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Should Physicians New to a Case Counsel Patients and Their Families to Change Course at the End of Life?

Overview of attention for article published in AMA Journal of Ethics, August 2018
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Mentioned by

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1 news outlet
twitter
21 tweeters

Citations

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2 Dimensions

Readers on

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17 Mendeley
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Title
Should Physicians New to a Case Counsel Patients and Their Families to Change Course at the End of Life?
Published in
AMA Journal of Ethics, August 2018
DOI 10.1001/amajethics.2018.699
Pubmed ID
Abstract

Although new cancer therapies have changed the prognosis for some patients with advanced malignancies, the potential benefit for an individual patient remains difficult to predict. This uncertainty has impacted goals-of-care discussions for oncology patients during critical illness. Physicians need to have transparent discussions about end-of-life care options that explore different perspectives and acknowledge uncertainty. Considering a case of a new physician's objections to an established care plan that prioritizes comfort measures, we review physician practice variation, clinical momentum, and possible moral objections. We explore how to approach such conflict and discuss whether and when it is appropriate for physicians new to a case to challenge established goals of care.

Twitter Demographics

The data shown below were collected from the profiles of 21 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 29%
Student > Doctoral Student 3 18%
Researcher 2 12%
Librarian 1 6%
Other 1 6%
Other 1 6%
Unknown 4 24%
Readers by discipline Count As %
Medicine and Dentistry 6 35%
Nursing and Health Professions 3 18%
Arts and Humanities 1 6%
Social Sciences 1 6%
Biochemistry, Genetics and Molecular Biology 1 6%
Other 1 6%
Unknown 4 24%