AMA Journal of Ethics. February 2017
This month in Journal of Ethics
Legitimacy and Authority in Medicine
“Post-truth” was last year’s word of the year, according to Oxford Dictionaries, and it refers to the phenomenon of an idea’s emotional appeal having more influence than its basis in fact. How ideas acquire legitimacy and authority in medicine (or not) suggests some of the ways in which medicine mediates social and cultural transformations of evidence to facts to truth. In practice and research settings, clinicians interpret evidence in light of their beliefs about the legitimacy and authority of that evidence, and one truth worth knowing in health care is that experts don’t always agree. Disagreement about which criteria should be used to assess the merits of clinical advice or implement changes to standards of care, for example, can generate uncertainty, distrust, and confusion among professionals just as it can among members of the public. This issue of the AMA Journal of Medical Ethics considers what this means for medicine and for patients.
How Should Therapeutic Decisions about Expensive Drugs Be Made in Imperfect Environments? Commentary by Leonard M. Fleck, PhD, and Marion Danis, MD Clinicians can be patient advocates, resource stewards, and promote good financial choices about care.
The Case of Dr. Oz: Ethics, Evidence, and Does Professional Self-Regulation Work? Jon C. Tilburt, MD, MPH, Megan Allyse, PhD, and Frederic W. Hafferty, PhD Dr. Oz’s advice has raised ethical questions about medicine as a profession, its evidentiary standards, and its role in maintaining public trust.
What Is the Relevance of Procedural Fairness to Making Determinations about Medical Evidence? Govind Persad, JD, PhD Procedures for weighing factual evidence could help avoid the epistemic injustice of discounting or ignoring the voices of clinical research subjects.
Reasonableness, Credibility, and Clinical Disagreement Mary Jean Walker, PhD, and Wendy A. Rogers, BMBS, PhD When is a source credible and how do beliefs about a source’s credibility influence assessments of evidence?
March Language and Hierarchy in Medicine
April Moral Psychology and "Difficult" Doctor-Patient Dyads
May Mental Health and Oncology
June Moral Distress and Medicine
July Quality of Life in Dementia
August Iatrogenesis in Pediatrics
© 2017 American Medical Association. All Rights Reserved. ISSN 2376-6980