91������

Position Papers

• 
  (June 4, 2024)

Position Papers

• 
  (September 4, 2023)
• Ethics, Determination of Death, and Organ Transplantation in Normothermic Regional Perfusion (NRP) with Controlled Donation after Circulatory Determination of Death (cDCD): American College of Physicians Statement of Concern
  (April 17, 2021)

Comments and Letters

• 91������ letter to the Uniform Law Commission Committee about updating the Uniform Determination of Death Act (UDDA) (June 7, 2023)

Other

• Does Normothermic Regional Perfusion Violate the Ethical Principles Underlying Organ Procurement? Yes. (Chest. 2022;162(2):288-90)
• Rebuttal From Dr. DeCamp et al. (Chest. 2022;162(2):292-3)

Ethics Manual

electronic patient-physician communication, electronic health records, telemedicine, and online professionalism

Case Studies

• Lab Results Reporting, Ethics, and the 21st Century Cures Act Rule on Information Blocking CME/MOC

• CME/MOC
  (91������ Ethics Case Studies Series. CME and MOC by Medscape. 2021)

• CME/MOC
  (91������ Ethics Case Studies Series. CME and MOC by Medscape. 2020)

• CME/MOC
  (91������ Ethics Case Studies Series. MOC and CME by Medscape. 2019)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2017)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2015)

Position Papers

• American College of Physicians Ethical Guidance for Electronic Patient-Physician Communication: Aligning Expectations
  (J Gen Intern Med. published online 22 June 2020)

• 
  (J Gen Intern Med. 2017;32:935-9)

• 
  (Ann Intern Med. 2015;163:787-9)

• 
  (Ann Intern Med. 2013;158:620-7)

Ethics Manual

Case Studies

• CME/MOC
  (91������ Ethic Case Studies Series, MOC and CME by Medscape. 2023)

Comments and Letters

• 2011 Letter and 2009 letter to Congressman Blumenauer regarding 91������’s support for legislation to pay for voluntary end-of-life care consultations (see H.R. 1898, the Life Sustaining Treatment Preferences Act of 2009).

Resources

End-of-Life (PEACE) Brochures
(91������. 2014)
The PEACE brochures were developed by the Patient Education Work Group, which was convened in conjunction with the Consensus Panel project. Order copies of printed brochures

• Improving Your End-of-Life Care Practice
• Living with a Serious Illness: Talking with Your Doctor When the Future is Uncertain
• When You Have Pain at the End of Life
• Making Medical Decisions for a Loved One at the End of Life
• Improving Your End-of-Life Care Practice

91������-ASIM End-of-Life Care Consensus Panel Papers
(1999-2001)
91������ convened this Greenwall Foundation supported consensus panel to develop ethical, policy, and clinical recommendations for physicians and other clinicians on end-of-life decisions.

Contact Caring Connections, a program of the National Hospice and Palliative Care Organization (NHPCO).

Details and resources on NHDD and the importance of advance care planning.

Ethics Manual

Case Studies

CME
(91������ Ethics Case Studies Series. CME by Medscape. 2014)

Position Papers

Guidelines for the Physician Expert Witness
(Ann Intern Med. 1990;113:789)

Position Papers

• Ethical Guidance on Family Caregiving, Support, and Visitation in Hospitals and Residential Health Care Facilities, Including During Public Health Emergencies
  (J Gen Intern Med. 2023 Mar 20:1–8)

• Family Caregivers, Patients and Physicians: Ethical Guidance to Optimize Relationships
  (J Gen Intern Med. 2010;25:255-60)

• Family Caregivers, Patients and Physicians: Ethical Guidance to Optimize Relationships
  (91������. 2009) (This publication is a longer version of the position paper above.)

Resources

Information Resources for Physicians Supporting Family Caregivers
(91������. 2010)
This appendix of resources was developed in conjunction with the 91������ position paper to help physicians manage relationships with patients and caregivers.

Case Studies

CME/MOC
(91������ Ethics Case Studies Series. CME and MOC by Medscape. 2020)

Ethics Manual

Comments and Letters

91������ Comments on privacy protection and human genome sequencing
(May 24, 2012)
91������ provided comments to the Presidential Commission for the Study of Bioethical Issues regarding the ethical implications of evolving notions of privacy and access in relation to the integration of large-scale human genome sequencing into research and clinical care.

Position Papers and Statements

Ann Intern Med.2022;175:1322-1323

Genetic Testing and Reuniting Families
(July 10, 2018)

Ethics Manual

Position Papers

(Ann Intern Med. 2018;168:651-7)

Ethics Manual

Position Papers and Statements

(Ann Intern Med. doi:10.7326/M23-1900)

Comments and Letters

91������'s Human Rights Page: 91������ policy statements and letters of support, as well as documents related to College advocacy for the humane treatment of prisoners and detainees.

Ethics Manual

• 
  Sections within the Research chapter include “Use of Human Biological Materials in Research” and “Internet and Social Media Research”.

Case Studies

• 
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• 
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

Position Papers

• (Ann Intern Med.doi:10.7326/M23-1691)

• 
  (Ann Intern Med.2021;174:994-998)

Ethics Manual

health care system catastrophes

Case Studies

• CME/MOC
  (91������ Ethics Case Studies Series. MOC and CME by Medscape. 2023)

• 
  (91������ Ethics Case Studies Series. CME and MOC by Medscape. 2020)

• 
  (91������ Ethics Case Studies Series. 2017)

Position Papers and Statements

• Ethical Guidance on Family Caregiving, Support, and Visitation in Hospitals and Residential Health Care Facilities, Including During Public Health Emergencies
  (J Gen Intern Med. 2023 Mar 20:1–8)

• 91������ supports ACIP recommendation for additional mRNA COVID-19 vaccine dose and WHO call for equitable global vaccine distribution
  (August 17, 2021)

• 91������ Statement on Global COVID-19 Vaccine Distribution and Allocation: On Being Ethical and Practical
  (June 8, 2021)

• 91������'s Policy Statement on the Ethical Allocation of Vaccines During Pandemics Including COVID-19
  (November 23, 2020)

• A Wake-up Call for Healthcare Emerging Ethical Lessons from Covid-19
  (Modern Healthcare, June 16, 2020)

• Non-Discrimination in the Stewardship of Healthcare Resources in Health System Catastrophes, including COVID-19 Pandemic
  (March 26, 2020)

• Internists Say Harassment Based on Race or Ethnic Origin is Never Okay
  (March 31, 2020)

Other

• 
  (Ann Intern Med.2020;173:230-232)

Ethics Manual

Patient-physician Relationship

Confidentiality and privacy, disclosure of medical errors, and informed and surrogate decision making

Position Papers

• (Ann Intern Med.doi:10.7326/M23-1691)

• 
  (J Gen Intern Med. 2005;20:1057-62)

• Ethics and Time, Time Perception, and the Patient–Physician Relationship
  (91������. March 2003) (This publication is a longer version of the position paper above.)

Case Studies

• Chaperones, Professional Boundaries and the Potential for Misunderstandings CME

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2022)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2015)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2014)

• Must You Disclose Mistakes Made by Other Physicians? CME
  (91������ Observer. November 2003)

Ethics Manual

Case Studies

CME
(91������ Ethics Case Studies Series. CME by Medscape. 2010)

Ethics Manual

Resources

• Toolkit on Issues in Delivering Patient-Centered End-of-Life Care and Responding to a Request for Physician-Assisted Suicide (Member login)

Position Papers

(Ann Intern Med. 2017;167:576-8)

Ethics Manual

Resources

Physician Open Payments (Sunshine Rule)
This 91������ webpage provides guidance and related tools for physicians on the Physician Payment Sunshine Rule (also referred to as the National Physician Payment Transparency Program, or Open Payments). The Open Payments system, implemented by the Centers for Medicare and Medicaid Services (CMS) in 2015, provides a mechanism for the public reporting of physician and teaching hospital financial relationships with industry.

Position Papers

• 
  (Ann Intern Med. 2002;136:396-402)

• 
  (Ann Intern Med. 2002;136:403-6)

Ethics Manual

Case Studies

• Ethics, Professionalism, Physician Employment and Health Care Business Practices CME/MOC

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2017)

Resources

(J Am Geriatr Soc. 1998;46:378-80)

Position Papers

• CME
  (Ann Intern Med. published online 15 March 2021)

• 
  (Ann Intern Med. 2015;163:949-52)

• The Patient-Centered Medical Home: An Ethical Analysis of Principles and Practice
  (J Gen Intern Med. 2013;28:141-6)

• Ethical Considerations for the Use of Patient Incentives to Promote Personal Responsibility for Health: West Virginia Medicaid and Beyond
  (91������. 2010)

• 
  (Ann Intern Med. 2007;147:792-4)

• Pay-for-Performance Principles that Ensure the Promotion of Patient Centered Care—An Ethics Manifesto
  (91������. 2007) (This publication is a longer version of the position paper above.)

• Medical Professionalism in the Changing Health Care Environment: Revitalizing Internal Medicine by Focusing on the Patient–Physician Relationship
  (91������. 2005)

• 
  (Ann Intern Med. 2004;141:131-6)

• Selling Products Out of the Office
  (Ann Intern Med. 1999;131:863-4)

91������ Pledge

American College of Physicians Pledge
(91������. 1982 [updated; original 1924])
The 91������ Pledge is taken by new Fellows at Convocation at each Internal Medicine annual meeting. The Pledge affirms the physician’s membership in an ethical and moral community dedicated to healing, comfort, and altruism.

Physician Charter on Professionalism

(Ann Intern Med. 2002;136:243-6)

Ethics Manual

Position Papers and Statements

• (Ann Intern Med.doi:10.7326/M23-1691)

• 
  (Ann Intern Med. published online 15 March 2021)

• 91������ Professional Accountability Principles
  (91������. March 2018)

Case Studies

• CME/MOC
  (91������ Ethics Case Studies Series. CME and MOC by Medscape. 2020)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2009)

Ethics Manual

Case Studies

Physician Suicide Prevention: The Ethics and Role of the Physician Colleague and the Healing Community CME/MOC

CME
(91������ Ethics Case Studies Series. CME by Medscape. 2017)

Position Papers

Physician Suicide Prevention and the Ethics and Role of a Healing Community: An American College of Physicians Policy Paper
(J Gen Intern Med. 2021 Sep;36(9):2829-2835)

(Ann Intern Med. 2019;170(12):871-879.)

Resources

91������’s Physician Well-being and Professional Satisfaction initiative aims to foster a culture of wellness, reduce administrative burdens on physicians, improve practice efficiency and enhance individual physician well-being. The project website includes tools and programs for individual members, their practices, and 91������ Chapters.

Ethics Manual

• 
  Sections within the chapter include “Protection of Human Subjects,” “Use of Human Biological Materials in Research,” “Placebo Controls,” “Innovative Medical Therapies,” “Scientific Publication,” “Sponsored Research” and “Public Announcement of Research Discoveries.”

Responsible Conduct of Research (RCR) Project

Under a grant from the Association of American Medical Colleges and the DHHS Office of Research Integrity, 91������ Ethics staff has implemented member education and support programs on the responsible conduct of office-based research. Workshops have been presented at 91������'s annual meeting as well as at several 91������ chapter meetings.

Resources

• Research in the Physician's Office: Navigating the Ethical Minefield
  (Hastings Cent Rep. 2008)

• Volunteering for a Research Study? Talk with Your Doctor About What You Should Know
  This patient education brochure provides information and guidance to patients who are considering volunteering for a research study. The brochures are designed to facilitate conversations between doctors and their patients. They are intended for distribution in doctors’ offices and come in packages of 50. Access the brochure order form.

Case Studies

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2014)

• When are Industry-Sponsored Trials a Good Match for Community Doctors? CME
  (91������-ASIM Observer. 2001)

Research Ethics Training Resources

• , Department of Health and Human Services
• , Office of Research Integrity, Department of Health and Human Services
• , Research Ethics and Compliance Training, CITI Program
• , Office of Intramural Research, National Institutes of Health
• , Department of Health and Human Services
• ,University of Virginia

Comments and Letters

91������ supports National Academies’ call for withdrawal of Notice of Proposed Rulemaking (NPRM) for ‘Common Rule’ and for appointing a new commission
(Dec. 31, 2015)
91������ issued a statement in support of the National Academies' call for withdrawal of the Common Rule NPRM and for appointing a new research ethics commission.

91������ Comments on Notice of Proposed Rule Making (NPRM)
(Dec. 31, 2015)
91������ submitted comments to the Office for Human Research Protections of the U.S. Department of Health and Human Services on the Notice of Proposed Rule Making, "Federal Policy for the Protection of Human Subjects," also known as the Common Rule. 91������ also submitted an earlier round of comments on the proposed rule making on Oct. 25, 2011.

Ethics Manual

Resources

91������’s High Value Care Project aims to improve health, avoid harms, and eliminate wasteful practices. The project website offers learning resources for clinicians and medical educators, clinical guidelines, best practice advice, case studies and patient resources on a wide variety of related topics.

Case Studies

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2012)

The following ethics case studies were developed through an award from the ABIM Foundation's Putting the Charter into Practice project. Watch a video report of the 91������'s work on this project presented by Dr. David Fleming, former President of the College.

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2017)

• 
  (91������ Ethics Case Studies Series. CME by Medscape. 2014)

Ethics Manual

Case Studies

• CME/MOC
  (91������ Ethics Case Studies Series. CME and MOC by Medscape. 2020)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2018)

• CME
  (91������ Ethics Case Studies Series. CME by Medscape. 2017)

Position Papers

(Ann Intern Med. 2018;168:506-8)

Resources

CME/MOC activities based on this 91������ position paper are available:

• Annals offers two CME/MOC activities:

  • (Click on “CME/MOC” on the left sidebar.)

• In this Curbsiders Podcast, Sanjay Desai, MD, coauthor of 91������’s position paper and Internal Medicine program director at Johns Hopkins, reviews several cases that illustrate how institutional norms can shape the practice of medicine. .