ITEMS IN FPM WITH MESH TERM:
Is Moonlighting Right For You? - Feature
How to Recruit New Residency Graduates - Feature
ABSTRACT: Because advance directives are not yet the norm, end-of-life decisions for patients without medical decision-making capacity are made regularly within discussions between the patient's physician and family. Communication and decision making in these situations require a complex integration of relevant conceptual knowledge of ethical implications, the principle of surrogate decision making, and legal considerations; and communication skills that address the highly charged emotional issues under discussion. The most common pitfalls in establishing plans of care for patients who lack decision-making capacity include failure to reach a shared appreciation of the patient's condition and prognosis; failure to apply the principle of substituted judgment; offering the choice between care and no care, rather than offering the choice between prolonging life and quality of life; too literal an interpretation of an isolated, out-of-context, patient statement made earlier in life; and failure to address the full range of end-of-life decisions from do-not-resuscitate orders to exclusive palliative care.
Choosing One PPI Treatment Over Another - AFP Journal Club
Responding to a Colleague Who Neglects Best Practices - Curbside Consultation
Opioid Analgesia During Evaluation of Acute Abdominal Pain - Cochrane for Clinicians
Helping Physicians Make Evidence-Based Decisions - Editorials