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Ethics

Ethics Forum: Personal Ethics Questions Surrounding RheumPAC Donations

Matthew L. Mundwiler, MD, & Robert H. Shmerling, MD  |  October 14, 2015

Imagine you’ve just heard a compelling presentation urging all ACR members to contribute to RheumPAC, the ACR’s political action committee. RheumPAC’s mission is to support politicians who support issues important to rheumatologists. You are impressed by the role RheumPAC has played in a number of issues you support. Just as you’re writing a check, you…

Engaging Patients to Enhance Rheumatology Research

Susan Bernstein  |  September 15, 2015

It takes a great deal of time and money to produce clinical practice guidelines for rheumatic diseases. No matter how well a treatment inhibits inflammatory cytokines, it won’t lower disease activity without one essential factor: patient compliance. “You can’t propose a treatment algorithm in your research that no patient would actually use,” says Veena Ranganath,…

Juvenile Idiopathic Arthritis: Parents Discuss Challenges, Support Rheumatologists Can Offer

Kathy Holliman  |  September 15, 2015

One parent wishes that she could have consulted a crystal ball at the beginning of her daughter’s illness to have “some kind of idea of what we were in for. There are so many stages of letting go of the idea of what your little kid is in for in life, what they are going…

On Research Review Boards, Conflict-of-Interest Reporting Improves

Kathryn Doyle  |  July 16, 2015

(Reuters Health)—Many doctors who serve on hospital panels overseeing the ethics and safety of human research trials have industry relationships that may compromise their objectivity, but reporting these conflicts has become more common over the past 10 years, according to a new study. Physicians who serve on so-called institutional review boards (IRBs) may also be…

Authorities Arrest 243 People in $712 Million Medicare Fraud

Megan Cassella  |  June 22, 2015

(Reuters)—The U.S. Department of Justice said on Thursday that 243 people have been arrested across the country, charged with submitting fake billing for Medicare, a government healthcare program, that totaled $712 million. Attorney General Loretta Lynch described the arrests as the largest criminal healthcare fraud takedown in the history of the Justice Department. Those arrested…

Ethics Forum: Plagiarism in EMRs Saves Time, But Can Raise Risk of Errors

Jane S. Kang, MD, & Robert H. Shmerling, MD  |  June 15, 2015

Case You’ve been asked to see an inpatient for a rheumatologic consultation. After seeing the patient, you enter an initial consult note in the electronic medical record (EMR). The next day, when you write a follow-up note for this patient, you copy part of your assessment and plan from your prior note. Soon after you…

Ethics Forum: Terminating Hospital Consulting Services

Colin C. Edgerton, MD  |  April 1, 2015

Ethical considerations for rheumatologists in terminating consultative services to a community hospital

Ethical, Regulatory Issues Raise Patient Care Dilemmas for Physical Therapists

Robert W. Richardson, PT MEd, FAPTA  |  February 1, 2015

How to develop strategies for optimal patient care within confines of contemporary payment systems

Ethics Forum: Electronic Health Records Raise Concerns about Physician-Patient Relationship

Elizabeth A. Kitsis, MD, MBE, & Robert H. Shmerling, MD  |  October 1, 2014

Health information technology may distract physicians during exam room visits with patients

Ethics Forum: Patient Test Requests Pose Challenges for Rheumatologists

Matthew J. Koster, MD, & Kenneth J. Warrington, MD  |  August 1, 2014

Ethical challenges physicians face when patients request potentially unnecessary medical tests

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