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Code of Medical Ethics of the American Medical Association 2nd Revised edition [Kõva köide]

  • Formaat: Hardback, 624 pages, kõrgus x laius: 279x216 mm, kaal: 673 g
  • Ilmumisaeg: 22-Jun-2022
  • Kirjastus: American Medical Association
  • ISBN-10: 1640162097
  • ISBN-13: 9781640162099
Teised raamatud teemal:
  • Formaat: Hardback, 624 pages, kõrgus x laius: 279x216 mm, kaal: 673 g
  • Ilmumisaeg: 22-Jun-2022
  • Kirjastus: American Medical Association
  • ISBN-10: 1640162097
  • ISBN-13: 9781640162099
Teised raamatud teemal:
Since 1847, the AMA Code of Medical Ethics has set out the ethical commitments that define medicine as a profession. Through the Principles of Medical Ethics and Opinions of the Council on Ethical and Judicial Affairs that interpret them, the AMA Code provides timely, practical ethics guidance for physicians across the profession, regardless of specialty.


Commemorating its 175th anniversary, this new edition of the American Medical Association’s (AMA) Code of Medical Ethics (AMA Code) has undergone another comprehensive update. Much has changed in medicine and society since the AMA Code was created 175 years ago, and the AMA Code has changed as well. The Annotations, an important research and reference tool, in the AMA Code has been significantly updated to include more up-to-date and relevant cases, as well as the removal of outdated cases. To celebrate its 175th anniversary, this new edition of the AMA Code also includes artwork and poetry and literary excerpts—all selected to reflect our society and to highlight the importance of diversity and equity—to reflect the AMA’s mission to promote the art of medicine and its ethos of putting patients first.

The only national code of ethics for all physicians, the AMA Code articulates the core values and ethical responsibilities of physicians who are charged with curing the sick when possible and comforting the dying. Hence, its wide recognition as the most authoritative guide for physicians who strive to practice ethically. This modernized and updated edition of the AMA Code breathes new energy into this living document, while staying true to what it means to be a good physician. The AMA Code is grounded in the nine Principles of Medical Ethics, which are the standards of conduct that define the essentials of ethical behavior for physicians. While the AMA Code provides essential guidance for professional conduct for physicians, it is also regularly cited as the medical profession’s authoritative voice in legal opinions, journal articles and media outlets. It is an indispensable resource that deserves to be in every physician office, medical library, hospital, and place where the public’s health is promoted. This book includes: 
  • Updated and increased number of case annotations, offering synopsis of facts and legal issues. focusing on the court’s reference to the AMA Code’s Principle(s) or Opinion(s) and the role it played in their decisions.
  • Intuitive topical chapter structure makes finding pertinent ethical guidance easy.
  • A uniform format that improves the readability and application of specific guidance.
  • Consolidation of previously disparate guidance on related topics that streamlines the AMA Code.
  • Use of accepted definitions and consistent terminology that minimize misinterpretation of guidance. • Inclusion of a new preface to clarify the different levels of ethical obligation in the offered guidance.
Foreword xiii
Council on Ethical and Judicial Affairs xv
Artist Acknowledgement xvii
Permission to Reprint xviii
Principles of Medical Ethics 1(2)
Preface to the Opinions of the Council on Ethical and Judicial Affairs 3(2)
Preamble to the Opinions of the Council on Ethical and Judicial Affairs 5(2)
1 Patient-Physician Relationships
7(26)
1.1 Responsibilities of Physicians and Patients
9(7)
1.1.1 Patient-Physician Relationships
9(1)
1.1.2 Prospective Patients
9(1)
1.1.3 Patient Rights
10(1)
1.1.4 Patient Responsibilities
11(1)
1.1.5 Terminating a Patient-Physician Relationship
12(1)
1.1.6 Quality
13(1)
1.1.7 Physician Exercise of Conscience
14(1)
1.1.8 Physician Responsibilities for Safe Patient Discharge from Health Care Facilities
15(1)
1.2 Special Issues in Patient-Physician Relationships
16(17)
1.2.1 Treating Self or Family
16(1)
1.2.2 Discrimination and Disruptive Behavior by Patients
17(2)
1.2.3 Consultation, Referral, and Second Opinions
19(1)
1.2.4 Use of Chaperones
19(1)
1.2.5 Sports Medicine
20(1)
1.2.6 Work-Related and Independent Medical Examinations
20(1)
1.2.7 Use of Restraints
21(1)
1.2.8 Gifts from Patients
22(1)
1.2.9 Use of Remote Sensing and Monitoring Devices
23(1)
1.2.10 Political Action by Physicians
23(1)
1.2.11 Ethically Sound Innovation in Medical Practice
24(2)
1.2.12 Ethical Practice in Telemedicine
26(2)
1.2.13 Medical Tourism
28(5)
2 Consent, Communication, and Decision Making
33(20)
2.1 Informed Consent and Shared Decision Making
35(5)
2.1.1 Informed Consent
35(1)
2.1.2 Decisions for Adult Patients Who Lack Capacity
36(1)
2.1.3 Withholding Information from Patients
37(1)
2.1.4 Use of Placebo in Clinical Practice
38(1)
2.1.5 Reporting Clinical Test Results
39(1)
2.1.6 Substitution of Surgeon
40(1)
2.2 Decisions for Minors
40(7)
2.2.1 Pediatric Decision Making
40(2)
2.2.2 Confidential Health Care for Minors
42(1)
2.2.3 Mandatory Parental Consent to Abortion
43(1)
2.2.4 Treatment Decisions for Seriously III Newborns
44(1)
2.2.5 Genetic Testing of Children
45(2)
2.3 Communication with Patients
47(6)
2.3.1 Electronic Communication with Patients
47(1)
2.3.2 Professionalism in the Use of Social Media
48(1)
2.3.3 Informing Families of a Patient's Death
49(1)
2.3.4 Political Communications
49(1)
2.3.5 Soliciting Charitable Contributions from Patients
50(1)
2.3.6 Surgical Co-Management
51(2)
3 Privacy, Confidentiality, and Medical Records
53(14)
3.1 Privacy
55(4)
3.1.1 Privacy in Health Care
55(1)
3.1.2 Patient Privacy and Outside Observers of the Clinical Encounter
55(1)
3.1.3 Audio or Visual Recording of Patients for Education in Health Care
56(1)
3.1.4 Audio or Visual Recording of Patients for Public Education
57(2)
3.1.5 Professionalism in Relationships with Media
59(1)
3.2 Confidentiality
59(4)
3.2.1 Confidentiality
59(1)
3.2.2 Confidentiality Postmortem
60(1)
3.2.3 Industry-Employed Physicians and Independent Medical Examiners
61(1)
3.2.4 Access to Medical Records by Data Collection Companies
62(1)
3.3 Medical Records
63(4)
3.3.1 Management of Medical Records
63(1)
3.3.2 Confidentiality and Electronic Medical Records
64(1)
3.3.3 Breach of Security in Electronic Medical Records
64(3)
4 Genetics and Reproductive Medicine
67(14)
4.1 Genetics
69(3)
4.1.1 Genetic Testing and Counseling
69(1)
4.1.2 Genetic Testing for Reproductive Decision Making
70(1)
4.1.3 Third-Party Access to Genetic Information
71(1)
4.1.4 Forensic Genetics
71(1)
4.2 Reproductive Medicine
72(9)
4.2.1 Assisted Reproductive Technology
72(1)
4.2.2 Gamete Donation
73(1)
4.2.3 Therapeutic Donor Insemination
74(1)
4.2.4 Third-Party Reproduction
75(2)
4.2.5 Storage and Use of Human Embryos
77(1)
4.2.6 Cloning for Reproduction
78(1)
4.2.7 Abortion
79(2)
5 Caring for Patients at the End of Life
81(14)
5.1 Advance Care Planning
83(2)
5.2 Advance Directives
85(1)
5.3 Withholding or Withdrawing Life-Sustaining Treatment
86(2)
5.4 Orders Not to Attempt Resuscitation (DNAR)
88(2)
5.5 Medically Ineffective Interventions
90(1)
5.6 Sedation to Unconsciousness in End-of-Life Care
91(1)
5.7 Physician-Assisted Suicide
92(1)
5.8 Euthanasia
93(2)
6 Organ Procurement and Transplantation
95(14)
6.1 Organ Procurement
97(7)
6.1.1 Transplantation of Organs from Living Donors
97(2)
6.1.2 Organ Donation after Cardiac Death
99(1)
6.1.3 Studying Financial Incentives for Cadaveric Organ Donation
100(1)
6.1.4 Presumed Consent and Mandated Choice for Organs from Deceased Donors
101(1)
6.1.5 Umbilical Cord Blood Banking
102(1)
6.1.6 Anencephalic Newborns as Organ Donors
103(1)
6.2 Organ Transplantation
104(2)
6.2.1 Guidance for Organ Transplantation from Deceased Donors
104(1)
6.2.2 Directed Donation of Organs for Transplantation
105(1)
6.3 Special Issues in Organ Procurement and Transplantation
106(3)
6.3.1 Xenotransplantation
106(3)
7 Research and Innovation
109(24)
7.1 Physician Involvement in Research
111(5)
7.1.1 Physician Involvement in Research
111(1)
7.1.2 Informed Consent in Research
112(1)
7.1.3 Study Design and Sampling
113(1)
7.1.4 Conflicts of Interest in Research
114(2)
7.1.5 Misconduct in Research
116(1)
7.2 Disseminating Research Results
116(3)
7.2.1 Principles for Disseminating Research Results
116(1)
7.2.2 Release of Data from Unethical Experiments
117(1)
7.2.3 Patents and Dissemination of Research Products
118(1)
7.3 Special Issues in Research
119(4)
7.3.1 Ethical Use of Placebo Controls in Research
119(2)
7.3.2 Research on Emergency Medical Interventions
121(1)
7.3.3 International Research
122(1)
7.3 A Maternal-Fetal Research
123(10)
7.3.5 Research Using Human Fetal Tissue
124(1)
7.3.6 Research in Gene Therapy and Genetic Engineering
125(1)
7.3.7 Safeguards in the Use of DNA Databanks
126(2)
7.3.8 Research with Stem Cells
128(1)
7.3.9 Commercial Use of Human Biological Materials
129(1)
7.3.10 Expanded Access to Investigational Therapies
130(3)
8 Physicians and the Health of the Community
133(18)
8.1 Routine Universal Screening for HIV
135(1)
8.2 Impaired Drivers and Their Physicians
136(1)
8.3 Physicians' Responsibilities in Disaster Response and Preparedness
137(1)
8.4 Ethical Use of Quarantine and Isolation
138(1)
8.5 Disparities in Health Care
139(1)
8.6 Promoting Patient Safety
140(1)
8.7 Routine Universal Immunization of Physicians
141(1)
8.8 Required Reporting of Adverse Events
142(1)
8.9 Expedited Partner Therapy
143(1)
8.10 Preventing, Identifying, and Treating Violence and Abuse
144(1)
8.11 Health Promotion and Preventive Care
145(2)
8.12 Ethical Physician Conduct in the Media
147(1)
8.13 Physician Competence, Self-Assessment, and Self-Awareness
148(3)
9 Professional Self-regulation
151(34)
9.1 Sexual Boundaries
153(2)
9.1.1 Romantic or Sexual Relationships with Patients
153(1)
9.1.2 Romantic or Sexual Relationships with Key Third Parties
153(1)
9.1.3 Sexual Harassment in the Practice of Medicine
154(1)
9.2 Physician Education and Training
155(6)
9.2.1 Medical Student Involvement in Patient Care
155(1)
9.2.2 Resident and Fellow Physicians' Involvement in Patient Care
155(2)
9.2.3 Performing Procedures on the Newly Deceased
157(1)
9.2.4 Disputes between Medical Supervisors and Trainees
157(1)
9.2.5 Medical Students Practicing Clinical Skills on Fellow Students
158(1)
9.2.6 Continuing Medical Education
159(1)
9.2.7 Financial Relationships with Industry in Continuing Medical Education
159(2)
9.3 Physician Wellness
161(2)
9.3.1 Physician Health and Wellness
161(1)
9.3.2 Physician Responsibilities to Colleagues with Illness, Disability, or Impairment
162(1)
9.4 Peer Review and Disciplinary Action
163(4)
9.4.1 Peer Review and Due Process
163(1)
9.4.2 Reporting Incompetent or Unethical Behavior by Colleagues
164(1)
9.4.3 Discipline and Medicine
165(1)
9.4.4 Physicians with Disruptive Behavior
166(1)
9.5 Physician Involvement in Health Care Institutions
167(2)
9.5.1 Organized Medical Staff
167(1)
9.5.2 Staff Privileges
167(1)
9.5.3 Accreditation
168(1)
9.5.4 Civil Rights and Medical Professionals
168(1)
9.5.5 Gender Discrimination in Medicine
168(1)
9.6 Physician Promotion and Marketing Practices
169(9)
9.6.1 Advertising and Publicity
169(2)
9.6.2 Gifts to Physicians from Industry
171(1)
9.6.3 Incentives to Patients for Referrals
172(1)
9.6.4 Sale of Health-Related Products
172(1)
9.6.5 Sale of Non-Health-Related Goods
173(1)
9.6.6 Prescribing and Dispensing Drugs and Devices
174(1)
9.6.7 Direct-to-Consumer Advertisement of Prescription Drugs
174(1)
9.6.8 Direct-to-Consumer Diagnostic Imaging Tests
175(2)
9.6.9 Physician Self-Referral
177(1)
9.7 Physician Interactions with Government Agencies
178(7)
9.7.1 Medical Testimony
178(1)
9.7.2 Court-Initiated Medical Treatment in Criminal Cases
179(1)
9.7.3 Capital Punishment m
180(2)
9.7.4 Physician Participation in Interrogation
182(1)
9.7.5 Torture
183(2)
10 Interprofessional Relationships
185(12)
10.1 Ethics Guidance for Physicians in Nonclinical Roles
187(1)
10.1.1 Ethical Obligations of Medical Directors
187(1)
10.2 Physician Employment by a Nonphysician Supervisee
188(1)
10.3 Peers as Patients
189(1)
10.4 Nurses
190(1)
10.5 Allied Health Professionals
190(1)
10.6 Industry Representatives in Clinical Settings
191(1)
10.7 Ethics Committees in Health Care Institutions
192(2)
10.7.1 Ethics Consultations
193(1)
10.8 Collaborative Care
194(3)
11 Financing and Delivery of Health Care
197(18)
11.1 Access to Health Care
199(4)
11.1.1 Defining Basic Health Care
199(1)
11.1.2 Physician Stewardship of Health Care Resources
199(2)
11.1.3 Allocating Limited Health Care Resources
201(1)
11.1.4 Financial Barriers to Health Care Access
202(1)
11.2 Health Care Organizations and Physician Practice
203(7)
11.2.1 Professionalism in Health Care Systems
203(2)
11.2.2 Conflicts of Interest in Patient Care
205(1)
11.2.3 Contracts to Deliver Health Care Services
205(1)
11.2.3.1 Restrictive Covenants
206(1)
11.2.4 Transparency in Health Care
207(1)
11.2.5 Retainer Practices
207(1)
11.2.6 Mergers between Secular and Religiously Affiliated Health Care Institutions
208(2)
11.3 Fees and Charges
210(5)
11.3.1 Fees for Medical Services
210(1)
11.3.2 Fees for Nonclinical and Administrative Services
211(1)
11.3.3 Interest and Finance Charges
211(1)
11.3.4 Fee Splitting
212(3)
Guide to the Use of Annotations 215(2)
Annotations 217(1)
Principles of Medical Ethics 217(60)
Opinions of the Council on Ethical and Judicial Affairs 277(232)
Concordance 509(10)
Index of Cases 519(10)
Index of Articles 529(60)
Index 589