Ethics Cases Index

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Abortion

• Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
• The Question of Uterine Isolation in Catholic Health Care Ethics May 07
• Relief Organizations with Counseling Restrictions Dec 06
• Patau Syndrome and Perinatal Decision Making May 05
• Quality of Life and Prenatal Decisions Feb 05
• Reproductive Rights Sep 04
• Paternalism Feb 04
• Campaign Posters in the Clinic Jan 04

Abuse

• Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
• What To Do When It Might Be Child Abuse Feb 09
• Youth Violence: Effective Screening and Prevention Feb 09
• When Bad Things Happen in the Learning Environment Feb 09
• Suspected Child Abuse Nov 07
• Susto: Acknowledging Patients' Beliefs about Illness Aug 07
• Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
• Offensive Music in the OR Dec 03
• Asking Patients about Intimate Partner Abuse Nov 03
• Spare the Rod and Save the Child Aug 03

Access to care

• Patient Self-Rationing, a Health System Problem Nov 12
• Is Understaffing a Unit a Form of Rationing Care? Nov 12
• Balancing Practice Economics with Patient Need Aug 11
• Rural Primary Care—Working Outside the Comfort Zone May 11
• Caring for Patients in Low-Resource Settings Mar 10
• Miracle Surgery for Foreign Patients Apr 08
• Nonemergency Medical Care for Illegal Immigrants in Texas Apr 08
• Psychosomatic Elaboration of Distress Mar 08
• Accessing Demand for Wheelchair Use Feb 08
• Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
• Correctional Mental Health Feb 08
• Smoking and Medicaid Benefits Dec 07
• Communicable Disease and Immigration Fears Dec 07
• Managing Chronic Conditions in Uninsured Patients Nov 06
• Pediatric Primary Care in the ER: Is It Better than Waiting for an Appointment? Nov 06
• When Diagnosis Becomes Unaffordable Jul 05
• How Good Is Good Enough? Jul 05
• Is Greenacres (Skilled Nursing Facility) the Place to Be? Jul 05
• Physician Work Stoppages as Activism Jan 04
• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03

Addiction

• Infective Endocarditis and the Intravenous Drug User Oct 10
• Why Must Pain Patients Be Found Deserving of Treatment? Jan 08
• Communicating with Patients about Harmful Behaviors Jan 08
• Lost in the Web: Compulsive Videogaming Jan 08
• Smoking and Medicaid Benefits Dec 07
• Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07

Adolescent medicine

• Confidential Mental Health Treatment for Adolescents Sep 12
• Should a Nonadherent Adolescent Receive a Second Kidney? Mar 12
• Protecting the Confidentiality of Sexually Active Adolescents Feb 12
• The HPV Vaccine and Parental Consent Jan 12
• Gay Adolescents and Confidentiality Aug 10
• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• Informing Adolescents of Perinatally Contracted HIV Dec 09
• Communicating Risk of Infertility to Adolescents Prior to Chemotherapy Aug 09
• Withholding Information from an Adolescent Aug 08
• Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
• Coping with a Child's Conduct Disorder Oct 06
• Prescribing a Teratogenic Medication Aug 06
• Too Much Information? Oct 05
• Drug Testing in Adolescents Mar 05
• Transition of Care Mar 05
• An Adolescent with an Eating Disorder Mar 05
• Reproductive Rights Sep 04
• Performance-Enhancing Drugs in Sports Jul 04
• Limits of Youth Sports Training Jul 04
• Medicine for Malcolm Oct 03
• Diagnosis: Inadequate Cross-Cultural Communication Jun 03
• Gynecological Care for Adolescents May 03

Advance directives

• Turning Off an Implanted Life-Saving Device Feb 07

Ambiguous genitalia

• Medical Team Responses to a Newborn with Ambiguous Genitalia Aug 10
• Partial Androgen Insensitivity Syndrome Nov 05

Complementary and Alternative Medicine

• When Patients Choose CAM over EBM—How to Negotiate Treatment Jun 11
• "CAM" Education in Medical Schools--A Critical Opportunity Missed Jun 11
• Herbal Supplements as Placebos Jun 11

Clinical research

• Conducting Clinical Research during Disasters Sep 10
• Ethics of Cutting-Edge Device Research Feb 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Prescribing Placebos Jun 06
• Evidence-Based Medicine and Clinical Expertise Feb 06
• Hoping for the Best, Preparing for the Worst Aug 05
• Heads or Tails: Randomized Placebo-Controlled Trials Nov 04
• Clinician and Researcher Jul 03

Confidentiality

• Repeating an Attending Physician's Unseemly Remarks Sep 12
• Confidential Mental Health Treatment for Adolescents Sep 12
• The Student Becomes the Patient Sep 12
• Special Protections for Mental Health Treatment Notes Jun 12
• A University Physician's Duty to Nonpatient Students May 12
• Protecting the Confidentiality of Sexually Active Adolescents Feb 12
• Patient Privacy and Mental Health Care in the Rural Setting May 11
• Use of Electronic Patient Data in Research Mar 11
• Gay Adolescents and Confidentiality Aug 10
• Duty to Warn and Dissociative Identity Disorder Mar 08
• Media Attention to End-of-Life Cases Dec 05
• Too Much Information? Oct 05
• Universal Precautions Oct 05
• The Wayward Husband Oct 05
• The "Slip" Sep 05
• When Depression Affects Treatment Decisions Jun 05
• Physicians' Dual Loyalties Jun 05
• An Adolescent with an Eating Disorder Mar 05
• Reproductive Rights Sep 04
• Performance-Enhancing Drugs in Sports Jul 04
• Asking Patients about Intimate Partner Abuse Nov 03
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Confidentiality of Patient Records Requested by the Court Oct 03
• Just Don't Tell My Husband May 03
• Gynecological Care for Adolescents May 03

Conflict of interest

• The Physician as Hospital Employee Feb 13
• Profiling Patients to Identify Prospective Donors Feb 13
• Authority, Health Advocacy Organizations, and Scientific Evidence Jan 13
• Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
• Genetic Profiling of Medical Students Aug 12
• When the Evidence Isn't There—Seeking Informed Consent for New Procedures Jan 11
• Contact Lens Prescribing and Dispending by Ophthalmologists Dec 10
• An Argument for Patient Autonomy in Elective Surgery May 10
• The "Mommy Makeover" Package May 10
• New Devices and Truly Informed Consent Feb 10
• Technical Skill and Informed Consent Feb 10
• When Patient and Physician Disagree on Patient’s “Best Interest” Mar 09
• Patient Requests for a Male or Female Physician Jul 08
• Gender Stereotypes in Pain Diagnosis Jul 08
• Sex Discrimination in Selection for Residency July 08
• Do Secret Shoppers Have a Place in Medicine? May 08
• Duty to Warn and Dissociative Identity Disorder Mar 08
• Physicians' Duties in Treating Wartime Detainees Oct 07
• Maintaining Medical Neutrality in Conflict Zones Oct 07
• Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
• Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
• Ethics of Cutting-Edge Device Research Feb 07
• Risks and Benefits of the New Medical Imaging Enterprise Feb 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Dermatology Lab Referrals: Cash Cow or Ethical Trap? Aug 06
• Can Healers Have Private Lives? Jul 06
• The Wayward Husband Oct 05
• Physicians' Dual Loyalties Jun 05
• Doctor and Friend Jun 05
• Who Is That? Expanding the Clinical Encounter Nov 04
• Heads or Tails: Randomized Placebo-Controlled Trials Nov 04
• Reproductive Rights Sep 04
• Duty to Treat versus Personal Safety May 04
• HMO-Dictated Patient Discharge Mar 04
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Clinician and Researcher Jul 03
• Drug Company Sponsorship of Clinical Conferences Jul 03
• Organ Donation: When Consent Confronts Refusal Feb 03

Conscience

• Positive Claims of Conscience and Objections to Immigration Law Mar 13
• Invoking Shared Beliefs in End-of-Life Decision Making Mar 13
• Medical School Accommodations for Religious and Cultural Practices Mar 13

Contraception

• The Question of Uterine Isolation in Catholic Health Care Ethics May 07
• Prescribing a Teratogenic Medication Aug 06
• Reproductive Rights Sep 04
• Paternalism Feb 04

Contract with society

• Is Understaffing a Unit a Form of Rationing Care? Nov 12
• Family Physicians' Role in Discussing Organ Donation with Patients and the Public Mar 12
• Balancing Practice Economics with Patient Need Aug 11
• Patient Advocacy for Beginners Aug 11
• Enforcing Patient Copays Aug 11
• Setting the Agenda for Community-Based Participatory Research Feb 11
• With So Much Need, Where Do I Serve? Jun 06
• Physicians’ Duty to Be Aware of and Report Environmental Toxins Jun 06
• Lead Paint Dangers and Physician Advocacy Dec 05
• Rationing of Intensive Home Dialysis Apr 04
• Peer Reporting of Suspected Physician Misconduct Apr 04
• Physician Service to the Underserved Apr 04
• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03

Cost of care

• Is the Standard of Care Always Worth the Cost? Feb 13
• The Physician as Hospital Employee Feb 13
• Surgery for Placebo Effect? Nov 12
• Balancing Practice Economics with Patient Need Aug 11
• Enforcing Patient Copays Aug 11
• Cost Effectiveness in Clinical Screening Apr 11
• Rationing Treatments Based on Their Cost per QALY Apr 11
• Prohibitive Cost of HIV/AIDS Therapy in the United States Jul 09
• Securing Diagnostic Services within System Constraints May 08
• Accessing Demand for Wheelchair Use Feb 08
• Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
• Correctional Mental Health Feb 08
• Managing Chronic Conditions in Uninsured Patients Nov 06
• Hidden Costs of Free Samples Jun 06
• Patient-Requested, Non-Recommended Screening Jan 06
• The Pitfalls of Drug Company Sample Use Mar 06
• To Scan or Not To Scan? Mar 06
• "Can We Just Drop the Copay?" Mar 06
• When Diagnosis Becomes Unaffordable Jul 05
• Is Greenacres (Skilled Nursing Facility) the Place to Be? Jul 05
• Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
• HMO-Dictated Patient Discharge Mar 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03

Cultural competence

• Language Barriers in the Emergency Room Apr 12
• Fibromyalgia Confounds Allopathic Habits of Mind Apr 12
• "Don't You Have Any American Doctors?": International Medical Graduates and Patient Prejudice Apr 12
• Mutually Beneficial Global Health Electives Jun 06
• Western Medicine's Diagnostic Labels Are Not Universal Aug 07
• Susto: Acknowledging Patients' Beliefs about Illness Aug 07
• Who Decides, Patient or Family? Aug 07
• Relief Organizations with Counseling Restrictions Dec 06
• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
• The Desperate Parent and the Lure of Experimental Treatment Oct 06
• Obesity in Kids: When Appeals to Vanity Fail Oct 06
• Physician Values and Clinical Decision Making May 06
• Ethics Expertise and Cultural Competence Feb 06
• Ethics Consultation and Clinical Expertise Feb 06
• The Evangelizing Patient May 05
• Patau Syndrome and Perinatal Decision Making May 05
• End of Life and Sanctity of Life May 05
• Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
• Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03
• Diagnosis: Inadequate Cross-Cultural Communication Jun 03
• Cultural Differences at the End of Life Jun 03

Decision-making capacity

• Can a Minor Refuse Assent for Emergency Care? Oct 12
• Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
• When Patients Seem Overly Optimistic Jul 12
• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
• A Mother and Infant with No Home Jan 09
• Shared Decision Making: Physicians’ Duties to Patients and Other Physicians Dec 08
• When Home Care Is Not Enough June 08
• Family-Centered Decision Making June 08
• Decision Making in a Case of Personality Change Mar 08
• Correctional Mental Health Feb 08
• Who Decides, Patient or Family? Aug 07
• The Hard Case of Palliative Sedation May 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Disagreement over Resuscitation May 06
• Helping the Patient Achieve Quality-of-Life Goals Feb 05
• When the Physician's Medical Judgment is Rejected Feb 04
• Psychiatrist's Role in Involuntary Hospitalization Oct 03

Dermatology

• Dermatology Lab Referrals: Cash Cow or Ethical Trap? Aug 06
• Dispensing Cosmeceuticals from the Office Aug 06
• Prescribing a Teratogenic Medication Aug 06
• The Unnoticed Mole Oct 04

Defensive medicine

• Cardiac Catheterization and Defensive Medicine Oct 10

Diagnosis

• Genetic Testing: Clinical and Personal Utility Aug 12
• Treating Bereavement Jun 12
• When Diagnosis is a Double-Edged Sword Dec 11
• A Virtue Ethics Approach to Framing Troublesome Diagnoses Dec 11
• Assessing Senior Patients’ Ability to Drive Safely June 08
• Outsourcing: A Limited View of Radiology’s Role Nov 07
• Disclosure and the Retrospectoscope Nov 07
• Suspected Child Abuse Nov 07

Disparities

• Risks and Benefits of the New Medical Imaging Enterprise Feb 07
• Managing Chronic Conditions in Uninsured Patients Nov 06
• Clinical Awareness of Occupation-Related Toxic Exposure Nov 06
• Physician Service to the Underserved Apr 04

Drug company relations

• Hidden Costs of Free Samples Jun 06
• The Gift-Giving Influence Jun 06
• The Pitfalls of Drug Company Sample Use Mar 06
• Finding the (Right) Time Aug 05
• Who Is That? Expanding the Clinical Encounter Nov 04
• Drug Company Sponsorship of Clinical Conferences Jul 03

Duty to inform

• New Devices and Truly Informed Consent Feb 10
• Technical Skill and Informed Consent Feb 10
• A Surgeon with HIV Dec 09
• Informing Adolescents of Perinatally Contracted HIV Dec 09
• Duty to Warn At-Risk Family Members of Genetic Disease Sep 09
• Is There a Duty to Inform Patients of Phase I Trials? Mar 09
• Weighing the Duty to Inform a Patient of Possible Future Illness Sep 08
• Medical Culture and Error Disclosure May 08
• Physician's Accountability for System Failure May 08
• Ethics of Cutting-Edge Device Research Feb 07
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03

Duty to report

• Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
• What To Do when It Might Be Child Abuse Feb 09
• Giving Medical Testimony in a Patient’s Behalf Sep 08
• Physician's Accountability for System Failure May 08
• Duty to Warn and Dissociative Identity Disorder Mar 08
• Communicable Disease and Immigration Fears Dec 07
• Suspected Child Abuse Nov 07
• Performance-Enhancing Drugs in Sports Jul 04
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Peer Reporting of Suspected Physician Misconduct Apr 04
• Obesity as Medical Neglect: Should Doctors Report? Aug 03

Duty to treat

• Resource Allocation Shake-Up Jun 10
• With So Much Need, Where Do I Serve? Mar 10
• Hospital Resources: A Practical Treatment Plan for Homeless Patients Jan 09
• Outpatient Commitment: A Treatment Tool for the Mentally Ill? Jan 09
• Resources and Responsibility Jan 09
• Shared Decision Making: Physicians’ Duties to Patients and Other Physicians Dec 08
• Securing Diagnostic Services within System Constraints May 08
• Transplant Tourism: Treating Patients when They Return to the U.S. May 08
• Miracle Surgery for Foreign Patients Apr 08
• Nonemergency Medical Care for Illegal Immigrants in Texas Apr 08
• Psychosomatic Elaboration of Distress Mar 08
• Disagreement over Resuscitation May 06
• Should I Stay or Should I Go? The Physician in Time of Crisis Apr 06
• Duty to Treat versus Personal Safety May 04
• Reproductive Rights Sep 04
• Caring for the Poor -- What Can One Doctor Do? Sep 04
• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• Physician Service to the Underserved Apr 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03
• Does Patient Autonomy Outweigh Duty to Treat? Feb 03

Emergency medicine

• Can a Minor Refuse Assent for Emergency Care? Oct 12
• Make It OK That This Life Is Ending Jun 10
• Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
• Resource Allocation Shake-Up Jun 10
• Diagnostic Testing for Diseases in the News Mar 07
• An ER Decision To Withhold CPR Mar 07
• Pediatric Primary Care in the ER: Is It Better than Waiting for an Appointment? Nov 06
• "I'm Sorry but You Can't Leave": Patients, Physicians, and Quarantine Apr 06
• A Fever of Unknown Source Dec 04
• Duty to Treat versus Personal Safety May 04
• Disaster Triage May 04
• Performing Procedures on the Newly Deceased Mar 03
• Organ Donation: When Consent Confronts Refusal Feb 03
• Does Patient Autonomy Outweigh Duty to Treat? Feb 03

Endocrinology

• Sex Selection for Nonmedical Reasons Jun 07
• Treating Short Stature with Growth Hormone Nov 05
• Controlling Diabetes Nov 05
• Partial Androgen Insensitivity Syndrome Nov 05
• Optional Treatments and Quality of Life Feb 05

End-of-life care

• Invoking Shared Beliefs in End-of-Life Decision Making Mar 13
• Why Not a Slow Code? Oct 12
• Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
• When Patients Seem Overly Optimistic Jul 12
• The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
• Make It OK That This Life Is Ending Jun 10
• Dilemmas in End-of-Life Decision Making for the Medical Tourist Patient Aug 09
• Planning End-of-Life Conversations: Hospitalist and Primary Care Physician Roles Dec 08
• Who Decides, Patient or Family? Aug 07
• The Hard Case of Palliative Sedation May 07
• An ER Decision To Withhold CPR Mar 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Discussing Code Status with Patients and Their Families Sep 06
• Communication Failure in the ICU Sep 06
• When Doctors Disagree Sep 06
• Media Attention to End-of-Life Cases Dec 05
• End of Life and Sanctity of Life May 05
• Clinical Trials and End-of-Life Decision Making Nov 04
• Palliative Surgery Oct 04
• Physicians' Role in Physician-Assisted Suicide Discussions Aug 04
• Cultural Differences at the End of Life Jun 03
• Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Epidemics

• Autonomy and Public Health: When the Patient Is a Physician Apr 06
• Should I Stay or Should I Go? The Physician in Time of Crisis Apr 06
• Duty to Treat versus Personal Safety May 04
• Request for Unnecessary Prophylaxis May 04

Evidence-based medicine

• Is the Standard of Care Always Worth the Cost? Feb 13
• Communicating Evidence in Shared Decision Making Jan 13
• Authority, Health Advocacy Organizations, and Scientific Evidence Jan 13
• Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
• When the Evidence Isn't There—Seeking Informed Consent for New Procedures Jan 11
• Stigmatized Patients' Right to Equal Treatment May 06
• Evidence-Based Medicine and Clinical Expertise Feb 06
• Informed Refusal Jan 06
• Patient-Requested, Non-Recommended Screening Jan 06
• Optional Treatments and Quality of Life Feb 05
• A Fever of Unknown Source Dec 04
• Confusion over Cholesterol Testing Dec 04
• Preoperative Screening: Medical or Legal Guidelines? Dec 04
• Limits of Youth Sports Training Jul 04
• Unnecessary Tests and Ethics of Quality of Care Jun 04
• HMO-Dictated Patient Discharge Mar 04
• Drug Company Sponsorship of Clinical Conferences Jul 03

Expertise

• Rural Primary Care—Working Outside the Comfort Zone May 11
• Western Medicine's Diagnostic Labels Are Not Universal Aug 07
• Susto: Acknowledging Patients' Beliefs about Illness Aug 07
• Who Decides, Patient or Family? Aug 07
• Is Artificial Nutrition and Hydration Extraordinary Care? May 07
• Hospital Reputation and Individual Patient Decisions Mar 07
• An ER Decision To Withhold CPR Mar 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Putting It All Together--the Art and Science of Medicine Jul 06
• Managing Chronic Conditions in Uninsured Patients Nov 06
• Disagreement over Resuscitation May 06
• To Scan or Not To Scan? Mar 06
• Evidence-Based Medicine and Clinical Expertise Feb 06
• Ethics Consultation and Clinical Expertise Feb 06
• Ethics Expertise and Cultural Competence Feb 06
• Patient-Requested, Non-Recommended Screening Jan 06
• Partial Androgen Insensitivity Syndrome Nov 05
• Board Certification as Prerequisite for Hospital Staff Privileges Apr 05
• Finding the Balance in Shared Decision Making Feb 04
• When the Physician's Medical Judgment is Rejected Feb 04

Faith

• Invoking Shared Beliefs in End-of-Life Decision Making Mar 13
• When Patients Say, “It’s in God’s Hands.” Oct 09
• Can Physicians’ Contractual Obligations Limit Their Professional Obligations? Oct 09
• The Patient Who Says He Is Ready to Die Oct 09
• The Question of Uterine Isolation in Catholic Health Care Ethics May 07
• Is Artificial Nutrition and Hydration Extraordinary Care? May 07
• The Hard Case of Palliative Sedation May 07
• The Desperate Parent and the Lure of Experimental Treatment Oct 06
• Prescribing a Teratogenic Medication Aug 06
• Physician Values and Clinical Decision Making May 06
• Patau Syndrome and Perinatal Decision Making May 05
• End of Life and Sanctity of Life May 05
• Patient Counseling and Matters of Conscience May 05
• The Evangelizing Patient May 05
• Reproductive Rights Sep 04
• Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03
• Spare the Rod and Save the Child Aug 03
• Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03
• Balancing Parental Wishes with Medical Judgment Jan 03

Family medicine

• Confidential Mental Health Treatment for Adolescents Sep 12
• Does Pediatric Obesity Indicate Child Neglect? Apr 10
• When Home Care Is Not Enough June 08
• Family-Centered Decision Making June 08
• Discussing Code Status with Patients and Their Families Sep 06
• Prescribing Placebos Jun 06
• Patient-Initiated Request for Donation Information Sep 05
• How Good Is Good Enough? Jul 05
• Doctor and Friend Jun 05
• When Depression Affects Treatment Decisions Jun 05
• Physicians' Dual Loyalties Jun 05
• Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
• Request for Unnecessary Prophylaxis May 04
• Asking Patients about Intimate Partner Abuse Nov 03
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Spare the Rod and Save the Child Aug 03

Genetics

• Genetic Testing: Clinical and Personal Utility Aug 12
• Informed Consent for Biobank-Dependent Research Aug 12
• Genetic Profiling of Medical Students Aug 12
• Duty to Warn At-Risk Family Members of Genetic Disease Sep 09
• Presymptomatic Testing of Children for Huntington’s Disease Sep 09
• Evaluating Requests for Preimplantation Genetic Diagnosis Sep 09
• Assisted Reproduction and Primum Non Nocere Sep 07
• Sex Selection for Nonmedical Reasons Jun 07
• Testing Minors for Breast Cancer Jan 07
• Breast Cancer Screening Jan 06
• Presymptomatic Genetic Testing for ALS Jan 06
• Partial Androgen Insensitivity Syndrome Nov 05

Goals of medicine

• Treating Bereavement Jun 12
• The "Mommy Makeover" Package May 09
• An Argument for Patient Autonomy in Elective Surgery May 09
• Mainstream Medicine Meets the Medi-Spa May 09
• Balancing Health Promotion and Healing Nov 08
• Assisted Reproduction and Primum Non Nocere Sep 07
• Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
• Treating Short Stature with Growth Hormone Nov 05
• Drugs for the Shy? Oct 03

HIV

• A Surgeon with HIV Dec 09
• Informing Adolescents of Perinatally Contracted HIV Dec 09
• The Challenge of Treating Patients with Multiple Diagnoses Dec 09

Human rights

• Mutually Beneficial Global Health Electives Mar 10
• Treating and Repatriating: An Unacceptable Policy Jul 09
• Accessing Demand for Wheelchair Use Feb 08
• Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
• Correctional Mental Health Feb 08
• Ethics of Cutting-Edge Device Research Feb 07
• Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
• Reproductive Rights Sep 04
• Caring for the Poor -- What Can One Doctor Do? Sep 04

Informed consent

• Communicating Evidence in Shared Decision Making Jan 13
• Why Not a Slow Code? Oct 12
• Can a Minor Refuse Assent for Emergency Care? Oct 12
• Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
• The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
• Informed Consent for Biobank-Dependent Research Aug 12
• When the Evidence Isn't There—Seeking Informed Consent for New Procedures Jan 11
• Should a Gay Physician in a Small Community Disclose His Sexual Orientation? Aug 10
• Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
• New Devices and Truly Informed Consent Feb 10
• Technical Skill and Informed Consent Feb 10
• Informed Consent: When and Why Aug 08
• Informed Refusal in the Emergency Department…Is It Really Informed? Aug 08
• Decision Making in a Case of Personality Change Mar 08
• Correctional Mental Health Feb 08
• Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
• Who Decides, Patient or Family? Aug 07
• Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
• Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
• Hospital Reputation and Individual Patient Decisions Mar 07
• Ethics of Cutting-Edge Device Research Feb 07
• Testing Minors for Breast Cancer Jan 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Prescribing Placebos Jun 06
• Changing the Rules in Times of Crisis: Do Desperate Times Allow Desperate Measures? Apr 06
• Breast Cancer Screening Jan 06
• Informed Refusal Jan 06
• Partial Androgen Insensitivity Syndrome Nov 05
• Family Disagreement over Organ Donation Sep 05
• Doctor and Friend Jun 05
• Helping the Patient Achieve Quality-of-Life Goals Feb 05
• Who Is That? Expanding the Clinical Encounter Nov 04
• The Unnoticed Mole Oct 04
• Palliative Surgery Oct 04
• Is Chronic Pain Treatment the Neurologist's Job? Aug 04
• When the Physician's Medical Judgment is Rejected Feb 04
• Performing Procedures on the Newly Deceased Mar 03

Medical education

• Medical School Accommodations for Religious and Cultural Practices Mar 13
• National Resident Matching Program Violations Dec 12
• Personality Testing in Resident Selection Dec 12
• Legacy Admissions in Medical School Dec 12
• Repeating an Attending Physician's Unseemly Remarks Sep 12
• The Student Becomes the Patient Sep 12
• Genetic Profiling of Medical Students Aug 12
• Can a Pass/Fail Grading System Adequately Reflect Student Progress? Nov 09
• Should Applicants' Ethnicity Be Considered in Medical School Admissions? Nov 09
• Should Medical Education Fight International Brain Drain? Jul 09
• Avoiding the Appearance of Faculty Favoritism Apr 09
• When Bad Things Happen in the Learning Environment Feb 09
• How Much Information Is Enough? Aug 08
• Recruiting Residents from Abroad Apr 08
• Recruiting for Military Scholarship Programs on Medical School Campuses Oct 07
• Self-Interest versus Friendship in Medical School Apr 07
• The Many Functions of Clinical Rounds Apr 07
• Medical Student in the Middle: How Much Can Students Tell Patients? Jan 07
• Pragmatic Principles of Pharmaceutical Donation Dec 06
• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• Putting It All Together--the Art and Science of Medicine Jul 06
• Prescribing Placebos Jun 06
• Evidence-Based Medicine and Clinical Expertise Feb 06
• Ethics Consultation and Clinical Expertise Feb 06
• Patient-Initiated Request for Donation Information Sep 05
• Responding to Insensitive Remarks about a Patient Aug 05
• Giving Honest Feedback Aug 05
• Drinks During Lunch Apr 05
• Resident Work Hour Restrictions Apr 05
• A Case of Student Cheating Apr 05
• The Reluctant Resident Oct 04
• When Resident Duty Hours and Patient Care Collide Jun 04
• Disaster Triage May 04
• Problem Peers Mar 04
• Offensive Music in the OR Dec 03
• Is There More to Medical School than Grades? Dec 03
• See One, Do One, Teach One: Competence versus Confidence in Performing Procedures Dec 03
• Student Role in Discussion of Diagnosis with Patients Dec 03

Medical errors

• Medical Culture and Error Disclosure May 08
• Physician's Accountability for System Failure May 08
• Disclosing Error to a Patient Aug 05
• Resident Work Hour Restrictions Apr 05
• Problem Peers Mar 04
• Disagreement over Error Disclosure Mar 04

Medicine and the media

• Low-Tech Solution to a High-Tech Problem Mar 09
• Diagnostic Testing for Diseases in the News Mar 07
• Hospital Reputation and Individual Patient Decisions Mar 07
• An ER Decision To Withhold CPR Mar 07
• Media Attention to End-of-Life Cases Dec 05
• Request for Unnecessary Prophylaxis May 04

Military medical ethics

• Recruiting for Military Scholarship Programs on Medical School Campuses Oct 07
• Physicians' Duties in Treating Wartime Detainees Oct 07
• Maintaining Medical Neutrality in Conflict Zones Oct 07

Neonatology

• Why Not a Slow Code? Oct 12
• “Please Let Me Hear My Son Cry Once” Jul 10
• Reframing Neutral Counseling Oct 08
• Can Rule-Based Ethics Help in the NICU? Oct 08
• Physician and Parental Decision Making in Newborn Resuscitation Oct 08
• Partial Androgen Insensitivity Syndrome Nov 05
• Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03
• Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03

Neurology

• When Diagnosis is a Double-Edged Sword Dec 11
• Can Parents of a Child with Autism Refuse Treatment for Him? Nov 10
• "Doc, I Need a Smart Pill"—Requests for Neurologic Enhancement Nov 10
• The Ethics of Diagnosing Nonepileptic Seizures with Placebo Infusion Nov 10
• Correctional Mental Health Feb 08
• The Hard Case of Palliative Sedation May 07
• Presymptomatic Genetic Testing for ALS Jan 06
• Quality of Life and Prenatal Decisions Feb 05
• Physicians' Role in Physician-Assisted Suicide Discussions Aug 04
• Helping Surrogate Decision Makers in the Face of Uncertainty Aug 04
• Is Chronic Pain Treatment the Neurologist's Job? Aug 04
• Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Obesity

• Lifestyle is Medicine Apr 13
• Meeting Patients Where They Are Apr 13
• Hospital Cafeteria Food: The Meat and the Message Apr 13
• Pediatric Obesity, Statin Use, and the Goals of Medicine Oct 10
• Weight-Based Stigma and Physician Bias Apr 10
• Does Pediatric Obesity Indicate Child Neglect? Apr 10
• Weight-Related Denial of Insurance for an Infant Apr 10
• Prophylactic Bariatric Surgery Feb 10
• Obesity in Kids: When Appeals to Vanity Fail Oct 06
• Stigmatized Patients' Right to Equal Treatment May 06
• Limits of Youth Sports Training Jul 04
• Obesity as Medical Neglect: Should Doctors Report? Aug 03

Obstetrics and gynecology

• Directive Counseling about Becoming PregnantFeb 12
• Protecting the Confidentiality of Sexually Active AdolescentsFeb 12
• Sex Selection for Nonhealth-Related ReasonsFeb 12
• The HPV Vaccine and Parental ConsentJan 12
• The "Mommy Makeover" Package May 09
• Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
• Assisted Reproduction and Primum Non Nocere Sep 07
• Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
• Sex Selection for Nonmedical Reasons Jun 07
• Self-Interest versus Friendship in Medical School Apr 07
• Patau Syndrome and Perinatal Decision Making May 05
• Optional Treatments and Quality of Life Feb 05
• Who Is That? Expanding the Clinical Encounter Nov 04
• Reproductive Rights Sep 04
• Paternalism Feb 04
• Campaign Posters in the Clinic Jan 04
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Managed Care and Physician Burnout Sep 03
• Gynecological Care for Adolescents May 03
• Responding to a Request for Early Delivery May 03

Organ donation and transplantation

• Assessing the Motives of Living, Non-Related Donors Mar 12
• Should a Nonadherent Adolescent Receive a Second Kidney? Mar 12
• Family Physicians' Role in Discussing Organ Donation with Patients and the Public Mar 12
• Transplant Tourism: Treating Patients when They Return to the U.S. May 08
• Should a Prisoner Be Placed on the Organ Transplant Waiting List? Feb 08
• The "Slip" Sep 05
• Family Disagreement over Organ Donation Sep 05
• Patient-Initiated Request for Donation Information Sep 05
• An Impaired Physician's Physician Sep 03
• Organ Donation: When Consent Confronts Refusal Feb 03

Pain management

• The Hard Case of Palliative Sedation May 07
• Myths and Misconceptions about Palliative Sedation Sep 06
• Clinical Trials and End-of-Life Decision Making Nov 04
• Is Chronic Pain Treatment the Neurologist's Job? Aug 04

Paternalism

• Why Not a Slow Code? Oct 12
• Can a Minor Refuse Assent for Emergency Care? Oct 12
• When Patients Seem Overly Optimistic Jul 12
• The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
• Assessing the Motives of Living, Non-Related Donors Mar 12
• Informed Refusal Jan 06
• Reproductive Rights Sep 04
• Unnecessary Tests and Ethics of Quality of Care Jun 04
• Paternalism Feb 04

Patient autonomy

• Genetic Profiling of Medical Students Aug 12
• Treating Children Whose Parents Refuse to Have Them Vaccinated Jan 12
• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• Taking No for an Answer—Refusal of Life-Sustaining Treatment Jun 10
• An Argument for Patient Autonomy in Elective Surgery May 10
• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• Deciding for Others: Limitations of Advance Directives, Substituted Judgment, and Best Interest Aug 09
• Dilemmas in End-of-Life Decision Making for the Medical Tourist Patient Aug 09
• Communicating Risk of Infertility to Adolescents Prior to Chemotherapy Aug 09
• Educating Patients as Medicine Goes Green Jun 09
• Patient Autonomy and Physician Responsibility Aug 09
• The Patient Who Says He Is Ready to Die Oct 09
• Educating Patients as Medicine Goes Green Jun 09
• Gender Stereotypes in Pain Diagnosis July 08
• Patient Requests for a Male or Female Physician July 08
• Decision Making in a Case of Personality Change Mar 08
• Correctional Mental Health Feb 08
• Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
• Who Decides, Patient or Family? Aug 07
• Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Guiding Patients toward Prudent Use of Technologies Feb 07
• Autonomy and Public Health: When the Patient Is a Physician Apr 06
• Patient-Requested, Non-Recommended Screening Jan 06
• Informed Refusal Jan 06
• When Diagnosis Becomes Unaffordable Jul 05
• When Depression Affects Treatment Decisions Jun 05
• Reproductive Rights Sep 04
• Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
• Unnecessary Tests and Ethics of Quality of Care Jun 04
• Request for Unnecessary Prophylaxis May 04
• When the Physician's Medical Judgment Is Rejected Feb 04
• Drugs for the Shy? Oct 03
• Psychiatrist's Role in Involuntary Hospitalization Oct 03
• Responding to a Request for Early Delivery May 03
• Does Patient Autonomy Outweigh Duty to Treat? Feb 03

Patient-Physician Relationship

• Meeting Patients Where They Are Apr 13
• Requests for Care from Family Members May 12
• Responsibility for Patients after the Handoff May May 12
• A University Physician's Duty to Nonpatient Students May 12
• Writing an Excuse or Educating the Patient Jan 12
• Is Physician Self-Disclosure Ever Appropriate? Dec 11
• Political Discussions in the Exam Room Nov 11
• The Overlapping Roles of the Rural Doctor May 11
• The Patient-Physician Relationship in Quarantine Sep 10
• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• Weight-Based Stigma and Physician Bias Apr 10
• Establishing Common Ground in a One-Time Patient Encounter Mar 09
• Low-Tech Solution to a High-Tech Problem Mar 09
• When Patient and Physician Disagree on Patient’s “Best Interest” Mar 09
• Physician and Parental Decision Making in Newborn Resuscitation Oct 08
• When the Patient-Physician Relationship Is Broken Sep 08
• How Much Information Is Enough? Aug 08
• Informed Consent: When and Why Aug 08
• Informed Refusal in the Emergency Department…Is It Really Informed? Aug 08
• When Home Care Is Not Enough Jun 08
• Family-Centered Decision Making Jun 08
• Securing Diagnostic Services within System Constraints May 08
• Pregnant Women Who Smoke: A Challenge to the Patient-Physician Relationship Sep 07
• Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
• Guiding Patients toward Prudent Use of Technologies Feb 07
• Competing for the Physician's Attention after Hours Jul 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Can There Be Healing without Trust? Jul 06
• Putting It All Together--the Art and Science of Medicine Jul 06
• Prescribing Placebos Jun 06
• Physician Values and Clinical Decision Making May 06
• Disagreement over Resuscitation May 06
• "Can We Just Drop the Copay?" Mar 06
• Informed Refusal Jan 06
• Controlling Diabetes Nov 05
• Responding to Insensitive Remarks about a Patient Aug 05
• Physicians' Dual Loyalties Jun 05
• Doctor and Friend Jun 05
• The Evangelizing Patient May 05
• Drug Testing in Adolescents Mar 05
• Reproductive Rights Sep 04
• Performance-Enhancing Drugs in Sports Jul 04
• Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
• When Resident Duty Hours and Patient Care Collide Jun 04
• Request for Unnecessary Prophylaxis May 04
• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• Disagreement over Error Disclosure Mar 04
• Paternalism Feb 04
• When the Physician's Medical Judgment is Rejected Feb 04
• Finding the Balance in Shared Decision Making Feb 04
• Campaign Posters in the Clinic Jan 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Psychiatrist's Role in Involuntary Hospitalization Oct 03
• Gynecological Care for Adolescents May 03
• Never Symptom-Free Apr 03

Patient safety

• Responsibility for Patients after the Handoff May 12
• After the Apology—Coping and Recovery After Errors Sep 11
• Labeling an Adverse Drug Event "Preventable" Sep 11
• The Problem with Hand-Offs Sep 11
• A Mother and Infant with No Home Jan 09
• Youth Violence: Effective Screening and Prevention Feb 09
• Assessing Senior Patients’ Ability to Drive Safely Jun 08
• Accessing Demand for Wheelchair Use Feb 08
• Correctional Mental Health Feb 08
• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• Confusion over Cholesterol Testing Dec 04
• HMO-Dictated Patient Discharge Mar 04
• Disagreement over Error Disclosure Mar 04
• When Resident Duty Hours and Patient Care Collide Jun 04
• Physician Work Stoppages as Activism Jan 04

Pediatrics

• Why Not a Slow Code? Oct 12
• Can a Minor Refuse Assent for Emergency Care? Oct 12
• Pediatric End-of-Life Decisions when Abuse is Suspected Oct 12
• Treating Children Whose Parents Refuse to Have Them Vaccinated Jan 12
• When Diagnosis is a Double-Edged Sword Dec 11
• Can Parents of a Child with Autism Refuse Treatment for Him? Nov 10
• Pediatric Obesity, Statin Use, and the Goals of Medicine Oct 10
• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• “Please Let Me Hear My Son Cry Once” Jul 10
• An Overwhelmed Parent Jul 10
• Does Pediatric Obesity Indicate Child Neglect? Apr 10
• Weight-Related Denial of Insurance for an Infant Apr 10
• Presymptomatic Testing of Children for Huntington’s Disease Sep 09
• What To Do when It Might Be Child Abuse Feb 09
• A Mother and Infant with No Home Jan 09
• Susto: Acknowledging Patients' Beliefs about Illness Aug 07
• Diagnostic Testing for Diseases in the News Mar 07
• Testing Minors for Breast Cancer Jan 07
• Pediatric Primary Care in the ER: Is It Better than Waiting for an Appointment? Nov 06
• Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
• The Desperate Parent and the Lure of Experimental Treatment Oct 06
• Coping with a Child's Conduct Disorder Oct 06
• Obesity in Kids: When Appeals to Vanity Fail Oct 06
• Unnecessary Antibiotics Jun 06
• Treating Short Stature with Growth Hormone Nov 05
• Partial Androgen Insensitivity Syndrome Nov 05
• Drug Testing in Adolescents Mar 05
• Limits of Youth Sports Training Jul 04
• A Fever of Unknown Source Dec 04
• Faith-Based Decisions: Parents Who Refuse Appropriate Care for Their Children Aug 03
• Spare the Rod and Save the Child Aug 03
• Obesity as Medical Neglect: Should Doctors Report? Aug 03
• Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03

Physician activism

• Positive Claims of Conscience and Objections to Immigration Law Mar 13
• Political Discussions in the Exam Room Nov 11
• Physician Involvement with Politics—Obligation or Avocation? Nov 11
• Physicians and Political Advocacy Oct 11
• Patient Advocacy for Beginners Aug 11
• Outer Ear Construction: Is Advocacy Part of Treatment? May 10
• Weight-Related Denial of Insurance for an Infant Apr 10
• Lead Paint Dangers and Physician Advocacy Dec 05
• Obtaining Asylum from Partner Abuse: the Physician's Role Sep 04
• Campaign Posters in the Clinic Jan 04
• Physician Work Stoppages as Activism Jan 04
• Physician Activism and Civil Disobedience Jan 04

Physician-assisted suicide

• The Hard Case of Palliative Sedation May 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Myths and Misconceptions about Palliative Sedation Sep 06
• Physicians' Role in Physician-Assisted Suicide Discussions Aug 04

Physician burnout

• Competing for the Physician's Attention after Hours Jul 07
• Can Healers Have Private Lives? Jul 06
• The Tale of Dr Wells: Competent and Irascible Sep 03
• Managed Care and Physician Burnout Sep 03

Physician as healers

• Competing for the Physician's Attention after Hours Jul 07
• Can Healers Have Private Lives? Jul 06
• Can There Be Healing without Trust? Jul 06
• Putting It All Together--the Art and Science of Medicine Jul 06

Physician impairment

• Problem Peers Mar 04
• The Tale of Dr Wells: Competent and Irascible Sep 03
• An Impaired Physician's Physician Sep 03
• An Impaired Resident Mar 03

Physicians as employees

• The Physician as Hospital Employee Feb 13
• Profiling Patients to Identify Prospective Donors Feb 13

Physicians in public roles

• Physician Involvement with Politics—Obligation or Avocation? Nov 11
• "...Not as I Do" Oct 11
• Physicians and Political Advocacy Oct 11
• When Patients Worry about the Doctor Oct 11
• Physicians’ Duty to Be Aware of and Report Environmental Toxins Jun 09
• Role of Schools in Monitoring Student Health Dec 07
• Communicable Disease and Immigration Fears Dec 07
• Media Attention to End-of-Life Cases Dec 05
• Lead Paint Dangers and Physician Advocacy Dec 05
• New York Super-AIDS Case: Physician as Public Health Officer Dec 05
• Campaign Posters in the Clinic Jan 04

• Placebo and nocebo

• Surgery for Placebo Effect? Nov 12
• Herbal Supplements as Placebos Jun 11
• The Ethics of Diagnosing Nonepileptic Seizures with Placebo Infusion Nov 10
• Prescribing Placebos Jun 06

Prescribing

• Ethics of Expedited Partner Therapy Nov 08
• Prescribing in the Absence of Medical Need Sep 08
• Negotiating Parental Requests for Medication Jun 07
• Pragmatic Principles of Pharmaceutical Donation Dec 06
• Prescribing a Teratogenic Medication Aug 06
• Unnecessary Antibiotics Jun 06
• Hidden Costs of Free Samples Jun 06
• The Gift-Giving Influence Jun 06
• Prescribing Placebos Jun 06
• Treating Short Stature with Growth Hormone Nov 05
• Physicians' Dual Loyalties Jun 05
• Reproductive Rights Sep 04
• Splitting the Difference--Patient Preference versus Conservation of Resources Jun 04
• Request for Unnecessary Prophylaxis May 04
• Medicine for Malcolm Oct 03
• Drugs for the Shy? Oct 03
• Drug Company Sponsorship of Clinical Conferences Jul 03

Professionalism

• Repeating an Attending Physician's Unseemly Remarks Sep 12
• Requests for Care from Family Members May 12
• Is Physician Self-Disclosure Ever Appropriate? Dec 11
• The Referral-Consultant Relationship Dec 10
• Homophobic Jokes and Patient Care Aug 10
• Moral Distress and Nurse-Physician Relationships Jan 10
• Physicians and Advanced Practice Registered Nurses: The Supervisor-Employer Relationship Jan 10
• Zero-Tolerance for Hospital Romance? Jan 10
• Are Honorary Authorships Ethical? Apr 09
• Shared Decision Making: Physicians’ Duties to Patients and Other Physicians Dec 08
• Laborist Staffing Requires Careful Attention Dec 08
• Physician's Accountability for System Failure May 08
• Avoiding Disincentives to Treat in Designing Pay-for-Performance Measures Jul 07
• Competing for the Physician's Attention after Hours Jul 07
• The Many Functions of Clinical Rounds Apr 07
• When Doctors Disagree Sep 06
• Communication Failure in the ICU Sep 06
• Can Healers Have Private Lives? Jul 06
• Can There Be Healing without Trust? Jul 06
• Disagreement over Resuscitation May 06
• Autonomy and Public Health: When the Patient Is a Physician Apr 06
• Frame Feedback to Improve Professional Performance Aug 05
• Following the Golden Rule toward Respectful Relationships Aug 05
• Responding to Insensitive Remarks about a Patient Aug 05
• A Case of Student Cheating Apr 05
• Drinks During Lunch Apr 05
• Resident Work Hour Restrictions Apr 05
• Board Certification as Prerequisite for Hospital Staff Privileges Apr 05
• Reproductive Rights Sep 04
• When Resident Duty Hours and Patient Care Collide Jun 04
• Duty to Treat versus Personal Safety May 04
• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• Disagreement over Error Disclosure Mar 04
• Drug Company Sponsorship of Clinical Conferences Jul 03
• Never Symptom-Free Apr 03

Professional Self-regulation

• Fudging an Answer during Clinical Rounds Apr 07
• Risks and Benefits of the New Medical Imaging Enterprise Feb 07
• A Case of Student Cheating Apr 05
• Drinks During Lunch Apr 05
• When Resident Duty Hours and Patient Care Collide Jun 04
• Peer Reporting of Suspected Physician Misconduct Apr 04
• An Impaired Physician's Physician Sep 03

Psychiatry

• Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
• Special Protections for Mental Health Treatment Notes Jun 12
• Treating Bereavement Jun 12
• "Doc, I Need a Smart Pill"—Requests for Neurologic Enhancement Nov 10
• Duty to Warn and Dissociative Identity Disorder Mar 08
• Psychosomatic Elaboration of Distress Mar 08
• Correctional Mental Health Feb 08
• Negotiating Parental Requests for Medication Jun 07
• Prescribing Placebos Jun 06
• Physician Values and Clinical Decision Making May 06
• How Good Is Good Enough? Jul 05
• The Evangelizing Patient May 05
• Drugs for the Shy? Oct 03
• Psychiatrist's Role in Involuntary Hospitalization Oct 03
• Confidentiality of Patient Records Requested by the Court Oct 03
• Medicine for Malcolm Oct 03
• The Tale of Dr Wells: Competent and Irascible Sep 03

Public health

• Hospital Cafeteria Food: The Meat and the Message Apr 13
• Mandated Influenza Vaccines and Health Care Workers’ Autonomy Sep 10
• With So Much Need, Where Do I Serve Mar 10
• Hospital Resources: A Practical Treatment Plan for Homeless Patients Jan 09
• First, Do Not Punish: Individual Incentives in Health Policy Nov 08
• Practice Incentives and Professional Responsibility Nov 08
• Giving Medical Testimony in a Patient’s Behalf Sep 08
• Assessing Senior Patients’ Ability to Drive Safely Jun 08
• Role of Schools in Monitoring Student Health Dec 07
• Smoking and Medicaid Benefits Dec 07
• Communicable Disease and Immigration Fears Dec 07
• Risks and Benefits of the New Medical Imaging Enterprise Feb 07
• Pragmatic Principles of Pharmaceutical Donation Dec 06
• Clinical Awareness of Occupation-Related Toxic Exposure Nov 06
• Unnecessary Antibiotics Jun 06
• Autonomy and Public Health: When the Patient Is a Physician Apr 06
• "I'm Sorry but You Can't Leave": Patients, Physicians, and Quarantine Apr 06
• Should I Stay or Should I Go? The Physician in Time of Crisis Apr 06
• Changing the Rules in Times of Crisis: Do Desperate Times Allow Desperate Measures? Apr 06
• New York Super-AIDS Case: Physician as Public Health Officer Dec 05
• Lead Paint Dangers and Physician Advocacy Dec 05
• Universal Precautions Oct 05
• Duty to Treat versus Personal Safety May 04
• Request for Unnecessary Prophylaxis May 04
• Disaster Triage May 04
• Physician Activism and Civil Disobedience Jan 04
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Asking Patients about Intimate Partner Abuse Nov 03
• Gynecological Care for Adolescents May 03

Quality of care

• The Physician as Hospital Employee Feb 13
• Is Understaffing a Unit a Form of Rationing Care? Nov 12
• Rural Primary Care—Working Outside the Comfort Zone May 11
• When Home Care Is Not Enough Jun 08
• Disclosure and the Retrospectoscope Nov 07
• Managing Chronic Conditions in Uninsured Patients Nov 06
• Can Healers Have Private Lives? Jul 06
• Can There Be Healing without Trust? Jul 06
• Unnecessary Antibiotics Jun 06
• Stigmatized Patients' Right to Equal Treatment May 06
• Board Certification as Prerequisite for Hospital Staff Privileges Apr 05
• Confusion over Cholesterol Testing Dec 04
• A Fever of Unknown Source Dec 04
• The Reluctant Resident Oct 04
• When Resident Duty Hours and Patient Care Collide Jun 04
• Unnecessary Tests and Ethics of Quality of Care Jun 04
• Disaster Triage May 04
• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• Disagreement over Error Disclosure Mar 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03
• Managed Care and Physician Burnout Sep 03

Quality of life

• Nondisclosure and Emerging Autonomy in a Terminally Ill Teenager Jul 10
• Is There a Duty to Inform Patients of Phase I Trials? Mar 09
• Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
• An ER Decision To Withhold CPR Mar 07
• Ethics of Cutting-Edge Device Research Feb 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Parental Influence on Level of Functioning in a Child with Down Syndrome Oct 06
• Discussing Code Status with Patients and Their Families Sep 06
• Disagreement over Resuscitation May 06
• Ethics Consultation and Clinical Expertise Feb 06
• Presymptomatic Genetic Testing for ALS Jan 06
• Treating Short Stature with Growth Hormone Nov 05
• Partial Androgen Insensitivity Syndrome Nov 05
• End of Life and Sanctity of Life May 05
• Quality of Life and Prenatal Decisions Feb 05
• Optional Treatments and Quality of Life Feb 05
• Helping the Patient Achieve Quality-of-Life Goals Feb 05
• Clinical Trials and End-of-Life Decision Making Nov 04
• Palliative Surgery Oct 04
• Finding the Balance in Shared Decision Making Feb 04
• Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Refusal to treat

• Reproductive Rights Sep 04
• Never Symptom-Free Apr 03

Reproductive rights

• Directive Counseling about Becoming Pregnant Feb 12
• Sex Selection for Nonhealth-Related Reasons Feb 12
• Assisted Reproduction and Primum Non Nocere Sep 07
• Sex Selection for Nonmedical Reasons Jun 07
• Reproductive Rights Sep 04
• Paternalism Feb 04
• Campaign Posters in the Clinic Jan 04

Research

• Informed Consent for Biobank-Dependent Research Aug 12
• Use of Electronic Patient Data in Research Mar 11
• Communicating Results of Community-Based Participatory Research Feb 11
• Physician, Research, Neighbor—Conflicting Roles in Community Based Participatory Research Feb 11
• Setting the Agenda for Community-Based Participatory Research Feb 11
• Conducting Clinical Research during Disasters Sep 10
• Suspected Ethical Misconduct in Research Apr 09
• Ethics of Cutting-Edge Device Research Apr 07
• Helping Patients Decide Whether to Participate in Clinical Trials Jan 07
• Prescribing Placebos Jun 06
• Evidence-Based Medicine and Clinical Expertise Feb 06
• Hoping for the Best, Preparing for the Worst Aug 05
• Heads or Tails: Randomized Placebo-Controlled Trials Nov 04
• Clinician and Researcher Jul 03

Residency

• National Resident Matching Program Violations Dec 12
• Personality Testing in Resident Selection Dec 12
• Responsibility for Patients after the Handoff May 12
• Managing Risk in Cataract Surgeries Performed by Resident Ophthalmologists Dec 10
• Decision Making at the Crossroads of Practice Choice May 09
• Competitiveness Can Undermine Team Goals May 09
• Self-Interest versus Friendship in Medical School Apr 07
• The Gift-Giving Influence Jun 06
• Prescribing Placebos Jun 06
• Autonomy and Public Health: When the Patient Is a Physician Apr 06
• To Scan or Not To Scan? Mar 06
• Resident Work Hour Restrictions Apr 05
• The Reluctant Resident Oct 04
• When Resident Duty Hours and Patient Care Collide Jun 04
• Disagreement over Error Disclosure Mar 04
• Problem Peers Mar 04
• HMO-Dictated Patient Discharge Mar 04
• Drug Company Sponsorship of Clinical Conferences Jul 03
• An Impaired Resident Mar 03

Retainer practice

• Retainer Practice: Scientific, Social Justice, and Ethical Perspectives Apr 04
• "Concierge" Practice and the Profession's Contract with Society Nov 03

Scope of practice

• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• How Good Is Good Enough? Jul 05

Screening

• New Guidelines for Cancer Screening in Older Patients Nov 11
• Cost Effectiveness in Clinical Screening Apr 11
• Patient Requests for Nonindicated Care Apr 11
• The Debate Over Prostate Cancer Screening Guidelines Jan 11
• Responding to Patient Requests for Nonindicated Care Jan 11
• Guiding Patients toward Prudent Use of Technologies Feb 07
• Risks and Benefits of the New Medical Imaging Enterprise Feb 07
• Testing Minors for Breast Cancer Jan 07
• Autonomy and Public Health: When the Patient Is a Physician Apr 06
• To Scan or Not To Scan? Mar 06
• Breast Cancer Screening Jan 06
• Presymptomatic Genetic Testing for ALS Jan 06
• Patient-Requested, Non-Recommended Screening Jan 06
• Informed Refusal Jan 06
• Preoperative Screening: Medical or Legal Guidelines? Dec 04
• Unnecessary Tests and Ethics of Quality of Care Jun 04

Sexuality

• Should a Gay Physician in a Small Community Disclose His Sexual Orientation? Aug 10
• Homophobic Jokes and Patient Care Aug 10
• Physician Values and Clinical Decision Making May 06
• Too Much Information? Oct 05

Sexually transmitted diseases

• The HPV Vaccine and Parental Consent Jan 12
• Physician Values and Clinical Decision Making May 06
• New York Super-AIDS Case: Physician as Public Health Officer Dec 05
• The Wayward Husband Oct 05
• Too Much Information? Oct 05
• Universal Precautions Oct 05
• Physicians' Dual Loyalties Jun 05
• Patient Counseling and Matters of Conscience May 05
• Please Don't Say Anything: Partner Notification and the Patient-Physician Relationship Nov 03
• Gynecological Care for Adolescents May 03

Shared decision making

• Lifestyle is Medicine Apr 13
• Meeting Patients Where They Are Apr 13
• Communicating Evidence in Shared Decision Making Jan 13
• Why Not a Slow Code? Oct 12
• Discounting a Surgical Risk: Data, Understanding, and Gist Jul 12
• When Patients Seem Overly Optimistic Jul 12
• The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
• An Overwhelmed Parent Jul 10
• Planning End-of-Life Conversations: Hospitalist and Primary Care Physician Roles Dec 08
• Physician and Parental Decision Making in Newborn Resuscitation Oct 08
• Decision Making in a Case of Personality Change Mar 08
• Who Decides, Patient or Family? Aug 07
• Physicians' Dual Loyalties Jun 05
• Patient Counseling and Matters of Conscience May 05
• Helping the Patient Achieve Quality-of-Life Goals Feb 05
• Reproductive Rights Sep 04

Sports medicine

• Limits of Youth Sports Training Jul 04
• Exercise Addiction Jul 04
• Performance-Enhancing Drugs in Sports Jul 04

Standard of care

• Is the Standard of Care Always Worth the Cost? Feb 13
• Can Rule-Based Ethics Help in the NICU? Oct 08
• Do Secret Shoppers Have a Place in Medicine? May 08
• Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
• Is Artificial Nutrition and Hydration Extraordinary Care? May 07
• Diagnostic Testing for Diseases in the News Mar 07
• Disagreement over Resuscitation May 06
• To Scan or Not To Scan? Mar 06
• Breast Cancer Screening Jan 06
• How Good Is Good Enough? Jul 05
• A Fever of Unknown Source Dec 04
• Confusion over Cholesterol Testing Dec 04
• Preoperative Screening: Medical or Legal Guidelines? Dec 04
• HMO-Dictated Patient Discharge Mar 04

Student participation in care

• Mutually Beneficial Global Health Electives Mar 10
• The Ethical Dilemma of Duty-Hour Reporting Nov 09
• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• The Reluctant Resident Oct 04
• Student Role in Discussion of Diagnosis with Patients Dec 03
• See One, Do One, Teach One: Competence versus Confidence in Performing Procedures Dec 03

Surgery

• Managing Risk in Cataract Surgeries Performed by Resident Ophthalmologists? Dec 10
• Outer Ear Construction: Is Advocacy Part of Treatment? May 10
• Pregnant Women and Cervical Cancer: Balancing Best Interest of Mother and Fetus Sep 07
• Who Decides, Patient or Family? Aug 07
• Is the Surgery Necessary Now? The Surgeon's Conflict of Interest Jul 07
• Cosmetic Surgery: When Fifty Doesn't Feel Fabulous Jun 07
• The Question of Uterine Isolation in Catholic Health Care Ethics May 07
• Hospital Reputation and Individual Patient Decisions Mar 07
• Ethics of Cutting-Edge Device Research Feb 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Drinks During Lunch Apr 05
• The Unnoticed Mole Oct 04
• The Reluctant Resident Oct 04
• Palliative Surgery Oct 04

Surrogate decison making

• Deciding for Others: Limitations of Advance Directives, Substituted Judgment, and Best Interest Aug 09
• Dilemmas in End-of-Life Decision Making for the Medical Tourist Patient Aug 09
• Decision Making in a Case of Personality Change Mar 08
• Who Decides, Patient or Family? Aug 07
• Disagreement over Resuscitation May 06
• Partial Androgen Insensitivity Syndrome Nov 05
• End of Life and Sanctity of Life May 05
• Helping the Patient Achieve Quality-of-Life Goals Feb 05
• Finding the Balance in Shared Decision Making Feb 04

Technology

• Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
• Special Protections for Mental Health Treatment Notes Jun 12
• Copying and Pasting Patient Treatment Notes Mar 11
• Limits to Patient Selection Mar 11
• Low-Tech Solution to a High-Tech Problem Mar 09
• Ethics of Cutting-Edge Device Research Feb 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Guiding Patients toward Prudent Use of Technologies Feb 07

Telemedicine

• Outsourcing: A Limited View of Radiology’s Role Nov 07

Terrorism

• Physicians' Duties in Treating Wartime Detainees Oct 07
• "I'm Sorry but You Can't Leave": Patients, Physicians, and Quarantine Apr 06
• Duty to Treat versus Personal Safety May 04
• Disaster Triage May 04
• Request for Unnecessary Prophylaxis May 04

Unnecessary tests

• Patient Requests for Nonindicated Care Apr 11
• Responding to Patient Requests for Nonindicated Care Jan 11
• Diagnostic Testing for Diseases in the News Mar 07
• Risks and Benefits of the New Medical Imaging Enterprise Feb 07
• Guiding Patients toward Prudent Use of Technologies Feb 07
• Testing Minors for Breast Cancer Jan 07
• To Scan or Not To Scan? Mar 06
• Patient-Requested, Non-Recommended Screening Jan 06
• Presymptomatic Genetic Testing for ALS Jan 06
• Preoperative Screening: Medical or Legal Guidelines? Dec 04
• Exercise Addiction Jul 04
• Unnecessary Tests and Ethics of Quality of Care Jun 04
• Never Symptom-Free Apr 03

Volunteering

• With So Much Need, Where Do I Serve? Mar 10
• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• Limits on Student Participation in Patient Care in Foreign Medical Brigades Dec 06
• Pragmatic Principles of Pharmaceutical Donation Dec 06
• Relief Organizations with Counseling Restrictions Dec 06
• Caring for the Poor -- What Can One Doctor Do? Sep 04

Withholding and withdrawing treatment

• Why Not a Slow Code? Oct 12
• The Use of Informed Consent in Withholding Cardiopulmonary Resuscitation in the ICU Jul 12
• Nonemergency Medical Care for Illegal Immigrants in Texas Apr 08
• An ER Decision To Withhold CPR Mar 07
• Turning Off an Implanted Life-Saving Device Feb 07
• Discussing Code Status with Patients and Their Families Sep 06
• Communication Failure in the ICU Sep 06
• Disagreement over Resuscitation May 06
• Myths and Misconceptions about Palliative Sedation Sep 06
• Media Attention to End-of-Life Cases Dec 05
• End of Life and Sanctity of Life May 05
• Palliative Care for an Infant with Short Bowel Syndrome and Advanced Liver Disease Aug 03
• Balancing Parental Wishes with Medical Judgment Jan 03
• Ventilator Withdrawal of Patients with "Zero Capability" for Respiratory Function Jan 03

Writing and Social Media

• Monitoring Blogs: A New Dilemma for Psychiatrists Jun 12
• Case Studies and the Therapeutic Relationship Jul 11
• Ethics, Memoir, and Medicine Jul 11
• Anonymous Physicians Blogging Jul 11