3s2ldpsjdstaywi5fxb7d3gq","title":"How Should Public Health Officials Respond When Important Local Rituals Increase Risk of Contagion?","state":"active","ident":"2gqf55pcl5genjg6gpg4o7wtra","revision":"bafd305d-6052-4141-b4f8-e3caa4f97eaa","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.5"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.50 {"abstracts":[{"sha1":"0f9d039729a2b3b526cea3cb1fc489671dbc642d","content":"Epidemics threaten all countries, yet epidemic responses are not implemented in all countries. One reason why is that transnational disease containment efforts (to keep diseases from spreading across borders) differ in important ways from efforts to protect those in countries where an epidemic is active. This article explores these 2 approaches to global health security and suggests reasons to reconsider prioritizing the former first.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E50-54","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.50","pmid":"31958391"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"zcrng3nyqnayjbecqouj75gndu","title":"How Should Global Health Security Priorities Be Set in the Global North and West?","state":"active","ident":"5go2pr7jcrfvpjoj6akemmhe3m","revision":"6b2bc0f2-697b-4f1b-9c41-6ad403dc9359","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.50"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.505 {"abstracts":[{"sha1":"047e6b4ff3a5b80f6663e451f7322ab67f446d6c","content":"Metropolitan Community College, a comprehensive multicampus academic institution in Omaha, Nebraska, installed portraits by the third author (MG) in the Health Careers Building and integrated them into an associate degree nursing curriculum. One goal was to expose nursing students to patients' stories in ways that encourage them to look beyond pain rating scales and protocols to the many dimensions of patients as human beings. Using portraiture in this way could be applied to any health professions curriculum, as the intersections of humanities and health care prompted students and clinicians to look beyond science and into the emotional journeys of caring.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E505-512","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.505","pmid":"32580826"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"fhzgauveenhtdolkktgdeetieu","title":"Health Care Professionals' Journeys of Caring Through Portraiture","state":"active","ident":"w3rfff4ppjecjawekszkdtq7ga","revision":"28152b1b-b67f-4caa-a1cf-3b7d08ebfa1a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.505"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.513 {"abstracts":[{"sha1":"9bf8e3d73f2a4579ddb47ee7a2b2cf807f831cdf","content":"Neurofibromatosis, a genetic disorder that occurs in 1 in 3000 births, can cause tumors to grow anywhere on or in the body. The first author (RM), an artist-researcher and mother of a son living with neurofibromatosis, has painted and exhibited more than 200 portraits of people living with neurofibromatosis to raise awareness of and resources for this little-known disorder. Among many stories shared through RM's works is the story of Ashok, a Nepali man who has undergone 3 surgeries to remove facially disfiguring tumors that developed as a result of neurofibromatosis. This article analyzes portraits of Ashok and interviews that the senior author (RI) conducted with Ashok and RM during each phase of his surgical process to present a case study of their lived experience at the intersection of art and medicine that illustrates the power of portraiture as medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E513-524","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.513","pmid":"32580827"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"2mj2zwy7ebgiziifv6z62mdqzi","title":"Neurofibromatosis and a Portrait of 1 in 3000","state":"active","ident":"3l5j2c4befafpl2xegjxveg454","revision":"74db8426-daeb-4268-80b0-03cf6f98095c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.513"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.525 {"abstracts":[{"sha1":"753564774f001b70eed00344a26842d3ccee38fe","content":"Imagine an exhibition-on a topic like child sexual abuse, dementia, or epilepsy, for example-not typically considered by museums or galleries. The question, then, is Where might such an exhibit be displayed? How about a medical school, for instance? An exhibition of this kind might include visceral psychological portraits and explanatory text tailored to the learning activities of medical students. This article examines these curatorial and ethical considerations.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E525-534","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.525","pmid":"32580828"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ur5wwnmsz5euniypp5wuiwhbcu","title":"Should Art About Child Abuse Be Exhibited in Corridors of Health Professional Schools?","state":"active","ident":"4dok3jxswvgsrorojqclghthmq","revision":"0fdf6075-edfd-4361-bc4d-66a10af5e89f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.525"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.535 {"abstracts":[{"sha1":"3d0496ea8beaaa4ea865a43b9e2e3bccde16567e","content":"How should we illuminate psychological sequelae of trauma? This article argues that though art is assumed to be useful as an intuitive means of representation, its usefulness in offering insight into trauma depends on accompanying narratives. Four artists' works considered herein illuminate how the synergistic interplay between art and expository input from personal narratives can augment comprehension of trauma.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E535-543","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.535","pmid":"32580829"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kmtlj5qvj5fzdlwkxavi5zfzo4","title":"Visual and Narrative Comprehension of Trauma","state":"active","ident":"gdj6rrr7x5heneeacsbvnsp6da","revision":"9c5448aa-eab7-4a23-8a90-c8d75bc0707f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.535"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.544 {"abstracts":[{"sha1":"dd4cfb639a8ae39d691558b2fbf05602c5048ac4","content":"This article examines the challenges of raising a child with epilepsy and the role of portraiture in helping clinicians consider the impact of epilepsy not only on the patient but also on family caregivers. Portraiture facilitates the development of a visual narrative of how a child is seen by others, both figuratively and physically.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E544-549","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.544","pmid":"32580830"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"txrut5ncpbahni4l2sxybd3m5m","title":"Portraits of Children With Epilepsy","state":"active","ident":"4hmwylp2zvcx3gwvugpfyivlay","revision":"3f3c3c04-c1ed-4f33-94ab-3b577885e9ce","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.544"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.55 {"abstracts":[{"sha1":"f5ee60e164bd067243e58ec74115530ae6a465d9","content":"Journalists have long covered outbreaks of infectious disease. In the history of global health journalism-from the 1721 Boston smallpox epidemic to the 2002-2003 SARS outbreak in China and Singapore and to recent outbreaks of Ebola in West Africa and the Democratic Republic of the Congo-newsrooms have wielded their power both responsibly and irresponsibly. This article examines journalism practice during the 2013-2016 Ebola epidemic and recommends strategies for improving epidemic reporting.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E55-60","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.55","pmid":"31958392"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"eue4o6z6ufhezmisqm6d44nph4","title":"What Should Health Science Journalists Do in Epidemic Responses?","state":"active","ident":"y2ufpfxj6bgfflwqm2bjdxvd7u","revision":"7f26d5fe-bfde-4efe-afde-132bab915e42","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.55"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.550 {"abstracts":[{"sha1":"c5d5468ef5ec31f22acee5cca10f194a2fbc3a60","content":"This article reflects on one health care professional's experience of sitting for Mark Gilbert's arts-based Patient and Caregiver Portraiture study. The author, a clinical social worker, discusses the roles of ageism, invisibility, and stigma in the lives of people with dementia. This article also explores the similarity between the process of an artist seeing the entirety of a scene and the process of a clinician assessing a patient; both artist and clinician are powerfully influential in their capacity to represent the personhood of a subject or patient.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E550-556","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.550","pmid":"32580831"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"l6cjuathhfatrgt6alrfw5imcu","title":"On Seeing and Being Seen in Dementia Care","state":"active","ident":"bwrdueihnfeutg4m5n24fxi6cu","revision":"b2f76a51-b724-48fb-9d99-6adfdd4fefd5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.550"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.557 {"abstracts":[{"sha1":"350c1f61fac949ec415118b78ddce8bdf3fc2709","content":"Suzanne, an elder of The Osage Nation, has been diagnosed with basal cell carcinoma, squamous cell carcinoma, and melanoma skin cancer. Her daughter, Bobbie, a cancer researcher working for the Youth Enjoy Science Research Education Program, conducted a case study to share Suzanne's story through written narrative and a series of images that present Suzanne's reflections on cancer prevention and treatment from a holistic perspective. Seven interview transcripts, as well as photographs, drawings, and paintings of Suzanne, were created and analyzed to explore Suzanne's lived experience of cancer. In her story of living with cancer, Suzanne shares an elder's love and wisdom that can inform cancer education and prevention efforts to help address Native American cancer disparities.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E557-564","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.557","pmid":"32580832"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"u4tqep3xtzcybpghgqyhae5t7e","title":"Portraits of Suzanne, an Osage Woman's Story of Loving the Sun and Living With Skin Cancer","state":"active","ident":"rcorropxnvh4fhohddzw6dz7om","revision":"1f769053-27c6-4075-b260-6731adc32c50","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.557"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.565 {"abstracts":[{"sha1":"384f4e1fdaf476bb53c66fd75397a5ec6ecea978","content":"This article describes the perspectives of a scientist-patient and patient-caregiver when sitting for their portrait and also considers the value of this experience for facilitating healing and observation of patient-caregiver relationships.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E565-569","issue":"6","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.565","pmid":"32580833"},"release_year":2020,"release_date":"2020-06-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vczflnjfd5h5dlmf62kphodjpi","title":"Portraiture Brought Introspection and Perspective","state":"active","ident":"3mpinfpynja2bd4ft2i7f74oy4","revision":"cb846564-ade4-4a62-86cc-fa749e0075bf","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.565"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.573 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E573-575","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.573"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ysuyfisx5vghnofrlj2ww2jzte","title":"Humor in Health Care","state":"active","ident":"nukvwq257nb7jg5lo4x7oik5xy","revision":"c4d02bb2-417d-4c6a-a36a-91930c8350df","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.573"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.576 {"abstracts":[{"sha1":"3dae7251342ae76aabb5e3dd8d1940a210cdf6bd","content":"This article considers 3 reasons for derogatory humor in clinical settings and argues that when such humor is directed at patients without understanding their complex histories, it can diminish the therapeutic relationship rather than serve as a coping strategy. This article also investigates how narrative medicine can guide deeper understanding of the motivations for using humor in clinical settings, why humor is directed at a particular person or group, and why derogatory, cynical, or dark humor might be unethical and unprofessional. Colleagues and mentors are essential for guiding students' and trainees' professional development and for helping them cultivate coping strategies that do not cause harm.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E576-582","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.576","pmid":"32744225"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"se2gwsbcfjhs7l2dze6j3ncb6e","title":"Does Using Humor to Cope With Stress Justify Making Fun of Patients?","state":"active","ident":"zecajiv2ejag5aze7cwjnbnybm","revision":"5da7deb3-d64b-4ca4-9b68-48b5257bc8f4","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.576"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.583 {"abstracts":[{"sha1":"56b990416904382db76ea89cb2fe767d1cc3b3e7","content":"Humor can serve as a potent social bond, offering an easy shortcut for positive interaction in the context of fast-paced medical encounters. However, humor in clinical environments can also be wielded as a means of distancing or alienating others, often to promote the assumed superiority of the individual or group weaponizing the humor. This article explores the role of humor in promoting and potentially mitigating tribalism in medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E583-587","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.583","pmid":"32744226"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"6t4rhajzeferzolsynj56jqzk4","title":"Are \"Other Doctors Are Stupid\" Jokes Appropriate?","state":"active","ident":"7lsiarikbzc5jo2ghuxbovzaga","revision":"9b1ee977-6cf4-49d7-9055-4c3b6277c007","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.583"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.588 {"abstracts":[{"sha1":"ad2189c22ed69e48da82dbc33fde63f9e2f7bc28","content":"Abundant evidence documents positive physical and psychological health benefits of humor. Humor and laughter researchers at the Association for Applied and Therapeutic Humor (yep, that's a real thing) not only study why humor helps, but also how it can be applied in health professions settings where patients are ill, injured, or otherwise vulnerable. Along with briefly outlining some health benefits of humor and pitfalls to avoid when using humor, this article provides actionable strategies for enhancing one's humor skill set and applying humor deftly (without doing harm) in clinical settings.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E588-595","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.588","pmid":"32744227"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"sujtxumzd5dg7mp67qi6iznzt4","title":"How to Use Humor in Clinical Settings","state":"active","ident":"kes2w75ugradjj2wuonyymgija","revision":"1307157e-fcda-47c3-9471-075da351c2e0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.588"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.596 {"abstracts":[{"sha1":"51a916ca9e65cd181f95fe66894696d79560e710","content":"Humor in the practice of medicine carries with it both benefits and inherent risks. Included within the risks are legal risks. Traditional causes of action involving the use of humor are breach of contract, defamation, trademark infringement, harassment or hostile work environment, and intentional or negligent infliction of emotional distress. However, in the medical context, there is precedent for humor or jokes used during the patient-physician encounter serving as a basis for medical malpractice claims as well. Physicians should be aware of the potential legal liabilities of humor and approach its use with caution and mindfulness.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E596-601","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.596","pmid":"32744228"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"lkt5fuj7m5ghhavx7djaxdb7am","title":"Could Humor in Health Care Become Malpractice?","state":"active","ident":"vqml2ei3afcp7hkc7xqgqtl2vu","revision":"3a87e0d5-4d71-4974-84bc-5504a2edf8f5","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.596"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.602 {"abstracts":[{"sha1":"589546b0ffe5cd1c2c58ab9950f1112b06995e08","content":"From an academic point of view, humor studies have traditionally lived in the rather unfunny world of philosophy departments. More recently, psychologists and neuroscientists have begun to study mechanisms of humor and laughter. An argument can be made that approaching humor studies from the perspective of comedy creation offers practical tools for using comedy and humor in everyday communication and connection.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E602-607","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.602","pmid":"32744229"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"e34iuirbubhk3baovtbxmobbke","title":"The Science of Comedy (Sort of)","state":"active","ident":"5ztlshdqzrcy3b6n23nk3yd5ri","revision":"80c2b528-cdde-4904-9873-72e250285e1a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.602"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.608 {"abstracts":[{"sha1":"08a0ef2f0283e695488d1e88757d7efce5423034","content":"Although humor in health care can facilitate relationship building between patients and clinicians, callous humor used to deflect or dismiss distressing emotions undermines relationships, erodes trust, and expresses disregard for vulnerability. Because it affects collegiality, training, and patient care, callous humor should not be tolerated, especially when directed at patients. This article considers why it is important to respond to colleagues who make callous jokes and suggests how to do so.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E608-614","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.608","pmid":"32744230"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"kjycc5syubbpde5fwozxdy27fi","title":"Responding to Callous Humor in Health Care","state":"active","ident":"wgmvjhpxrbcalobyquo3teow5q","revision":"2a987973-a0de-458e-b2cb-01132560169a","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.608"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.61 {"abstracts":[{"sha1":"ed52155398163c2980240c25c5f50795cf720567","content":"Multiple pieces of reclaimed pallet wood are sculpted into a lateral cerebrum and a gradient of burned wood visually represents a crisis among health care professionals.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E61-62","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.61","pmid":"31958393"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"oxdhsjywjvgujb3npbjzrrhkvi","title":"Burnout","state":"active","ident":"quyrctpizbc4bpkc32rouyxzqy","revision":"4cac44ec-cf31-4585-99fe-837d3ae437b9","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.61"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.615 {"abstracts":[{"sha1":"82bbbcefb779dc7049f83e961211504598734be0","content":"This article offers an overview of what humor is-and of how it can be used as a positive tool in dealing with patients and coworkers. After presenting a recent model for categorizing comic styles, which, among other things, separates \"light\" and \"dark\" humor, this article examines humor as a virtue in the context of health care.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E615-618","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.615","pmid":"32744231"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"p5ftvc4mmnf2dcmmurvxkghfxy","title":"Virtuous Humor in Health Care","state":"active","ident":"c7kzuwbvajgozdeojssmv5rkme","revision":"4293a8cd-25c2-4f32-a0f2-b5e02f92b5fa","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.615"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.619 {"abstracts":[{"sha1":"49c739070cebbe85f7b047f5d9cb1a779cbe33e2","content":"For more than 60 years, The Second City has used the techniques of improvisation to train some of the world's funniest and most famous people-among them Bill Murray, Tina Fey, Amy Poehler, Jordan Peele, John Belushi, and Joan Rivers. The same skills that generate laughter are just as powerful and potent in any situation that requires human beings to navigate complexity, solve problems in group settings, and listen with the intent to hear. Collaborating with Caring Across Generations, Cleveland Clinic, and other organizations, The Second City has developed training modules that give individuals and groups more agency in the health care space. This article details how the program was developed, provides key insights into the benefits of such training, and offers takeaway exercises readers that can use with their teams and students.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E619-623","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.619","pmid":"32744232"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bl32ahpzkvbj7ijjvwmnkxveiq","title":"Improvised Caregiving or How a Famous Comedy Theatre Found Itself in Health Care","state":"active","ident":"duh7w53tsnfornynemlcpvw7me","revision":"127faf4f-3b3e-4f04-bf0c-f033121831ff","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.619"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.624 {"abstracts":[{"sha1":"d63f4d9586a238a6bd503b9658f4fc09794f4568","content":"If both art and laughter are good for your health, why aren't we encouraging more humor in museums and hospitals? We are taught to approach art with awe and respect-and to treat medicine as deadly serious business. It follows, then, that overt displays of humor, such as laughing or joking in a museum, doctor's office, or hospital, are probably in bad taste. But if viewing and making art can lower rates of anxiety and depression and help soothe chronic pain-and if laughter helps blood vessels function better and improves the flow of oxygen to the heart and brain-then perhaps we unwittingly deprive our patrons and patients of an important tool in the health and wellness toolbox.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E624-627","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.624","pmid":"32744233"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ipm7rlbdynagpbjg7rwg3yytpe","title":"Should We Be Laughing More in Art Museums and Hospitals?","state":"active","ident":"ypxf26su65gaxpst7k4ylo5wyy","revision":"fc02c658-354c-4b0d-bef4-469d6e9bc32d","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.624"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.628 {"abstracts":[{"sha1":"63eda876c015f04ed55adcc858fe3c78fb9d970f","content":"This self-portrait, done in bold colors, depicts the experience of \"imposterhood\" in medicine.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E628-629","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.628","pmid":"32744234"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"nfg2eegsdfbn3bchzih2oyhg5e","title":"Imposter Syndrome","state":"active","ident":"v7t2xtjopngjdgwhbi3sw47gqy","revision":"bd915893-70b1-4169-ab29-e2489e3ccc71","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.628"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.63 {"abstracts":[{"sha1":"f921c3c6b7f3587d2a394f67e50a41f78d5c30d3","content":"Two photographs of caregivers walking through a Honduran jungle to visit patients in their homes literally and figuratively represent barriers to health care access.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E63-65","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.63","pmid":"31958394"},"release_year":2020,"release_date":"2020-01-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vhw6t2weyrchlbh5sh5x6oyxf4","title":"Worlds Apart","state":"active","ident":"ebfcqduajjfbljqql26fvsmyzi","revision":"c825dc76-070f-4543-95d5-70105bc148cd","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.63"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.630 {"abstracts":[{"sha1":"13a8a85072c4be2af2c56742b604ab2d7c519b5a","content":"Just as cellular imbalances on a microsopic level can have macroscopic consequences in systemic diseases, so one instrument playing out of tune in an orchestra can compromise the harmony of the entire symphony. In addition, the practice of medicine itself is a balance between science and humanism; after all, physicians are treating multidimensional human beings.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E630-631","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.630","pmid":"32744235"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"deswarfl3bchzd2sae3tltplqm","title":"Equilibrium","state":"active","ident":"jxdcqjobbbbmpmhollovsjq5u4","revision":"a1b30b23-8619-40ac-8048-95b21fc633c0","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.630"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.632 {"abstracts":[{"sha1":"c1525698b9150599f4f122397bf2e4f293546d52","content":"In this cartoon, a guilt-ridden and heavily scarred surgeon prepares to self-flagellate to atone for his team's failed attempts to save the life of an innocent child victim of a mass shooting. One of his nurses, carrying an assault rifle modified to serve as his whip, attempts to stop him by reminding him that the blame is not his to bear. We in the field of medicine can and must do more for our patients than simply treating their wounds and consoling their families and loved ones after tragic, senseless losses. Solving the gun violence epidemic won't be easy, but we must try.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E632-635","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.632","pmid":"32744236"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"fv352bw2pzgopgkiue2tbuifyi","title":"Enough Is Enough","state":"active","ident":"qeo5lba5b5bbjcfc4ac2icwyt4","revision":"1f2f7a87-76c1-41bb-9fac-a669421a001c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.632"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.636 {"abstracts":[{"sha1":"671932af2196cd045f429fc4858794ce5447ff06","content":"This illustration is a humorous take on experts' disagreement about the care of a patient. Breaking the deadlock requires much effort, and a focus on the patient can restore common ground. Patients should always be the center of our care universe.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E636-638","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.636","pmid":"32744237"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"o346urv5jrgmba7f3ot5mudwm4","title":"Game-Based Medicine","state":"active","ident":"b5bgnzwn2ngzhatgpyykgmfjdm","revision":"dababb1c-c45c-4021-b305-4f7e2d19802c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.636"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.639 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E639-642","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.639","pmid":"32744238"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"jrtddebvovfixhz5mp4p2qkfua","title":"Response to \"How Should Global Tobacco Control Efforts Be Prioritized to Protect Children in Resource-Poor Regions?\" A Deliberate Public Policy Plus Naivety at Best","state":"active","ident":"ire6fvlribefrhh34aorgnwvru","revision":"d4af3b2c-7c7e-4429-82c8-01682c778a4b","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.639"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.643 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E643-644","issue":"7","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.643","pmid":"32744239"},"release_year":2020,"release_date":"2020-07-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"qi6rszni4fdd5b45u3vssipv6a","title":"Response to \"A Deliberate Public Policy Plus Naivety at Best\"","state":"active","ident":"ml4v3ltvfvafxcomjq6kawq6my","revision":"75fca189-89fd-4314-ab4a-a15299514926","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.643"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.647 {"abstracts":[],"contribs":[{"index":0,"raw_name":"Hunter Jackson Smith","given_name":"Hunter Jackson","surname":"Smith","role":"author","raw_affiliation":"Third-year preventive medicine resident at the Uniformed Services University in Bethesda, Maryland.","extra":{}}],"language":"en","pages":"E647-650","issue":"8","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.647","pmid":"32880350"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"vzhmf55k5rggtaishbq7smknxi","title":"Ethics, Public Health, and Addressing the Opioid Crisis","state":"active","ident":"ahc6i2bhdrfzlm6lorg3bdh6s4","revision":"93c604e0-039a-4f6f-bae3-5bb4e91b08f2","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.651 {"abstracts":[{"sha1":"07692cedc2457c99ed61b97959548f004d9e1c6b","content":"This case considers a so-called legacy patient, one whose behaviors and symptoms express a legacy of past, aggressive opioid prescribing by a clinician. Some prescribers might feel pressured to taper doses of opioids for such patients, but this article argues that nonconsensual dose reductions for stable opioid therapy patients is impermissible because it both puts a patient at risk and wrongs an individual in a misdirected attempt to ameliorate a systemic wrong. Although perhaps surprising, this argument is supported by current evidence and recommendations for patient-centered pain care.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Travis N Rieder","given_name":"Travis N","surname":"Rieder","role":"author","raw_affiliation":"Director of the Master of Bioethics degree program and a research scholar at the Johns Hopkins Berman Institute of Bioethics in Baltimore, Maryland.","extra":{}}],"language":"en","pages":"E651-657","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.651","pmid":"32880351"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"tq4w7qzmuzdd5dfs4wqwofcypi","title":"Is Nonconsensual Tapering of High-Dose Opioid Therapy Justifiable?","state":"active","ident":"tcifte5cind3lj3aisg5snejmq","revision":"ff061134-0cbe-4d12-a137-27ae3860629f","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.658 {"abstracts":[{"sha1":"17fa1d089c741aab1f9c4cfdbb5e441b4fc04af5","content":"This case-and-commentary examines whether and when prescribers should authorize prescription opioid refills and questions whether and how a patient's living in an area with a high number of overdose deaths should influence that decision. Clinical social work perspectives presented in the commentary inform a multidisciplinary, team-based approach to this decision that is holistic and nondiscriminatory and that prioritizes the ethical value of self-determination.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Jennifer D Byrne","given_name":"Jennifer D","surname":"Byrne","role":"author","raw_affiliation":"Licensed clinical social worker and certified alcohol and drug counselor at the American Medical Association in Chicago.","extra":{}},{"index":1,"raw_name":"Katie S Clancy","given_name":"Katie S","surname":"Clancy","role":"author","raw_affiliation":"Consultant with experience in nonprofit education program development and management.","extra":{}},{"index":2,"raw_name":"Isabell Ciszewski","given_name":"Isabell","surname":"Ciszewski","role":"author","raw_affiliation":"Licensed clinical social worker and faculty member at the Aurora University School of Social Work in Aurora, Illinois.","extra":{}}],"language":"en","pages":"E658-663","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.658","pmid":"32880352"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"fdd5333fejamngxr5rqpjpzk6i","title":"Should the Location of a Patient's Home Inform Physicians' Opioid Prescription Practices?","state":"active","ident":"6hptebodbzalxjxnoowb5zdk3e","revision":"7dbc3114-7a7c-4c8a-a6f2-53dad66632f4","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.664 {"abstracts":[{"sha1":"12739f61cd657175b2630fe73258e137bb190ea7","content":"For elective surgery, preoperative planning for patients with comorbidities tends to address risk stratification, cardiac clearance, and anticoagulation. This commentary suggests that chronic opioid use should be normalized as a comorbidity requiring \"pain clearance\" prior to elective surgery. Doing so would likely enhance team communication, optimize patient care, decrease stigma, and facilitate care transitioning and long-term planning.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Alexandra M Dunham","given_name":"Alexandra M","surname":"Dunham","role":"author","raw_affiliation":"Orthopedic surgery resident at Johns Hopkins University in Baltimore, Maryland.","extra":{}},{"index":1,"raw_name":"Casey Jo Humbyrd","given_name":"Casey Jo","surname":"Humbyrd","role":"author","raw_affiliation":"Associate professor of orthopedic surgery and chief of the Foot and Ankle Division at the Johns Hopkins University School of Medicine in Baltimore, Maryland.","extra":{}}],"language":"en","pages":"E664-667","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.664","pmid":"32880353"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"wmgkgbq7cnhmxhupsr2mgtqbdm","title":"Should \"Pain Clearance\" Be Routine for Elective Surgery?","state":"active","ident":"riz3ax5xbzchxj35jnd4mubire","revision":"4768f41e-a647-42bd-8be8-4e920b24cfcb","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.668 {"abstracts":[{"sha1":"a639b8aa4f95ad7373e3188cf114c4ca26df76d5","content":"Evidence-based clinical guidelines could mitigate variations in care for some patients. However, patient and clinician distress can arise when guidelines are misapplied or mandated by processes that are not evidence based, fail to integrate physician expertise and patient preference, or fail to motivate informed, shared decision making. Physicians can choose to collectively advocate at national, state, and local levels for policy changes.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Beth A Lown","given_name":"Beth A","surname":"Lown","role":"author","raw_affiliation":"Internist at Mount Auburn Hospital in Cambridge, Massachusetts, and an associate professor of medicine at Harvard Medical School in Boston, Massachusetts.","extra":{}},{"index":1,"raw_name":"Michael J Goldberg","given_name":"Michael J","surname":"Goldberg","role":"author","raw_affiliation":"Pediatric orthopedic surgeon at Seattle Children's Hospital and a clinical professor of orthopedics at the University of Washington in Seattle.","extra":{}}],"language":"en","pages":"E668-674","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.668","pmid":"32880354"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"5lxk3x6bjbcxtduph6djzrmbd4","title":"Do Physicians Have Collective, Not Just Individual, Obligations to Respond to the Opioid Crisis?","state":"active","ident":"hegfmitwybc33e5exomz46uqju","revision":"b6aed655-add7-40db-8e0f-6916f997829a","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.675 {"abstracts":[{"sha1":"5eae3c5b46eea811b8dc889f9fe04deecaa71b2a","content":"Physicians and pharmacists have critical roles in addressing the current opioid epidemic and ensuring appropriate care for patients with pain. Both physicians and pharmacists have responsibilities to ensure that opioids are prescribed and dispensed for legitimate medical purposes and to meet legal requirements. Health care systems have implemented policies to curb opioid prescribing and dispensing, but many of these policies place additional pressures on clinicians and can cause friction between physicians and pharmacists. Cases discussed in this article highlight 5 optimal physician and pharmacist behaviors that can help foster better collaboration between these clinicians, improve management strategies, and improve care of patients with pain.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Kyle Bryan","given_name":"Kyle","surname":"Bryan","role":"author","raw_affiliation":"First-year community pharmacy resident with the American Pharmacy Services Corporation in coordination with the University of Kentucky College of Pharmacy.","extra":{}},{"index":1,"raw_name":"Thomas E Menighan","given_name":"Thomas E","surname":"Menighan","role":"author","raw_affiliation":"Former executive vice-president and chief executive officer of the American Pharmacists Association.","extra":{}}],"language":"en","pages":"E675-680","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.675","pmid":"32880355"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"iuv5uhtzunabtbkyv6uh4663dm","title":"What Does Good Pharmacist-Physician Pain Management Collaboration Look Like?","state":"active","ident":"iiumj4244reofee2fotknf4q3a","revision":"df950d34-71fd-4b73-991d-10e3269579d1","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.681 {"abstracts":[{"sha1":"336db45395722440abe40db8154b1e5e706a05ff","content":"Marketing drugs and devices to clinicians affects their prescribing behaviors, drives up health care costs, and increases risk of harm to patients. This article canvasses what clinicians and health professions students should know about undue influence of drug and device marketing on their practices. It also considers policy changes that would better protect patients and better situate clinicians to care for patients and communities in ways that are ethical, safe, and effective.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Michael A Erdek","given_name":"Michael A","surname":"Erdek","role":"author","raw_affiliation":"Associate professor in the Division of Pain Medicine, Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins University School of Medicine in Baltimore, Maryland.","extra":{}}],"language":"en","pages":"E681-686","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.681","pmid":"32880356"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"iq7w4puuerfcvkcd2a3sli7ipa","title":"What Clinicians and Health Professions Students Should Learn About How Pharmaceutical Marketing Influences Opioid Prescribing and Patient Outcomes","state":"active","ident":"p3st3mes4rcrxfbqi2ipqcbouq","revision":"78b8a406-ff79-406a-9ef6-898fe7b40f48","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.687 {"abstracts":[{"sha1":"64d7a806ac1399a47fd330fb36db97d7944900e3","content":"Research is the foundation of evidence-based health care that motivates innovations in clinical interventions and public health. Prior and current research on opioid use has focused mainly on individual patient-physician relationships, opioid use disorder and treatment, and overdose responses. This article recommends 3 priorities for future research and investigates why, from clinical and ethical standpoints, future research should be directed toward building the capacity and increasing the effectiveness of population-based programs and improving prevention strategies.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Hunter Jackson Smith","given_name":"Hunter Jackson","surname":"Smith","role":"author","raw_affiliation":"Third-year preventive medicine resident at the Uniformed Services University in Bethesda, Maryland.","extra":{}},{"index":1,"raw_name":"Elizabeth Salisbury-Afshar","given_name":"Elizabeth","surname":"Salisbury-Afshar","role":"author","raw_affiliation":"Director of the Center for Addiction Research and Effective Solutions at the American Institutes for Research.","extra":{}},{"index":2,"raw_name":"Bob Carr","given_name":"Bob","surname":"Carr","role":"author","raw_affiliation":"Chief medical officer for Kumanu.","extra":{}},{"index":3,"raw_name":"Stephanie Zaza","given_name":"Stephanie","surname":"Zaza","role":"author","raw_affiliation":"President of the American College of Preventive Medicine.","extra":{}}],"language":"en","pages":"E687-694","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.687","pmid":"32880357"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"tnpwokq35jbr3j5woh4e52korq","title":"American College of Preventive Medicine Statement on Prioritizing Prevention in Opioid Research","state":"active","ident":"6dljrfb2kjdvxlqjyawszpfouu","revision":"53b859bd-4047-4d42-8ce0-89ec3f9030c2","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.69 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E69-72","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.69"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"bfif6fxy3zdnrcrr3b5v6cosqe","title":"Motivating Health Equity","state":"active","ident":"k353v2amffckpjyzth3x4ms2le","revision":"b1f6fbeb-b7b8-4900-92ed-5a54c4c0d733","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.69"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.695 {"abstracts":[{"sha1":"a0a0f86ac4dd36fd1f29c4e1b495ccab1d9de7cd","content":"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 guideline, which is often absent in conversations with patients about treatment options for their pain and consequentially underutilized. However, with concerns growing regarding opioid use, a shift in the stepwise approach of the WHO analgesic ladder in an age of developing technology and surgical offerings could have profound implications for patients and public health. Surgical interventions potentially provide a long-term, cost-effective management strategy to reduce opioid use. This review canvasses surgical options, highlights literature on failed back surgery syndrome and spinal cord stimulation and reconsiders the current ladder approach to pain management.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Laura Stone McGuire","given_name":"Laura Stone","surname":"McGuire","role":"author","raw_affiliation":"Resident physician in the Department of Neurosurgery at the University of Illinois at Chicago in Illinois.","extra":{}},{"index":1,"raw_name":"Konstantin Slavin","given_name":"Konstantin","surname":"Slavin","role":"author","raw_affiliation":"Neurosurgeon and professor at the University of Illinois College of Medicine at Chicago in Illinois.","extra":{}}],"language":"en","pages":"E695-701","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.695","pmid":"32880358"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"6xb6dyogwfbqriwwpmjdxevq7q","title":"Revisiting the WHO Analgesic Ladder for Surgical Management of Pain","state":"active","ident":"5tteeyko5zdd3ohcf3sajsu3ve","revision":"90adae8e-31b2-4912-af31-5d5011a8a053","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.702 {"abstracts":[{"sha1":"84feda08f3f2768de39a3eab7763f9558c847a60","content":"Responding to the public health crisis in the United States resulting from untreated opioid use disorder (OUD) requires expanding delivery of effective treatments, including medications, and eliminating stigma against people with OUD and people seeking OUD treatment. Stigma discourages people with substance use disorders from seeking care and compromises the care they receive when they do seek it. Stigma against both medication treatments for OUD and harm-reduction approaches like syringe services programs has created additional barriers to these strategies' acceptance and use. It is ethically incumbent upon everyone in medicine and health care to recognize addiction not as a moral failing but as a treatable disease.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Jerome M Adams","given_name":"Jerome M","surname":"Adams","role":"author","raw_affiliation":"Surgeon general of the United States in Washington, DC.","extra":{}},{"index":1,"raw_name":"Nora D Volkow","given_name":"Nora D","surname":"Volkow","role":"author","raw_affiliation":"Director of the National Institute on Drug Abuse at the National Institutes of Health in North Bethesda, Maryland.","extra":{}}],"language":"en","pages":"E702-708","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.702","pmid":"32880359"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"rir6zmuzbbdx7m2oh42z326uhy","title":"Ethical Imperatives to Overcome Stigma Against People With Substance Use Disorders","state":"active","ident":"2c6eblrvrbfc5dqkk3modit3xy","revision":"ec2b230c-3b38-4f49-8abb-757854d4b93b","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.709 {"abstracts":[{"sha1":"b35a7592a20f29e85e2a61fca5531722e6d48aaf","content":"Pain is a universal human experience and the most common reason patients seek health care. This article describes barriers to effective, high-quality, evidence-informed pain care. Based on the clinical literature and pain specialists' survey results, the AMA Pain Care Task Force suggests strategies that clinicians can use to offer good pain care to patients. The task force also canvasses key policy-level concerns that situate clinicians in micro- and macro-level complexities related to payers, workforce and training demands, legal and regulatory questions, research, stigma, and patients' beliefs and expectations.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"AMA Pain Care Task Force","role":"author","extra":{}}],"language":"en","pages":"E709-717","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.709","pmid":"32880360"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"f75zsbyyfbgorfvui7o2gkticu","title":"Addressing Obstacles to Evidence-Informed Pain Care","state":"active","ident":"3ju2ci6h2vaxjj3ztdfmss4rwa","revision":"3ec236e0-d5c4-4cf4-876a-0193719cfbe4","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.718 {"abstracts":[{"sha1":"1ecdea34ea5d01de8ac37a0c5405d1c1ccad3c0d","content":"Members of the AMA Opioid Task Force include the American Medical Association, the American Osteopathic Association, 25 specialty and state medical societies, and the American Dental Association. In 2015, the task force issued 6 recommendations focused on specific actions to help reverse the nation's opioid epidemic. Clinicians have demonstrated progress in each of these areas, and, while much work remains, making good policy will be key to motivating continued progress. Recommendations adopted in 2019 focus on tangible actions policymakers can take to help end the epidemic. This article offers an overview of task force recommendations.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Patrice A Harris","given_name":"Patrice A","surname":"Harris","role":"author","raw_affiliation":"Chair of the AMA Opioid Task Force and immediate past president of the American Medical Association in Chicago, Illinois.","extra":{}},{"index":1,"raw_name":"Bobby Mukkamala","given_name":"Bobby","surname":"Mukkamala","role":"author","raw_affiliation":"Chair of the AMA Pain Care Task Force and chair-elect of the AMA Board of Trustees.","extra":{}}],"language":"en","pages":"E718-722","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.718","pmid":"32880361"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"dccqi3pj5jhbpgwlzrhljvwn6y","title":"Advocacy and Action to End the Opioid Epidemic by the AMA Opioid Task Force","state":"active","ident":"lb7y5aib3vd6ted2c5ehkg26lq","revision":"7455acda-9af7-462b-a811-0562abf94221","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.723 {"abstracts":[{"sha1":"bc9cadd32c4583a324537938822b67c150f7b96b","content":"As of 2020, North America is now into the fifth year of an unprecedented increase in drug overdose deaths driven by a toxic, unpredictable, and unregulated drug supply. While the genesis and drivers of and response to the opioid overdose crisis have wide regional variations, structural violence, prohibitions against illicit drug use, and stigma consistently play a central role. The criminalization of users of illicit drugs has led directly not only to users' incarceration, but also to their marginalization and isolation and to violence, entrenched poverty, and a vicious cycle of trauma. This policy has created an environment wherein any initiatives to prevent and reverse overdoses have been severely restricted. While a war on drugs and the people who use them has been widely criticized as destructive and unwinnable, the criminal policies that support the war on drugs have not changed even in response to this unprecedented crisis.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Mark Tyndall","given_name":"Mark","surname":"Tyndall","role":"author","raw_affiliation":"Infectious diseases physician, public health specialist, and professor at the University of British Columbia School of Population and Public Health in Vancouver, Canada.","extra":{}},{"index":1,"raw_name":"Zoë Dodd","given_name":"Zoë","surname":"Dodd","role":"author","raw_affiliation":"Co-organizer with the Toronto Overdose Prevention Society.","extra":{}}],"language":"en","pages":"E723-728","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.723","pmid":"32880362"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"hj6ehpc2cbbzxc4urxkxpjzjym","title":"How Structural Violence, Prohibition, and Stigma Have Paralyzed North American Responses to Opioid Overdose","state":"active","ident":"7hhpl52ksbchtp75lcx7n66dfm","revision":"78717dd0-3ea3-4742-abb8-407205de1053","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.729 {"abstracts":[{"sha1":"40ef4b920546f6d41e784da2e63b8d8c498e15ec","content":"2020 is not the only time the world has seen opioids ruining the lives of thousands. This article discusses 3 historical episodes in which the need to relieve pain was challenged by the need to prevent and control opioid addiction: the era of iatrogenic addiction in the early 20th century before and after the passage of the Harrison Act of 1914; the shift in attitudes toward and treatment of pain from the 1950s to the 1970s; and the current opioid epidemic, fueled by opioid overprescription and overuse, from the late 1990s to the present. These episodes illustrate the tensions between pain relief and risk reduction and between clinical practice guidelines and modern corporate health care, as well as the stigmatization of chronic illness in American culture and society.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Marcia Meldrum","given_name":"Marcia","surname":"Meldrum","role":"author","raw_affiliation":"Medical historian affiliated with the Center for Social Medicine and the Humanities in the Department of Psychiatry and Biobehavioral Sciences at the University of California, Los Angeles.","extra":{}}],"language":"en","pages":"E729-734","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.729","pmid":"32880363"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"wfycc3hl3regxhgojixjiskidm","title":"Opioids' Long Shadow","state":"active","ident":"eojbmzbgqzbw3lmklclkydegue","revision":"a847e644-fa11-48eb-82ae-f827e2eee110","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.73 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E73-75","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.73"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"vpeg26fr35fchdqt4hczbzeb3y","title":"Malignant Disparity and the Ethics of Global Cancer Prevention","state":"active","ident":"glatmxlylzabbobjvjusy27vom","revision":"f81ad686-6c08-4da2-8d7d-28733a0e0062","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.73"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.735 {"abstracts":[{"sha1":"10784bcfbb8aff030b9ba535b99843bc553a6620","content":"Art world superstar Jean-Michel Basquiat painted the electrically vibrant, sketchy skull, Untitled, before dying of a heroin overdose at age 27. The painting's imagery and its creator's substance use struggles call to mind the victims of the current opioid epidemic. Large donations from the Sackler family, patrons of numerous museums and arts institutions, have prompted questions about art world affiliation and accountability. Largely in response to protests staged by activists such as artist Nan Goldin, numerous museums have renounced Sackler funding. What more can arts organizations consider doing amidst the crisis? The Currier Museum of Art in New Hampshire offers community support and suggests a framework for museums' roles in healing.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Emily Alesandrini","given_name":"Emily","surname":"Alesandrini","role":"author","raw_affiliation":"Arts writer, curator, and advocate living and working in New York City.","extra":{}}],"language":"en","pages":"E735-738","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.735","pmid":"32880364"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"dauxmtd5bjc3tmqofehpid3naa","title":"What Artists and Museum Educators Can Teach Us About Combatting the Opioid Epidemic","state":"active","ident":"xvl52ehf3jdw3gpujdgqjofyk4","revision":"a848ffcb-8267-4cd1-b766-67e64cdc584b","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.739 {"abstracts":[{"sha1":"47d62f6fa43a88f6de3ebc91f4fa228e0ea06883","content":"This painting memorializes the lives of people who died in the COVID-19 pandemic and people who have died from police brutality.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Kajal Patel","given_name":"Kajal","surname":"Patel","role":"author","raw_affiliation":"Medical student at Herbert Wertheim College of Medicine in Miami, Florida.","extra":{}}],"language":"en","pages":"E739-740","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.739","pmid":"32880365"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"dqxp4l2slbgwhdl6hdlb4rgpk4","title":"Breath Is Life","state":"active","ident":"aqvzlmcjv5amlfqvtad2dxt3zm","revision":"fdccd8f6-5863-4149-86f1-b8694780bbb2","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.741 {"abstracts":[{"sha1":"13f974d00ddebef52d64c4faef66e91e2d7414ff","content":"Eleven million undocumented immigrants in the United States, including children, face barriers to health. By practicing 4 elements of sanctuary health care, clinicians and organizations can help.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Lauren Beatty","given_name":"Lauren","surname":"Beatty","role":"author","raw_affiliation":"Student at the School of the Art Institute of Chicago.","extra":{}}],"language":"en","pages":"E741-742","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.741","pmid":"32880366"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"ouysrucbsfhdbc2tlf74yzcgeq","title":"Sanctuary Health Care","state":"active","ident":"l5zn5afxu5emne74yf73chrxw4","revision":"d7bec82e-12a2-4190-a67f-88e78bd86396","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.743 {"abstracts":[{"sha1":"400f5be845b71322122ff0f7df31b8ecf0a43507","content":"Over the past 25 years, pharmaceutical companies deceptively promoted opioid use in ways that were often neither safe nor effective, contributing to unprecedented increases in prescribing, opioid use disorder, and deaths by overdose. This article explores regulatory mistakes made by the US Food and Drug Administration (FDA) in approving and labeling new analgesics. By understanding and correcting these mistakes, future public health crises caused by improper pharmaceutical marketing might be prevented.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Andrew Kolodny","given_name":"Andrew","surname":"Kolodny","role":"author","raw_affiliation":"Senior scientist and the medical director of the Opioid Policy Research Collaborative in the Heller School for Social Policy and Management at Brandeis University in Waltham, Massachusetts.","extra":{}}],"language":"en","pages":"E743-750","issue":"1","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.743","pmid":"32880367"},"release_year":2020,"release_date":"2020-08-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"fjfcw47lrvfufdwl4kdartfwiy","title":"How FDA Failures Contributed to the Opioid Crisis","state":"active","ident":"qixjo2xt7zfddhhm345b5vgeoy","revision":"e7aa89c6-84d7-4e19-a7db-f10c1c2ef296","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.753 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E753-756","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.753"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"7afvcpen7vebzbikpzwe4fbzee","title":"Health of We the People","state":"active","ident":"4p3sogacnnddlkgbaxitxwlynq","revision":"e48474c4-6b60-43ac-bff4-9ee6d5edf8d8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.753"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.757 {"abstracts":[],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E757-759","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.757"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"uel6iso4abc73i5a7ft6oepuue","title":"Behavioral Psychology in Medicine: The Good, the Bad, and the Unknown","state":"active","ident":"tu24wcxrpvdjpmeuq27vezdn3y","revision":"e2d5b54f-dd20-4e59-b191-8352d0c69f3c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.757"],"subject":["General Medicine"],"type":"journal-article"}}} +10.1001/amajethics.2020.76 {"abstracts":[{"sha1":"aa10726594e00c972fdb527d2942b0b28fbfd166","content":"Limited understanding of public health disease prevention programs often leads to resistance, which ultimately results in low vaccine uptake. This article suggests how public health practitioners can improve public understanding of cervical cancer and HPV vaccination programs, which is key to improving health literacy, using culturally appropriate materials and approaches to boost public acceptance of vaccine programs.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E76-81","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.76","pmid":"32048577"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"xx3vzyxycndxrl4uimjdqrhqqe","title":"How Should Vaccine Campaigns Balance Need for Clear Communication Against Need for Timely Administration of Large-Scale Programs?","state":"active","ident":"y3mzhzx72vcpfo6iw5rs45222m","revision":"d343f977-3f41-41a4-bbea-f2e0c3d1be8f","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.76"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.760 {"abstracts":[{"sha1":"6e82828b7f1a26bb0f079f07f2894ec9074656a0","content":"Behavioral interventions have been shown to have powerful effects on human behavior both outside of and within the context of health care. As organizations increasingly adopt behavioral architecture, care must be taken to consider its potential negative consequences. An evidenced-based approach is best, whereby interventions that might have a significant deleterious effect on patients' health outcomes are first tested and rigorously evaluated before being systematically rolled out. In the case of clinical decision support, brief and thorough instructions should be provided for use. Physician performance when using these systems is best measured relatively, in the context of peers with similar training. Responsibility for errors must be shared with clinical team members and system designers.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Safiya Richardson","given_name":"Safiya","surname":"Richardson","role":"author","raw_affiliation":"Internal medicine physician at Northwell Health in Great Neck, New York.","extra":{}}],"language":"en","pages":"E760-766","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.760","pmid":"33009771"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"pbtfvuqsgreibivtfrsughjbba","title":"How Should Clinicians' Performance Be Assessed When Health Care Organizations Implement Behavioral Architecture That Generates Negative Consequences?","state":"active","ident":"tfs3q2kfvfaqphdybrau5muke4","revision":"19a49477-3328-4714-b3d0-a9d3621aa93e","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.767 {"abstracts":[{"sha1":"de7c6a6e7041ad0a7ffb3a42bc5dff59044884ca","content":"A nudge is an intervention designed to prompt people to \"voluntarily\" make the choice intended by those who altered the choice environment or situation, and therefore using nudges is thought to undermine self-determination. Evidence for this assumption is weak, however, and sets aside much of what we know about human conduct sociologically. This paper argues that the practical consciousness that people have about their own actions and reasons for executing those actions can inform our thinking about motivating compliance with treatments in clinical settings and the ethical issues involved.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Michael P Kelly","given_name":"Michael P","surname":"Kelly","role":"author","raw_affiliation":"Visiting fellow at the Institute of Public Health at the University of Cambridge in Cambridge, United Kingdom.","extra":{}}],"language":"en","pages":"E767-772","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.767","pmid":"33009772"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"wu53vp6btjf7np4clled7c7lry","title":"Is It Justifiable to Make Self-Determination Illusory to Motivate a Specific Health Outcome?","state":"active","ident":"ctmr7ooa7jbaneglbr5l2li3fa","revision":"bcb57bb0-0194-4e2e-963d-eedc7b608db1","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.773 {"abstracts":[{"sha1":"0223e7c08031028be2476069d58645f0d271ab3b","content":"Like all humans, health professionals are subject to cognitive biases that can render diagnoses and treatment decisions vulnerable to error. Learning effective debiasing strategies and cultivating awareness of confirmation, anchoring, and outcomes biases and the affect heuristic, among others, and their effects on clinical decision making should be prioritized in all stages of education.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Tiffany S Doherty","given_name":"Tiffany S","surname":"Doherty","role":"author","raw_affiliation":"Postdoctoral researcher at Indiana University School of Medicine in Indianapolis.","extra":{}},{"index":1,"raw_name":"Aaron E Carroll","given_name":"Aaron E","surname":"Carroll","role":"author","raw_affiliation":"Professor of Pediatrics and associate dean for research mentoring at Indiana University School of Medicine in Indianapolis.","extra":{}}],"language":"en","pages":"E773-778","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.773","pmid":"33009773"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"4th3e35w4ffjzdxtyukgx7nhiq","title":"Believing in Overcoming Cognitive Biases","state":"active","ident":"uvlbth6bxbdnna366ljhcr7uvi","revision":"42200a27-83a4-40b3-9ab1-25bfb9757d5c","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.779 {"abstracts":[{"sha1":"43d7f25a333d0573953bfe0e936ce6d3904f3fcc","content":"Because human errors should be regarded as expected events, health care organizations should routinize processes aimed at human error prevention, limit negative consequences when human errors do occur, and support and educate those who have erred. A just culture perspective suggests that responding punitively to those who err should be reserved for those who have willfully and irremediably caused harm, because punishment creates blame-based workplace cultures that deter error reporting, which makes patients less safe.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Deborah M Eng","given_name":"Deborah M","surname":"Eng","role":"author","raw_affiliation":"Consultant medical writer and editor.","extra":{}},{"index":1,"raw_name":"Scott J Schweikart","given_name":"Scott J","surname":"Schweikart","role":"author","raw_affiliation":"Senior research associate for the American Medical Association Council on Ethical and Judicial Affairs in Chicago, Illinois.","extra":{}}],"language":"en","pages":"E779-783","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.779","pmid":"33009774"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"p4lhltjs7nglhfhqsmcn7aolkm","title":"Why Accountability Sharing in Health Care Organizational Cultures Means Patients Are Probably Safer","state":"active","ident":"wlbnd2gewbfq7gryvc5md63j5i","revision":"0b0a3371-9ad9-4043-95c5-a44fdb12c683","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.784 {"abstracts":[{"sha1":"22014430adb79252b4f5026a5366c70123d0f2f0","content":"Many health systems have adopted online patient portals that allow patients to easily view their health records. As a result, notes written by health care professionals are increasingly read by both clinicians and patients, and clinicians in specialties that routinely involve sensitive information (eg, mental health care) have had to construct notes in a manner that respectfully promotes therapeutic relationships with patients. This article discusses whether ethics consultation services should share notes with patients through online portals and ways to handle practical implementation challenges. In support of sharing notes, this article appeals to an existing right that patients have to access their health record and suggests that sharing ethics consultation notes might help patients understand key clinical ethics concepts and practices.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Dominic R Mangino","given_name":"Dominic R","surname":"Mangino","role":"author","raw_affiliation":"Postbaccalaureate fellow in the Department of Bioethics at the Clinical Center of the National Institutes of Health in Bethesda, Maryland.","extra":{}},{"index":1,"raw_name":"Marion Danis","given_name":"Marion","surname":"Danis","role":"author","raw_affiliation":"Head of the Section on Ethics and Health Policy in the Department of Bioethics at the Clinical Center of the National Institutes of Health (NIH) in Bethesda, Maryland, and chief of the Bioethics Consultation Service at the NIH Clinical Center.","extra":{}}],"language":"en","pages":"E784-791","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.784","pmid":"33009775"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"ptza3342qngtlgfo2axnhinn4i","title":"Sharing Ethics Consultation Notes With Patients Through Online Portals","state":"active","ident":"inosxznh75aptekbpafht33pre","revision":"58bbbe54-3b29-4369-bb86-d1f3f8e266f0","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.792 {"abstracts":[{"sha1":"3cac165ad3cd2ef9f8514156d5500c109c6e0a6a","content":"Most women requesting pregnancy termination have already decided to undergo an abortion. Physicians are required to obtain informed consent after offering objective and accurate descriptions of abortion and its risks and benefits. Some jurisdictions also require concurrent counseling and ultrasound viewing. This article discusses potential benefits and harms of providing emotionally charged or biased content about abortions at the time of service, considers what constitutes ethical content, and explores when ethical content should be part of abortion decision making.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Carol A Westbrook","given_name":"Carol A","surname":"Westbrook","role":"author","raw_affiliation":"Medical oncologist who spent her academic career at the University of Chicago, the University of Illinois, and Boston University.","extra":{}}],"language":"en","pages":"E792-795","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.792","pmid":"33009776"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"mtgbu2m54rbbtfstscccsodjwa","title":"Ethical Choice Architecture in Preabortion Counseling","state":"active","ident":"hrpgkx6cazhahnycc3fsqewrmu","revision":"640f6653-e265-4a2e-b5c9-b963546c344f","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.796 {"abstracts":[{"sha1":"09c24961f7c1ee22da64a52f988289c2d6869810","content":"Nudges are subtle changes to the design of the environment or the framing of information that can influence our behaviors. There is significant potential to use nudges in health care to improve patient outcomes and transform health care delivery. However, these interventions must be tested and implemented using a systematic approach. In this article, we describe several ways to design nudges for success by focusing on optimizing and fitting them into the clinical workflow, engaging the right stakeholders, and rapid experimentation.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Joseph D Harrison","given_name":"Joseph D","surname":"Harrison","role":"author","raw_affiliation":"Clinical psychology doctoral student at Philadelphia College of Osteopathic Medicine in Philadelphia, Pennsylvania.","extra":{}},{"index":1,"raw_name":"Mitesh S Patel","given_name":"Mitesh S","surname":"Patel","role":"author","raw_affiliation":"Director of the Penn Medicine Nudge Unit in Philadelphia, Pennsylvania, and the Ralph Muller Presidential Associate Professor of Medicine and Health Care Management in the Perelman School of Medicine and Wharton School at the University of Pennsylvania in Philadelphia.","extra":{}}],"language":"en","pages":"E796-801","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.796","pmid":"33009777"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"qpvr7iupmbfhnn36h2b2gvfcju","title":"Designing Nudges for Success in Health Care","state":"active","ident":"elntmg2bv5ghjbrmeocequhitu","revision":"08037fb6-f153-43b2-a9a4-ddb3a20377db","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.802 {"abstracts":[{"sha1":"a626c54f0ae07ac1692661953c245ad336588762","content":"Diffusion of responsibility describes how individuals can underperform in circumstances of shared accountability. While not well studied in health care settings, this phenomenon is an unintended consequence of the health care sector's complexity and fragmentation. This article considers 3 ways in which monetary and nonmonetary incentives can mitigate negative consequences of diffusion of responsibility. First, incentives should be finite and focused. Second, health care organizations can incentivize both individual and team performance. Third, organizations can use peer comparison feedback to amplify effective incentivizing strategies.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Leah M Marcotte","given_name":"Leah M","surname":"Marcotte","role":"author","raw_affiliation":"Associate medical director for population health and clinical assistant professor in the Department of Medicine at the University of Washington in Seattle.","extra":{}},{"index":1,"raw_name":"Jeffrey Krimmel-Morrison","given_name":"Jeffrey","surname":"Krimmel-Morrison","role":"author","raw_affiliation":"Hospitalist at the University of Washington in Seattle.","extra":{}},{"index":2,"raw_name":"Joshua M Liao","given_name":"Joshua M","surname":"Liao","role":"author","raw_affiliation":"Associate professor at the University of Washington in Seattle.","extra":{}}],"language":"en","pages":"E802-807","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.802","pmid":"33009778"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"ju4hnvd2n5hw7a4knytk2x7isq","title":"How to Keep Diffusion of Responsibility From Undermining Value-Based Care","state":"active","ident":"k6vezqono5eqzmxmnnbgx3ncwa","revision":"d8414dfe-20b8-45f7-ad95-5e0bab5a3077","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.808 {"abstracts":[{"sha1":"dae0558d58a60201d5710bb2ae593931403db841","content":"Behind the immediate pathophysiology of a medical condition often lies the emotional turmoil of an uncertain patient. As a result, many patients suffer from distressing thoughts and emotions, and their caregivers play an important role in comforting them. But to comfort a patient one must first have some framework to understand thoughts, emotions, and the relationship between the two. In this piece, the author draws from a collection of essays, Serious Noticing, written by the literary critic James Wood, to provide such a framework. In his work, Wood writes of 2 methods of reading literature, both embodied in the question: \"What is at stake in this passage?\" This framework is useful for both the analysis of literature and the understanding of psychological turmoil.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Aldis H Petriceks","given_name":"Aldis H","surname":"Petriceks","role":"author","raw_affiliation":"Medical student at Harvard Medical School in Boston, Massachusetts.","extra":{}}],"language":"en","pages":"E808-811","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.808","pmid":"33009779"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"f6mpng74xvdu3iuseap4gegkoe","title":"High Stakes, Serious Noticing","state":"active","ident":"tr2gtrhcu5cnhngqzmm6s5puxy","revision":"fc0b32fa-a999-42f4-8553-176caae34c0b","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.812 {"abstracts":[{"sha1":"3f6595f7ecf9e32978b8867f0b48ec4b51b4cae4","content":"This photograph depicts a gateway at the Oud Sint-Janshospitaal, a medieval Flemish hospital. This hospital was open to the poor and sick, helping to make health care accessible to the surrounding community. Just as it was in the Middle Ages, health care access is a salient issue today.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Richard Wu","given_name":"Richard","surname":"Wu","role":"author","raw_affiliation":"Eugene McDermott Scholar at the University of Texas at Dallas.","extra":{}}],"language":"en","pages":"E812-813","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.812","pmid":"33009780"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"valmsfzy3rehbivlmkdxpsxfpa","title":"Arches of St John's","state":"active","ident":"xhzei3gh4jggdadrvgyujus2ce","revision":"9a32d0f1-6286-4ae9-ba92-d3a853943b1a","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.814 {"abstracts":[{"sha1":"bcb1e3e53e83420296cf482cb7e68c27d0adda6e","content":"Good health care for elders requires acute ethical attention to the role of ageism as a pervasive source of bias. A charcoal drawing of one older woman's hand visually examines the nature and scope of younger caregivers' responsibilities to geriatric patients and their loved ones.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Elisabeth Miller","given_name":"Elisabeth","surname":"Miller","role":"author","raw_affiliation":"First-year pathology resident at the University of Virginia in Charlottesville.","extra":{}}],"language":"en","pages":"E814-815","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.814","pmid":"33009781"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"xjudop34dnasfargn5am3mjgmi","title":"Ageism as a Species of Bias","state":"active","ident":"t4c7zdadezalph73jabfi7t6se","revision":"7a63248d-6182-4f24-a206-5d20359bcfb2","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.816 {"abstracts":[{"sha1":"1748c1f7ceddd71de8a1587f69858755387c3123","content":"This comic visually conveys the absurdity of overreliance on symptom measures and excessive testing in contemporary clinical decision making and health care practice.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Abey Kozhimannil Thomas","given_name":"Abey Kozhimannil","surname":"Thomas","role":"author","raw_affiliation":"Internal medicine hospitalist at UT Southwestern Medical Center in Dallas, Texas.","extra":{}}],"language":"en","pages":"E816-817","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.816","pmid":"33009782"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"phbimuue7vhypnvivvaaxc6fre","title":"Choosing Unwisely","state":"active","ident":"zdhkf2dcobhabhx6gzngzbk6yy","revision":"4887bde3-709e-4c5d-b423-bb82df0b82fb","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.818 {"abstracts":[{"sha1":"9337fb4f43d25a55ea212292590fd27936a055b9","content":"White coats are symbols of power that express historically entrenched ideals of clinical purity, sterility, and control. These ideals tend to oversimplify ethical and clinical complexities inherent in evolutions constantly taking place in health care practice. This pen and ink drawing interrogates these ideals visually and reimagines the white coat in the context of more realistic dynamism.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Christine Lynn Chen","given_name":"Christine Lynn","surname":"Chen","role":"author","raw_affiliation":"Second-year medical student at UT Southwestern Medical School in Dallas, Texas.","extra":{}}],"language":"en","pages":"E818-820","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.818","pmid":"33009783"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"4e7ogufz5rd63gjvarhu5a2cby","title":"Data, Decisions, White Coats","state":"active","ident":"6vg52vvqwjelpivsiyh2ef6asi","revision":"9859daa5-3409-4efa-9d97-6c2ec9b2eb50","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.82 {"abstracts":[{"sha1":"1451e6683fcc321bf4827066d4f6ababae0c1780","content":"Electronic nicotine delivery systems (ENDS) have been widely referred to as \"safer,\" \"healthier,\" and more \"effective\" smoking cessation aids, but little evidence supports such claims. New concerns about pulmonary injuries associated with ENDS suggest reasons for concern about these products' health risks and potential for nicotine addiction. Nevertheless, multinational tobacco companies heavily market ENDS to retain customers with nicotine addiction, and global progress against tobacco use might slow as a result. The tobacco industry has managed to divide the tobacco control community by offering hope of harm reduction without actual evidence of ENDS' effectiveness or long-term safety. Low- and middle-income countries need this evidence to assess ENDS' value in mitigating tobacco use.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E82-92","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.82","pmid":"32048578"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"aptme4c3h5c77oalb7mr3tlizi","title":"How Should Physicians in Low- and Middle-Income Countries Regard Electronic Nicotine Delivery Systems to Facilitate Smoking Cessation?","state":"active","ident":"cq5swbxbejbkveoczqsgj3abn4","revision":"db6a2692-6758-419c-b38b-1fa56c3c68f8","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.82"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.821 {"abstracts":[{"sha1":"60f2848d177ab8373a9ff714915502455ea0a0ca","content":"Living through a pandemic and social upheaval suggests the importance of revisiting the intersections of the art and activism of Felix Gonzalez-Torres and Gregg Bordowitz. These artists' works express their experiences of living through a pandemic and subsequent social change and draw out key human rights themes. The works' materials, poetics, and invitations to interact offer opportunities for audiences to reflect on complex and ethically relevant social and cultural dynamics that surface during global crises, such as negotiating personal and collective interests, the politics of touch and coexistence, and cultivating resilience and strength.","mimetype":"text/plain","lang":"en"}],"contribs":[{"index":0,"raw_name":"Giannella Ysasi Tavano","given_name":"Giannella Ysasi","surname":"Tavano","role":"author","raw_affiliation":"Fellow at the Learning and Public Engagement Department at the Art Institute of Chicago in Chicago, Illinois.","extra":{}}],"language":"en","pages":"E821-829","issue":"9","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.821","pmid":"33009784"},"release_year":2020,"release_date":"2020-09-01","release_stage":"published","release_type":"article-journal","webcaptures":[],"filesets":[],"work_id":"cpioo3jyg5gjhascwh5fyccady","title":"What the Activism and Art of Felix Gonzalez-Torres and Gregg Bordowitz Teach Us About Health and Human Rights","state":"active","ident":"n3lhsrbddrdetngjgxkjsall3m","revision":"e7100957-f0ae-4fc9-aac2-4d6b4b7078a9","extra":{"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/amajethics.2020.93 {"abstracts":[{"sha1":"87946a201db66cac0b9a1b8a6039d5aff582c8db","content":"Cancer care in low-resource regions is complex, as resources and infrastructure for cancer care and prevention are limited. Mortality rates for breast cancer in particular are higher in regions where treatments are unavailable, unaffordable, or cost ineffective. Clinical breast examination is a reasonable screening approach, although its effects on mortality have not yet been shown. This article recommends focusing on early detection of symptomatic disease (ie, downstaging) and treatment of early detected breast cancers with potentially curative strategies.","mimetype":"text/plain","lang":"en"}],"contribs":[],"language":"en","publisher":"American Medical Association (AMA)","pages":"E93-101","issue":"2","volume":"22","ext_ids":{"doi":"10.1001/amajethics.2020.93","pmid":"32048579"},"release_year":2020,"release_date":"2020-02-01","release_stage":"published","release_type":"article-journal","container_id":"yefj5nacmfdsnpxv6qfuib54le","webcaptures":[],"filesets":[],"container":{"wikidata_qid":"Q27726259","issnl":"2376-6980","publisher":"American Medical Association","container_type":"journal","name":"The AMA Journal of Ethic","revision":"5eb2f7b2-b37f-47d0-9a9b-bae630ea7541","ident":"yefj5nacmfdsnpxv6qfuib54le","state":"active"},"work_id":"ymtmivilb5cdvfeh6n5cvgdbji","title":"When Is a Suboptimal Approach to Cancer Screening Better Than None?","state":"active","ident":"ippw2sdqtjbvhgauo6zkxokery","revision":"38ca5cba-7314-4cf0-847c-8a9670a7499c","extra":{"crossref":{"alternative-id":["10.1001/amajethics.2020.93"],"subject":["General Medicine"],"type":"journal-article"},"pubmed":{"pub_types":["Journal Article"]}}} +10.1001/archderm.100.1.1 {"abstracts":[],"contribs":[{"index":0,"raw_name":"E. 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