Audiey Kao, MD, PhD, on what physicians need to know about ethics in 2022; American Medical Association (AMA), January 5, 2022

American Medical Association (AMA); Audiey Kao, MD, PhD, on what physicians need to know about ethics in 2022

"AMA's Moving Medicine video series amplifies physician voices and highlights developments and achievements throughout medicine.

Kicking off 2022 with the AMA's "Look Forward/Look Back” series, AMA Chief Experience Officer Todd Unger talks with Audiey Kao, MD, PhD, the AMA's vice president of ethics, about the AMA's critical work in medical ethics and what to expect in the months ahead.

Speaker

• Audiey Kao, MD, PhD, vice president, ethics, AMA...

Unger: In addition to mandates, another one of these key ethics challenges that physicians faced in 2021, and this is a very painful one, is about allocating scarce resources. Throughout the pandemic, we've seen hospitals goal with shortages of ventilators, ICU beds, even staff to take care of critically ill patients. And sometimes, hospitals are forced to implement "crisis standards of care," in which they prioritize patients largely on their likelihood of survival. How did the AMA guide physicians and hospitals in what is an extremely difficult decision?

Dr. Kao: Yeah, I mean, you raise a great point. I mean, according to the AMA Code of Medical Ethics, allocation policies should be based on criteria relating to medical need. It's not appropriate to base allocation policies on social worth, perceived obstacles to treatment, patient contribution to illness or, frankly, past use of resources.

While the Code provides a general framework for addressing allocation decisions, the COVID pandemic revealed that much of the health care system was not prepared to implement allocation policies. To be blunt, these are not decisions we can make on the fly. So, we need to be better prepared. And for the Code, that means its ethical guidance on this critically important topic should be updated. As a living document, the Code is continually updated and this is a prime example of AMA's stewardship of the code I mentioned earlier.

Unger: That's interesting. It's almost this opportunity to take a look back at the year and look beyond what are, I don't know, more theoretical in terms of the ethics and how they were applied to help people learn that. When you're talking about a living document, is that what you're meaning?

Dr. Kao: Yeah, that's right. I mean, I think we have to have a strong dose of humility in medicine to know what we know and what we don't know. And so, to not learn the lessons of this pandemic to apply to how we should care for patients in the future would not speak well of our commitment to promote the health of the public."

AMA calls for privacy guidelines governing mail-order DNA tests; American Medical Association (AMA), November 16, 2021

American Medical Association (AMA); AMA calls for privacy guidelines governing mail-order DNA tests

"Taking a cheek swab and sending it to a mail-order DNA testing company takes only a few minutes, but the information might live on forever—and become widely available.

At its Interim Special meeting, the American Medical Association (AMA) House of Delegates expressed concern that the privacy laws governing genetic information do not apply to these over-the-counter tests. The AMA will work with federal agencies to strengthen the privacy safeguards.

“People curious about their ancestry shouldn’t be worried that the data extracted from saliva will be shared,” said Thomas J. Madejski, M.D., a member of the AMA Board of Trustees. “This can have serious consequences, and again highlights the need to demand privacy for health care records, even seemingly innocuous ones.”...

While federal law prevents health insurance companies and employers from discriminating based on genetic information, these restrictions do not apply to life, disability, or long-term care insurance companies, which can result in insurance application rejections. Users of consumer genetic testing should be advised of the potential risks of their participation.

The AMA will advocate to add long-term care, life, and disability insurance to the federal law overseeing genetic testing. The AMA also will support privacy standards that would prohibit pharmaceutical companies, biotechnology companies, universities, and other entities with financial ties to genetic testing companies from sharing identified information without the consent of the tested individual."

Pandemic serves up new questions of medical right and wrong; American Medical Association, April 13, 2020

Timothy M. Smith, American Medical Association; Pandemic serves up new questions of medical right and wrong

"The COVID-19 pandemic is posing unfamiliar challenges for front-line physicians while also casting new light on longstanding health equity issues. An episode of the “AMA COVID-19 Update” explores several underlying ethical questions. Among these: How much risk is too much for physicians? Which patients should get priority access to scarce resources? And how do socioeconomic factors affect quality of care in an emergency?

In a conversation with the AMA’s chief experience officer, Todd Unger, three experts from the AMA delved into relevant ethical guidance.

The AMA and the Centers for Disease Control and Prevention are closely monitoring the COVID-19 global pandemic. Learn more at the  AMA COVID-19 resource center. Also check out pandemic resources available from the AMA Code of Medical Ethics, JAMA Network™, AMA Journal of Ethics®, and consult the  AMA’s physician guide to COVID-19."

What to tell patients when artificial intelligence is part of the care team; American Medical Association (AMA), February 13, 2019

Staff News Writer, American Medical Association (AMA); What to tell patients when artificial intelligence is part of the care team

"Artificial intelligence (AI) in health care can help manage and analyze data, make decisions and conduct conversations. The availability of AI is destined to drastically change physicians’ roles and everyday practices. It is key that physicians be able to adapt to changes in diagnostics, therapeutics and practices of maintaining patient safety and privacy. However, physicians need to be aware of ethically complex questions about implementation, uses and limitations of AI in health care.   

The February issue of the AMA Journal of Ethics® (@JournalofEthics) features numerous perspectives on AI in health care and gives you an opportunity to earn CME credit."