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EDITORIAL

Abusive Doctors: How the Atlanta Newspaper Exposed a System That Tolerates Sexual Misconduct by Physicians
Carrie Teegardin & Lois Norder

An investigative reporter at The Atlanta Journal-Constitution was researching a prison doctor with a troubled history when he decided to page through some other disciplinary folders on the state medical board website. One of the first names he clicked on was Dr. William Almon. The Georgia physician’s file revealed that he had repeatedly faced allegations of sexually violating vulnerable female...

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Physician Sexual Assault: The Moral Imperative for Gender Equity in Medicine
Alyssa M. Burgart

Prepare to cringe as you read this issue’s article entitled “Serious Ethical Violations in Medicine” by DuBois, Anderson, and colleagues. In their analysis of 280 physician misconduct cases between 2008 and 2016, they focused only on cases where behavior promoted patient harm: when physicians overprescribed opioids, performed unnecessary procedures, or engaged in inappropriate sexual acts. I...

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Toward More Effective Self-Regulation in Medicine
Barbara L. McAneny & Elliott J. Crigger

Protecting public safety and ensuring that the medical profession is worthy of public trust have been at the heart of the mission of the American Medical Association (AMA) since its inaugural meeting in 1847. Promoting the quality of medical education and promulgating standards for ethical professional conduct is fundamental to that mission. Our education work continues in Accelerating Change in E...

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Serious Ethical Violations by Physicians: What’s the Solution?
Ross E. McKinney

These are trying times in regard to public trust. In an era when the Catholic Church chose to protect pedophilic priests rather than young congregants, many traditionally trusted figures in our society (doctors, presidents, police) have faced increased scrutiny. As DuBois and colleagues demonstrate in their article, there are numerous cases involving physicians where close scrutiny appears to be j...

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Is Genetic Exceptionalism Past Its Sell-By Date? On Genomic Diaries, Context, and Content
Thomas H. Murray

At barely 21 years of age, there are already calls for genetic exceptionalism to be retired. A little background on the circumstances of its birth might be helpful. The labor was prolonged and arduous. It began, I suppose, with the work of the Task Force on Genetic Information and Insurance, an offshoot of the ELSI (Ethical, Legal and Social Implications) Working Group for the Human Genome Project...

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Target Article

Serious Ethical Violations in Medicine: A Statistical and Ethical Analysis of 280 Cases in the United States From 2008–2016
James M. DuBois, Emily E. Anderson, John T. Chibnall, Jessica Mozersky & Heidi A. Walsh

Serious ethical violations in medicine, such as sexual abuse, criminal prescribing of opioids, and unnecessary surgeries, directly harm patients and undermine trust in the profession of medicine. We review the literature on violations in medicine and present an analysis of 280 cases. Nearly all cases involved repeated instances (97%) of intentional wrongdoing (99%), by males (95%) in nonacademic m...

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Genomic Contextualism: Shifting the Rhetoric of Genetic Exceptionalism
Nanibaa' A. Garrison, Kyle B. Brothers, Aaron J. Goldenberg & John A. Lynch

As genomic science has evolved, so have policy and practice debates about how to describe and evaluate the ways in which genomic information is treated for individuals, institutions, and society. The term genetic exceptionalism, describing the concept that genetic information is special or unique, and specifically different from other kinds of medical information, has been utilized widely, but oft...

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