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Public opinion of FDA sliding in Vioxx wake; CAM therapies must meet standards.
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Patients with psychiatric illness pose a particular problem to researchers and to the IRBs that review studies involving them. They can have widely varying capacity to give informed consent and that capacity can wax and wane depending upon the progression of the illness and the patients current treatment. Issues such as the use of placebo and the role of surrogates can be thorny.
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A video created to dispel patient misconceptions about clinical trials benefited from a diverse array of viewpoints everyone from physicians and nurses to subjects and even those who decide not to take part in clinical trials, says the woman who spearheaded the effort.
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The 1999 research-related death of Jesse Gelsinger achieved one more step toward resolution with the announcement of a settlement between the federal government and researchers and research institutions involved in the case.
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The president of the American Medical Association (AMA), who became the target of criticism from gay and lesbian groups after comments defending a medical schools decision to ban a gay student group were attributed to him in a newspaper article, asserts that his views were misrepresented.
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Last year, the Ninth U.S. Circuit Court of Appeals ruled that then-U.S. Attorney General John Ashcroft, the plaintiff in the ongoing case against the law, cannot sanction or hold doctors criminally liable for prescribing overdoses under Oregon law. The Bush administration has appealed, and the Supreme Court has agreed to review Oregons law.
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How and when, during the course of a medical students education, should the subject of ethics be taught is a matter of much discussion. One program at the University of Iowas (UI) Carver College of Medicine adds an additional basic element teaching med students how to tell if an ethical problem is really an ethical problem.
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Ensuring age- and condition-appropriate medical care for young patients with special health care needs is challenging enough, but one aspect of their care that may not receive the attention it merits is the effect on a child when he or she is forced to transition from pediatric to adult care.
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There are some ethical issues that are universal end of life decisions, competency, and refusal of treatment, to name a few. But the questions involved and their answers seem to carry added weight when the patients are children.
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Recent challenges to the medical licenses of physicians who participate in state-ordered executions have been dismissed, but the physicians and ethicists who claim that participation violates the American Medical Association (AMA) code of ethics vow to keep up the complaints.
