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Physicians may be operating in burnout mode or suffering from other maladies related to distress and stress long before they are even aware of it, according to Michael K. Kearney, MD, one of the authors of a paper published in the Journal of the American Medical Association (JAMA) earlier this year titled "Self-care of Physicians Caring for Patient at the End of Life: "Being Connected A Key to My Survival."
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Hospitalists, very simply, are physicians who provide hospital-based care exclusively, and it is increasingly the model used by institutions in order to have physicians on staff and on call at their institutions on a 24/7 basis.
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Is reluctance to permit exceptions from informed consent in emergency research (EICER) preventing important studies from moving forward?
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Medical ethics is not the typical topic of free community health discussions, but the staff at Winona Health's Senior Services, as well as staff at Home Care and Hospice in Winona, MN, have found a welcoming audience for the talk.
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The overriding ethical issue of a pandemic influenza â or any other health crisis involving a contagious disease â appears to be the dilemma of balancing public health vs. individual liberties.
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Depending on the ultimate decision of the Montana Supreme Court in the case of Baxter v. Montana, the complex issue of assisted suicide ultimately could mean that Montana becomes the third state in the United States to allow for physician-assisted suicide, after Oregon and more recently, Washington state.
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Banja: Here's a direction in the brain death debate that I think is most interesting: The Religious Freedom Restoration Act. Now, this act was passed in 1993 but in 1997 it was declared unconstitutional by the U.S. Supreme Court. So, the act is no longer in effect.
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Large research institutions can improve IRB consistency, education, and networking by establishing an oversight board that will bring IRB chairs together at committee meetings.
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Are the medications safely out of reach of children? Can the family caregiver handle tasks required to care for the patient? Are family members following the wishes of the patient as indicated before he or she developed dementia? Is the patient safe in the home setting? Is the employee safe in the patient's home?
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[Editor's note: Dr. Banja is a Professor in the Department of Rehabilitation Medicine; a Medical Ethicist at the Center for Ethics; and the Director of the Section on Ethics in Research at Emory University in Atlanta. E-mail:
[email protected].]
