Virtual Mentor

Virtual Mentor. November 2013, Volume 15, Number 11: 921-1009.

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November 2013 Contents

Patient Consumerism

Ethics Poll

How can physicians best fulfill their responsibility to patients who want to try a nontraditional or unproven drug or biological that is unfamiliar to the physician?
The physicians should find out as much as possible about the drug the patient wants to use and then offer his or her clinical judgment on its benefits and risks.
Physicians should explain that they know only about treatments that have been tested and approved and cannot offer advice about drugs that do not meet those criteria.
As medical doctors, physicians should advise patients against using nontraditional or unproven drugs.
Don't know.

To find out what a physician-ethicist thinks about this question, see the clinical case in this issue of Virtual Mentor.

The number of physician-rating websites is growing rapidly. A patient who is displeased with a physician or office visit can post his or her dismay on such a site. Which of the following do you think in the most professional way for physicians to react to the trend of rating physicians on the web?
As a precondition for being treated, physicians should have patients sign an agreement that they will not write about the physician or clinic on public websites.
Physicians should go to the sites and respond to individuals who have posted criticism there.
Physicians should hire firms such as Physician’s Reputation Defender to monitor their web ratings and advise physicians how best to counter negative postings.
Physicians should ignore the websites and devote themselves to providing the best patient care they can.
Don't know.

To find out what a physician-ethicist thinks about this question, see the clinical case in this issue of Virtual Mentor.

Do you have an online patient health record?
Yes.
No.

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From the Editor

The Empowered Patient: Consumerism in American Medicine
Ravi B. Parikh
Full Text | PDF
Virtual Mentor. 2013; 15:923-925.

Educating for Professionalism

Ethics Cases

Responding to Patients' Requests for Nontraditional or Unproven Treatments
Commentary by T. Forcht Dagi
Full Text | PDF
Virtual Mentor. 2013; 15:926-931.

Physician-Rating Websites
Commentary by James E. Sabin
Full Text | PDF
Virtual Mentor. 2013; 15:932-936.

Primary Care Practice Response to Retail Clinics
Commentary by Rachel O. Reid and Ateev Mehrotra
Full Text | PDF
Virtual Mentor. 2013; 15:937-942.

The Code Says

AMA Code of Medical Ethics’ Opinions on Patient Requests for and Use of Non-Prescribed Treatments
Full Text | PDF
Virtual Mentor. 2013; 15:943-944.

AMA Code of Medical Ethics’ Opinion on Organ Transplantation
Full Text | PDF
Virtual Mentor. 2013; 15:945-946.

State of the Art and Science

The Future of Smartphones in Health Care
Michael A. Batista and Shiv M. Gaglani
Full Text | PDF
Virtual Mentor. 2013; 15:947-950.

Letting Patient Values Guide Shared Decision Making
Susan P. Pauker
Full Text | PDF
Virtual Mentor. 2013; 15:951-953.

Law, Policy, and Society

Health Law

Direct-to-Consumer Advertising of Drugs
Richard Weinmeyer
Full Text | PDF
Virtual Mentor. 2013; 15:954-959.

Policy Forum

The Role of Direct-to-Consumer Pharmaceutical Advertising in Patient Consumerism
Bo Wang and Aaron S. Kesselheim
Full Text | PDF
Virtual Mentor. 2013; 15:960-965.

Consumerist Responses to Scarcity of Organs for Transplant
Eitan Neidich, Alon B. Neidich, David A. Axelrod, and John P. Roberts
Full Text | PDF
Virtual Mentor. 2013; 15:966-972.

Will the Potential of Personal Health Records Be Realized?
Tara LePage and O’Neil Britton
Full Text | PDF
Virtual Mentor. 2013; 15:973-977.

Medicine and Society

The Patient as Consumer Watchdog
Nancy Tomes
Full Text | PDF
Virtual Mentor. 2013; 15:978-981.

History, Art, and Narrative

History of Medicine

Patient Satisfaction: History, Myths, and Misperceptions
Richard Bolton Siegrist, Jr.
Full Text | PDF
Virtual Mentor. 2013; 15:982-987.

Op-Ed and Correspondence

Op-Ed

Consumerism in Health Care: Challenges and Opportunities
Richard Zeckhauser and Benjamin Sommers
Full Text | PDF
Virtual Mentor. 2013; 15:988-992.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2013; 15:993-1005.

About the Contributors
Full Text | PDF
Virtual Mentor. 2013; 15:1006-1009.