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What Are the Top 5 Things Surgical Trainees Should Consider When Caring for Patients Who Are Incarcerated? 外科实习生在照顾被监禁的病人时应该考虑的5件事是什么？
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.269
Sophia Williams-Perez, Chad Wilson
{"title":"What Are the Top 5 Things Surgical Trainees Should Consider When Caring for Patients Who Are Incarcerated?","authors":"Sophia Williams-Perez, Chad Wilson","doi":"10.1001/amajethics.2025.269","DOIUrl":"10.1001/amajethics.2025.269","url":null,"abstract":"<p><p>The US has the most individuals who are incarcerated worldwide. This article offers five recommendations for what surgical trainees should think about and know about when providing perioperative care for patients who are incarcerated.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E269-276"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alone, Handcuffed to a Bed Awaiting Surgery. 独自一人，被铐在床上等待手术。
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.298
Amber R Comer
{"title":"Alone, Handcuffed to a Bed Awaiting Surgery.","authors":"Amber R Comer","doi":"10.1001/amajethics.2025.298","DOIUrl":"10.1001/amajethics.2025.298","url":null,"abstract":"<p><p>Hospital inpatients who are incarcerated spend most of their time alone, are not permitted to have visitors while hospitalized, and are handcuffed to their beds. This story describes an ethics consultation about one such patient's surgical care.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E298-301"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should We Better Express Respect for Surgical Patients Who Are Incarcerated? 我们应该如何更好地表达对被监禁的外科病人的尊重？
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.239
Monalisa A Hassan, Youmna A Sherif
{"title":"How Should We Better Express Respect for Surgical Patients Who Are Incarcerated?","authors":"Monalisa A Hassan, Youmna A Sherif","doi":"10.1001/amajethics.2025.239","DOIUrl":"https://doi.org/10.1001/amajethics.2025.239","url":null,"abstract":"","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E239-241"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Care of Patients Who Are Incarcerated. 照顾被监禁的病人。
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.277
Amber R Comer
{"title":"Care of Patients Who Are Incarcerated.","authors":"Amber R Comer","doi":"10.1001/amajethics.2025.277","DOIUrl":"10.1001/amajethics.2025.277","url":null,"abstract":"<p><p>This article considers AMA Code of Medical Ethics opinions relevant to the care of patients who are incarcerated.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E277-282"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When Should Surgical Human Subject Research Involve Patients Who Are Incarcerated? 什么时候外科人体受试者研究应该涉及被监禁的患者？
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.283
Lubna Khan, Marcus Hoffman
{"title":"When Should Surgical Human Subject Research Involve Patients Who Are Incarcerated?","authors":"Lubna Khan, Marcus Hoffman","doi":"10.1001/amajethics.2025.283","DOIUrl":"10.1001/amajethics.2025.283","url":null,"abstract":"<p><p>Surgical research involving patients who are incarcerated is fraught with ethical, logistical, and practical questions. This article first considers important moments in the history of research with people who are incarcerated and suggests how they have contributed to evolution in human subject research ethics and regulation. This article also examines the problem of limited data about surgical disease burden and describes barriers to enrolling individuals who are incarcerated in surgical clinical trials, including study exclusion criteria and clinician-investigator bias. Finally, this article recommends strategies for balancing human research subject protections with the need for equitable enrollment in surgical clinical trials, especially later-phase trials in which benefit is more likely than in early-phase trials.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E283-290"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethics of Learning Surgical Autonomy in Safety-Net Hospital Systems With Patients Who Are Incarcerated. 在安全网络医院系统中与被监禁患者一起学习手术自主权的伦理学。
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.263
Kala T Pham, Rachel W Davis
{"title":"Ethics of Learning Surgical Autonomy in Safety-Net Hospital Systems With Patients Who Are Incarcerated.","authors":"Kala T Pham, Rachel W Davis","doi":"10.1001/amajethics.2025.263","DOIUrl":"10.1001/amajethics.2025.263","url":null,"abstract":"<p><p>Safety-net hospitals care for patients who are incarcerated and are key environments in which surgical trainees learn to wield their professional autonomy. This article explores ethical questions raised by surgical trainees' participation in carceral care and canvasses possible responses to those questions.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E263-268"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Foundations of Carceral Health Care Came From a Right to Sue. 医疗保健的基础是如何从诉权而来的。
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.291
Jorie Braunold
{"title":"How Foundations of Carceral Health Care Came From a Right to Sue.","authors":"Jorie Braunold","doi":"10.1001/amajethics.2025.291","DOIUrl":"10.1001/amajethics.2025.291","url":null,"abstract":"<p><p>The focus of the American Medical Association (AMA) on health care for persons who are incarcerated was in response to the US Supreme Court's 1964 Cooper v Pate holding. This article summarizes key points from AMA work during the 1970s that led to further development of carceral care standards by the National Commission on Correctional Health Care.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E291-297"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should Surgeons Help Formerly Incarcerated Patients With Chronic Surgical Needs Maintain Care Continuity? 外科医生应该如何帮助以前被监禁的慢性手术需要的患者保持护理的连续性？
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.249
Christine Nembhard, Kindha Nasef
{"title":"How Should Surgeons Help Formerly Incarcerated Patients With Chronic Surgical Needs Maintain Care Continuity?","authors":"Christine Nembhard, Kindha Nasef","doi":"10.1001/amajethics.2025.249","DOIUrl":"10.1001/amajethics.2025.249","url":null,"abstract":"<p><p>Stoma care is very challenging, and, with the added hardship of incarceration, patients find it very difficult to navigate living with a stoma and having it reversed in a timely fashion. Incarceration history adds to the clinical and ethical complexity of surgical care for patients who require an ostomy, especially when secondary to trauma. This commentary on a case canvasses strategies for responding to long-term needs of formerly incarcerated patients with an ostomy who need good follow-up care as much as they need support reintegrating into communities.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E249-256"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should Surgical Care Team Members Protect Incarcerated Patients From Carceral Officers' Surveillance or Intrusion? 外科护理团队成员应该如何保护被监禁的病人不受狱警的监视或侵扰？
AMA journal of ethics Pub Date : 2025-04-01 DOI: 10.1001/amajethics.2025.257
Anna Lin, Mallory Williams
{"title":"How Should Surgical Care Team Members Protect Incarcerated Patients From Carceral Officers' Surveillance or Intrusion?","authors":"Anna Lin, Mallory Williams","doi":"10.1001/amajethics.2025.257","DOIUrl":"10.1001/amajethics.2025.257","url":null,"abstract":"<p><p>This commentary on a case considers surgeons' legal and ethical obligations to patients who are incarcerated and accompanied by carceral facility personnel.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 4","pages":"E257-262"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should Surgeons Share Experiences of Regret With Patients? 外科医生应该和病人分享后悔的经历吗？
AMA journal of ethics Pub Date : 2025-03-01 DOI: 10.1001/amajethics.2025.207
Paul Adam Gonzales, Yash Shroff, Michael Berler, Anna S Bresler, Steven Molina, Feyisayo Ojute, Carter C Lebares
{"title":"Should Surgeons Share Experiences of Regret With Patients?","authors":"Paul Adam Gonzales, Yash Shroff, Michael Berler, Anna S Bresler, Steven Molina, Feyisayo Ojute, Carter C Lebares","doi":"10.1001/amajethics.2025.207","DOIUrl":"10.1001/amajethics.2025.207","url":null,"abstract":"<p><p>Regret is ubiquitous in surgical practice and emphasizes the nature and breadth of surgeons' responsibilities to patients and colleagues. Expressing regret to patients requires transparent and honest communication but can leave surgeons vulnerable. This article recommends strategies for communicating regret to patients and suggests how organizations and colleagues can help surgeons trying to cope with regret experiences continue their professional growth.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 3","pages":"E207-215"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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