Should Potential Risk of Chronic Traumatic Encephalopathy Be Discussed with Young Athletes?

17Aug
2017

Should older doctors be examined, tested or forced to retire?

16Aug
2017

11 Organizations Urge Cautious but Proactive Approach to Gene Editing

11Aug
2017

Ethics Guide Recommendations for Organ-Donation–Focused Physicians

11Aug
2017

Simple guide to CRISPR

7Aug
2017

The global crackdown on parents who refuse vaccines for their kids has begun

3Aug
2017

The global crackdown on parents who refuse vaccines for their kids has begun – VOX (free)

See more on mandatory vaccination in our May 29th (see #6) and July 12th (see #5) issues.

“Countries like Italy and Australia are tired of measles outbreaks — so they’re moving to fine anti-vaccine parents”.

 

New Issue: Iatrogenesis in Pediatrics – AMA Journal of Ethics

3Aug
2017

Iatrogenesis in Pediatrics – AMA Journal of Ethics (free) (RT @JournalofEthics)

New issue with series of articles exploring strategies clinicians need to know to respond to adverse outcomes.

 

Correction of a pathogenic gene mutation in human embryos

3Aug
2017

Should Doctors Decide When It’s Futile to Keep Charlie Gard Alive?

1Aug
2017

Human Genome Editing: Science, Ethics, and Governance

27Jul
2017

How to advise a friend frightened by a medical headline?

27Jul
2017

First compute no harm

27Jul
2017

First compute no harm – Enrico Coiera, via The BMJ Opinion (free)

“We will need new principles and regulations to govern medical artificial intelligence”

 

Why cancer is not a war, fight, or battle

24Jul
2017

Why cancer is not a war, fight, or battle – CNN (free)

Related: He’s a Fighter – The Atlantic (free)

“Cancer is a process, it’s not a war. No winners or losers. Stop military metaphors”. (RT @lucadf see Tweet)

 

The trouble with genetic testing

23Jul
2017

‘We are all mutants now’: the trouble with genetic testing – The Guardian (free) (RT @EricTopol see Tweet)

Related: The uncertain future of genetic testing – Mosaic (free)

“With so many unknowns in our DNA, using genetics in medical testing doesn’t always bring the answers – sometimes it brings only doubt”.

 

The Evolving Story of Overlapping Surgery

23Jul
2017

Viewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)

Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)

This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.

 

Patients with challenging behaviors: Communication strategies

21Jul
2017

The Aging Physician and the Medical Profession: A Review

21Jul
2017

Physicians need to openly discuss medical mistakes and near misses

16Jul
2017

Mandatory vaccination to fight against preventable disease

11Jul
2017

Beware of conflicting interests

10Jul
2017

Bioethics of Clinical Applications of Stem Cells

7Jul
2017

Quality of Life in Dementia

4Jul
2017

Quality of Life in Dementia – The AMA Journal of Ethics (free)

“What can clinicians do to normalize the experience of dementia? Our new issue explores the ethics of dementia care” (RT @JournalofEthics see Tweet)

 

Who’s paying for lunch?

4Jul
2017

Teaching Clinical Ethics at the Bedside

3Jul
2017

Teaching Clinical Ethics at the Bedside: William Osler and the Essential Role of the Hospitalist – AMA Journal of Ethics (free)

“Hospitalists are uniquely positioned to teach ethics and communication in real time on the wards” (RT @JournalofEthics see Tweet)

 

Patients’ Discomfort and Students’ Moral Distress When Learning Procedures

30Jun
2017

How Should Resident Physicians Respond to Patients’ Discomfort and Students’ Moral Distress When Learning Procedures in Academic Medical Settings? – AMA Journal of Ethics (free)

“Medical institutions should support a culture of “speaking up” to promote the safety of patients AND learners” (RT @JournalofEthics see Tweet)

 

Dr Frankenstein’s bioethical experiment

26Jun
2017

WHO guidelines on ethical issues in public health surveillance

26Jun
2017

WHO guidelines on ethical issues in public health surveillance – World Health Organization (free)

Commentary: Ethics of public health surveillance: new guidelines – The Lancet Public Health (free)

Public health surveillance: privacy, autonomy, equity, common good need to be balanced. New ethics guidelines” (RT @trished see Tweet)

 

What Should Physicians Do When They Disagree, Clinically and Ethically, with a Surrogate’s Wishes?

25Jun
2017

Chinese courts call for death penalty for researchers who commit fraud

25Jun
2017

What happens when an expensive drug is approved based on a lower bar of proof?

25Jun
2017

Insurers Battle Families Over Costly Drug for Fatal Disease – The New York Times (10 articles per month are free)

“A new drug can cost over a million dollars, even though it’s unclear if it works. Now, insurers are refusing to pay” (RT @NYTHealth see Tweet)

 

Conflicts of interest in healthcare, academics, public relations and journalism

21Jun
2017

Verbal and physical attacks against health care workers are common

21Jun
2017

A Piece of My Mind: Speak Up – JAMA (free)

“Verbal and physical attacks against health care workers are common, are underreported, and have lasting consequences in the form of persistent fear”.

 

The pressure of Big Pharma

21Jun
2017

The pressure of Big Pharma – The Globe and Mail (a few articles per month are free) (RT @CADTH_ACMTS see Tweet)

“Financial conflicts of interest are commonplace in clinical practice guidelines”

 

Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver?

20Jun
2017

Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver? – AMA Journal of Ethics (free)

“Physicians have an obligation to check in on dementia patients’ caregivers, and provide support if necessary” (RT @JournalofEthics see Tweet)

 

‘Not everyone wants to know': Warnings over genetic tests

20Jun
2017

The tyranny of excessive medical hierarchy

20Jun
2017

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

20Jun
2017

Why are doctors killing themselves

19Jun
2017

Management of Potential Organ Donor

16Jun
2017

‘How long have I got?’: Why many cancer patients don’t have answers

12Jun
2017

Should physicians provide futile care?

6Jun
2017

Questions raised over physician-assisted suicide

5Jun
2017

The ‘living dead’: prisoners executed for their organs then sold to foreigners for transplants

5Jun
2017

The ‘living dead’: prisoners executed for their organs then sold to foreigners for transplants – News.com.au (free)

“I have to fly tonight because they are shooting my donor tomorrow.”

“Here’s an ethics study. Would you accept organ from executed prisoner if it were a matter of your life or death?” (RT @barttels2 see Tweet)

 

Direct-to-Consumer Medical Testing in the Era of Value-Based Care

29May
2017

Viewpoint: Direct-to-Consumer Medical Testing in the Era of Value-Based Care – JAMA (free)

See also a recent discussion on direct-to-consumer genetic testing in our April 10th issue, see #5

Others disagree: “Dissing every consumer medical test as “low value”. Sorry, that’s not true. It’s called paternalism” (RT @EricTopol see Tweet)

 

Give patients access to their medical records

5May
2017

Editor’s Choice: Give patients access to their medical records – The BMJ, by Fiona Godlee, editor in chief (free)

Patients are being empowered in decisions regarding their health care, and this is probably a tendency for the future.

 

Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients

5May
2017

Correspondence: Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients – The New England Journal of Medicine (free)

Transplantation of HCV-infected-kidneys into uninfected recipients seems feasible in this era of direct-acting antiviral agents, maybe shortening waiting times for those willing to take the risk.

 

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing

4May
2017

The Patients Were Saved. That’s Why the Families Are Suing

13Apr
2017

The Patients Were Saved. That’s Why the Families Are Suing – The New York Times (free)

“Historically, the practice has been “if in doubt, err on the side of aggressive, life-sustaining treatment,””. That might be changing.

 

F.D.A. Will Allow 23andMe to Sell Genetic Tests for Disease Risk to Consumers

10Apr
2017

Genetic assessment of age-associated Alzheimer disease risk

23Mar
2017
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