This article-the Romanell Report-offers an analysis of the current state medical ethics education in United States, focusing particular on its essential role cultivating professionalism among learners. Education has become integral part and training over past three decades received attention recent years because increasing emphasis placed professional formation by accrediting bodies such as Liaison Committee Medical Accreditation Council for Graduate Education. Yet, despite development...

The physician–patient encounter may be structured, but it is never scripted; every interaction to some degree improvised. Both physicians and improvisers must prepare for unpredictability, the surprising unrecognized overlap between improvisational theater medical training practice led author develop a seminar that tailors skills physician needs, teaching communication, professionalism, other through an approach she calls “medical improv.” observes there no example of this strategy as...

Adoption is often framed as an alternative to abortion. However, many women feel that pregnancy and birth made them a mother this new identity not erased by the fact they are raising child. This article argues involuntary adoption occurs when legislative coercion deprives pregnant person of realistic abortion option, forcing into position being parent who parenting. The also moral seriousness motherhood begins at conception, because embryos equivalent babies, but that's becomes "potential...

Ideas and Opinions18 October 2016Medical Improv: A Novel Approach to Teaching Communication Professionalism SkillsKatie Watson, JD Belinda Fu, MDKatie JDFrom the Feinberg School of Medicine, Northwestern University, Chicago, Illinois, Swedish Family Medicine Residency-First Hill University Washington Seattle, Washington. MDFrom Washington.Author, Article, Disclosure Informationhttps://doi.org/10.7326/M15-2239 Annals Author Insight Video - Katie In this video, JD, offers additional insight...

The majority of U.S. abortion patients are poor women, and Black Hispanic women. Therefore, this article encourages bioethicists equity advocates to consider whether the need for care should be considered a health disparity, if yes, framing it way would increase ability women color get medical they need. In order engage with these critical questions, must avoid exceptionalism respect as moral agents. Centering conscience pregnant people shifts our analysis away from ethics act abortion,...

To assess medical students' and residents' experiences with defensive medicine, which is any deviation from sound practice due to a perceived threat of liability through either assurance or avoidance behaviors. Assurance behaviors include providing additional services minimal clinical value. Avoidance withholding that are, avoiding patients who as high risk.The authors conducted cross-sectional survey fourth-year students third-year residents in 2010. Respondents rated how often malpractice...

Some new state bans on abortion provision include medical exceptions, but it is hard to know how interpret them. How can physicians use the clinical judgment these statutes authorize maximum patient benefit?

People recognize they are pregnant at gestational ages ranging from implantation to delivery, yet there is no comprehensive study that identifies the prevalence of pregnancy recognition different points across this spectrum in United States. To help clinicians, policymakers, researchers, educators, and public health advocates understand what known about recognition, commentary integrates key research three types literature have not been brought together before—retrospective studies people...

Clinicians in states with abortion bans may be afraid to counsel patients about care options. Assessing the legal risks of sharing information can help physicians "right size" their fears and maximize patients' well-being.

Options will narrow for pregnant people if the U.S. Supreme Court rules in favor of antiabortion physicians who've sued FDA, demanding that it revoke its approval and regulation mifepristone.

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 attempt avoid controversy by allowing "therapeutic" but not abortions using medical terminology reinforce regressive social norms concerning motherhood and women's sexuality because what distinguishes pregnant women with indications for they originally wanted become mothers or, in cases of rape, did consent sex.Secular should stop...

Interview with Prof. Sara Rosenbaum on the conflict between EMTALA and restrictive state abortion laws. (15:46)Download The criminalization of may result in an influx patients for EDs. Ethical legal obligations related to confidentiality, privacy, duty care apply cases self-managed abortion.

Internet-based interventions hold promise as an effective channel for reaching large numbers of youth. However, log-on rates, a measure program dose, have been highly variable. Methods to enhance rate are needed. Incentives may be method. This paper reports the effect reinforcement schedule and recruitment method on rates 8-week obesity prevention program. It also explores trends in rate. Girls were randomized receive immediate (weekly) or delayed (program end) incentives ($5). The study was...

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The US Supreme Court overturned Roe v Wade in June 2022, and now each state's legislature will decide if when its citizens have legal access to abortion care physicians be criminalized for providing what is considered the standard of by multiple health-related organizations. This extraordinary change medico-legal landscape requires reevaluation health profession codes ethics related clinician conscience. article argues that these must expanded address 2 newly critical areas: physician...

The June 24, 2022 US Supreme Court decision in Dobbs v Jackson Women’s Health Organization resulted an expansive restriction on abortion access that had been constitutionally guaranteed for nearly half a century. Currently, 14 states have implemented complete bans with very limited exceptions, and additional 7 at 6 to 18 weeks’ gestation. It has well demonstrated restrictive policies disproportionately limit minoritized people of low socioeconomic status; the financial geographic barriers...

We previously reported significant correlations between a direct measure of insulin sensitivity (IS) and blood levels proteins measured using the Proximity Extension Assay (PEA) in two European cohorts. However, protein with IS within non-European populations, response to short-term interventions that improve IS, any causal associations have not yet been established.

"The pregnant woman is perhaps the last true therapeutic orphan. Because of ethical, medicolegal and foetal safety concerns regarding women, few pharmacokinetic, pharmacodynamic or clinical trials are conducted during pregnancy." Stika Frederiksen1 made this observation about lack research on drug efficacy in women 2001. In 2010, US National Institutes Health (NIH) published a report including insightful comment: "There so much we still do not know how to treat with health problems...

Social work practitioners must act every working day in the face of uncertainty. This uncertainty arises part because knowledge is often difficult to locate or sometimes lacking regarding: systems context population being served; particular client system; set problems system experiencing; as well various interventions that could be selected. It seems reasonable explore ways reduce experience uncertainty, and narrow, if not eliminate, gaps arise such situations. The generic idea...

In this paper, we propose StoryPrint, an interactive visualization of creative storytelling that facilitates individual and comparative structural analyses. This method is intended for script-based media, which has suitable metadata. The pre-visualization process involves parsing the script into different metadata categories analyzing sentiment on a character scene basis. For each scene, setting, presence, prominence, emotion film are represented as StoryPrint. presented radial diagram...