The Buffalo Model: Shifting the Focus of Clinical Licensure Exams in Dentistry to Address Ethical Concerns Regarding Patient Care

2016 ◽  
Vol 80 (6) ◽  
pp. 641-647 ◽  
Author(s):  
Joseph E. Gambacorta ◽  
Michael Glick ◽  
Ashley E. Anker ◽  
Guy S. Shampaine
Keyword(s):  
Patient Care ◽  
Ethical Concerns ◽  
Licensure Exams

scholarly journals Medical Act and Negligence: Ethical Concerns

2021 ◽  
Author(s):  
Julio Cesar Ballesteros Del Olmo
Keyword(s):  
Medical Ethics ◽  
Medical Care ◽  
Patient Care ◽  
Medical Malpractice ◽  
Social Position ◽  
Ethical Concerns ◽  
The Social ◽  
Humanistic Medicine ◽  
The Cost

To all doctors, Medical ethics must be in support of every medical action. Nowadays, ethics in medicine is an elective topic in college curricula, and therefore, unknown, forgotten or poorly learned in detriment of patient care and their wellbeing. Medical care lacking in ethics generates mistakes derived from lack of skill, negligence or recklessness. These are exacerbated by the lack of training and/or overconfidence, which at first glance can appear to be commonplace and even normal, and thus, resulting in medical malpractice. We must return to humanistic medicine. Combat medical mercantilism at the cost of the patients, and recover the social position that medicine has held with the utmost respect for centuries.

Placebo Therapy and the Law: Prescribe With Care

1983 ◽  
Vol 8 (4) ◽  
pp. 371-405
Author(s):  
Marshall B. Kapp
Keyword(s):  
Patient Care ◽  
Medical Practice ◽  
Clinical Use ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Common Part ◽  
Ethical Concerns ◽  
The Law ◽  
Physician Patient

AbstractThe use of placebos by physicians for therapeutic purposes is a common part of clinical medical practice. This Article examines the legal and ethical ramifications of placebo prescription. In particular, ethical concerns are related to substantive legal theories that may be advanced to attack or defend the practice of placebo therapy in particular cases. The author concludes that, under certain strictly denned circumstances, the use of placebos in patient care is ethically and legally justifiable. However, from any perspective, the rights and duties inherent in the physician-patient relationship must be respected by the physician when considering the clinical use of placebos.

Ethical complexities in assessing patients’ insight

2019 ◽  
Vol 45 (3) ◽  
pp. 178-182 ◽  
Author(s):  
Laura Guidry-Grimes
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Patient Care ◽  
Ethical Issues ◽  
Therapeutic Relationships ◽  
Ethical Concerns ◽  
Epistemic Trust ◽  
Contradictory Evidence ◽  
Self Knowledge

The question of whether a patient has insight is among the first to be considered in psychiatric contexts. There are several competing conceptions of clinical insight, which broadly refers to a patient’s awareness of their mental illness. When a patient is described as lacking insight, there are significant implications for patient care and to what extent the patient is trusted as a knower. Insight is currently viewed as a multidimensional and continuous construct, but competing conceptions of insight still lack consensus on the specifics. Studies also give contradictory evidence regarding the frequency and consequences of poor insight. A number of crucial questions remain unanswered. After outlining some of the key theoretical disagreements about what insight means, I highlight ethical issues that have not received much attention in the literature. Given the conceptual ambiguities and the absence of standardised bedside tools, there are significant ethical concerns about insight assessments. I highlight two main ethical concerns, specifically that these assessments risk: (1) marginalising patients by setting unattainable ideals for self-knowledge and (2) minimising the patient’s own perspective on their mental health. I close with recommendations for documenting and responding to concerns about poor insight, so patients who are vulnerable to losing epistemic trust are better supported in their therapeutic relationships.

Communications problems affecting patient care in hospitals

JAMA ◽  
1966 ◽  
Vol 195 (1) ◽  
pp. 36-37 ◽  
Author(s):  
J. C. Quint
Keyword(s):  
Patient Care

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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