Ethics and Interprofessionalism in Medical Education

Sep 2016

Ethics and Interprofessionalism in Medical Education

In 2015, the Institute of Medicine released Measuring the Impact of Interprofessional Education (IPE) on Collaborative Practice and Patient Outcomes. In the opening sentence of this report’s summary, IPE is defined as happening when health professions trainees learn “with, from, and about each other to improve collaboration and the delivery of care.” This month’s theme issue considers the roles of medicine in motivating the clinical and ethical benefits of interprofessionalism for both health professionals and patients.

Volume 18, Number 9: 859-968 Full Issue PDF

From the Editor
Sep 2016

The Ethics and Value of True Interprofessionalism
Colleen Farrell
Introduction to the September 2016 issue on ethics and interprofessionalism in medical education.
AMA J Ethics. 2016;18(9):887-890. doi: 10.1001/journalofethics.2016.18.9.fred1-1609.
Case and Commentary
Sep 2016

Prioritizing Cross-Disciplinary Teaching and Learning and Patient Safety in Hospital-Based Environments
Aimee Milliken, MSN, RN
Interprofessional education facilitates health care team members’ communication, which impacts patient care, and thus is relevant to medical ethics.
AMA J Ethics. 2016;18(9):891-897. doi: 10.1001/journalofethics.2016.18.9.ecas1-1609.
Case and Commentary
Sep 2016

Interprofessional Training: Not Optional in Good Medical Education
Paul Burcher, MD, PhD
Interprofessional collaboration is a vital part of medical education. When a medical student resists learning from a nurse-midwife on a rotation, how should an academic medical faculty member respond?
AMA J Ethics. 2016;18(9):898-902. doi: 10.1001/journalofethics.2016.18.9.ecas2-1609.
Case and Commentary
Sep 2016

Resisting Outdated Models of Pedagogical Domination and Subordination in Health Professions Education
Angel Chen, RN, MSN, CPNP and Maureen Brodie, MA
Effective interprofessional collaboration and patient care require understanding team members’ roles and responsibilities and clear communication.
AMA J Ethics. 2016;18(9):903-909. doi: 10.1001/journalofethics.2016.18.9.ecas3-1609.
Medical Education
Sep 2016

Walking the Walk in Team-Based Education: The Crimson Care Collaborative Clinic in Family Medicine
Kirsten Meisinger, MD and Diana Wohler, MD
The student-faculty run Crimson Care Collaborative is a model of team-based patient care that is nonhierarchical and interprofessional.
AMA J Ethics. 2016;18(9):910-916. doi: 10.1001/journalofethics.2016.18.9.medu1-1609.
In the Literature
Sep 2016

Interprofessional Clinical Ethics Education: The Promise of Cross-Disciplinary Problem-Based Learning
Melissa J. Kurtz, MSN, MA, RN and Laura E. Starbird, MS, RN
A promising approach for medical ethics education is interprofessional, clinical ethics problem-based learning.
AMA J Ethics. 2016;18(9):917-924. doi: 10.1001/journalofethics.2016.18.9.nlit1-1609.
State of the Art and Science
Sep 2016

Time-out: The Professional and Organizational Ethics of Speaking Up in the OR
Nancy Berlinger, PhD and Elizabeth Dietz
Patient safety is a medical ethics issue that must be addressed through health care teams’ open communication as well as through time-outs and checklists.
AMA J Ethics. 2016;18(9):925-932. doi: 10.1001/journalofethics.2016.18.9.stas1-1609.
State of the Art and Science
Sep 2016

Teamwork in Health Care: Maximizing Collective Intelligence via Inclusive Collaboration and Open Communication
Anna T. Mayo, MS and Anita Williams Woolley, PhD
Teams are smartest when everyone feels free to speak up and function best when leadership is inclusive and patient-focused.
AMA J Ethics. 2016;18(9):933-940. doi: 10.1001/journalofethics.2016.18.9.stas2-1609.
Policy Forum
Sep 2016

Overcoming Legal Impediments to Physician Orders for Life-Sustaining Treatment
Marshall B. Kapp, MPH, JD
The separation of dental and medical care is a medical ethics issue because it negatively impacts vulnerable populations who lack access to dental care.
AMA J Ethics. 2016;18(9):861-868. doi: 10.1001/journalofethics.2016.18.9.peer1-1609.
Policy Forum
Sep 2016

Overcoming Historical Separation between Oral and General Health Care: Interprofessional Collaboration for Promoting Health Equity
Lisa Simon, DMD
Health equity requires physician-dentist collaboration. What are next steps for integrating oral and general health care?
AMA J Ethics. 2016;18(9):941-949. doi: 10.1001/journalofethics.2016.18.9.pfor1-1609.
Policy Forum
Sep 2016

Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention
Meghan Rudder, MD, Lulu Tsao, MD, and Helen E. Jack
Massachusetts legislation limiting supply of first-time opioid prescriptions creates opportunity for interprofessional collaboration on drug policy.
AMA J Ethics. 2016;18(9):950-959. doi: 10.1001/journalofethics.2016.18.9.pfor2-1609.
Personal Narrative
Sep 2016

Decentering the Doctor: The Critical Value of a Patient Care Collective
Shara Yurkiewicz, MD
Rehabilitation environments are structured to accommodate cross-disciplinary patient care. In this story, one physician shares what she learned in a hospital playroom about rehabilitation, interprofessional collaboration, and patient-centered service delivery.
AMA J Ethics. 2016;18(9):960-964. doi: 10.1001/journalofethics.2016.18.9.mnar1-1609.
Viewpoint
Sep 2016

The Limits of Informed Consent for an Overwhelmed Patient: Clinicians’ Role in Protecting Patients and Preventing Overwhelm
Johan Bester, MBChB, MPhil, Cristie M. Cole, JD, and Eric Kodish, MD
Protecting patients rather than informed consent should be the goal when the complexity of information overwhelms patients’ decision-making capacity.
AMA J Ethics. 2016;18(9):869-886. doi: 10.1001/journalofethics.2016.18.9.peer2-1609.
Podcast
Sep 2016

Ethics Talk: On the Need for Multiple Perspectives in Health Care - An Interview with Lachlan Forrow

This month, AMA Journal of Ethics theme editor Colleen Farrell, a fourth-year medical student at Harvard Medical School, interviewed Lachlan Forrow, MD, about the benefits of interprofessional collaboration and the importance of biopsychosocial approaches to patient care.

AMA Journal of Ethics^®

Illuminating the Art of Medicine

Ethics and Interprofessionalism in Medical Education

The Ethics and Value of True Interprofessionalism

Prioritizing Cross-Disciplinary Teaching and Learning and Patient Safety in Hospital-Based Environments

Interprofessional Training: Not Optional in Good Medical Education

Resisting Outdated Models of Pedagogical Domination and Subordination in Health Professions Education

Walking the Walk in Team-Based Education: The Crimson Care Collaborative Clinic in Family Medicine

Interprofessional Clinical Ethics Education: The Promise of Cross-Disciplinary Problem-Based Learning

Time-out: The Professional and Organizational Ethics of Speaking Up in the OR

Teamwork in Health Care: Maximizing Collective Intelligence via Inclusive Collaboration and Open Communication

Overcoming Legal Impediments to Physician Orders for Life-Sustaining Treatment

Overcoming Historical Separation between Oral and General Health Care: Interprofessional Collaboration for Promoting Health Equity

Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention

Decentering the Doctor: The Critical Value of a Patient Care Collective

The Limits of Informed Consent for an Overwhelmed Patient: Clinicians’ Role in Protecting Patients and Preventing Overwhelm

Ethics Talk: On the Need for Multiple Perspectives in Health Care - An Interview with Lachlan Forrow

Other Issues

Ethics and Mental Health

Ethics of International Health Systems Development

Ethics in Pathology