Bioethics & Medical Education

Addresses ethical considerations in patient care, including ethical dilemmas, physician duties to patients, and end-of-life decision-making. Includes all aspects of medical education throughout the continuum from medical school to lifelong learning.

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SMJ Article | Editorial

Broadening the Use of “Doctor” in the Clinical Setting: A Danger to Patient Decision Making and Informed Consent

In a recent article in The Washington Post, a California nurse practitioner (NP), Jacqueline Palmer, shared her opinions on why she is suing the state for their restrictive regulation around the use of the term “Doctor.”1 The California law coming under scrutiny, California Business and Professions Code Section 2054, is...

SMJ Article | Perspectives

Unresolvable Moral Disagreements and the Ethical Integrity of the Medical Profession

On July 24, 2022, dozens of University of Michigan Medical School students received their white coats, took their oaths, and then walked out of their white coat ceremony (WCC) as the keynote speaker began her address. The walkout was purportedly motivated by past prolife comments the speaker had made, and...

SMJ Article | Perspectives

Barriers to Medical Student Scholarly Activities: A Call to Action

Demonstration of scholarly activity is an important way for medical trainees to strengthen their academic and professional portfolio. Research is fundamental to the study of the biomedical sciences, it encourages hypothesis generation, and medical student research enhances one’s competitiveness for residencies.

SMJ Article | Original Article

Matching Against Men: 5 Years of Residency Match Data Show Disparities Still Exist

Objectives: Despite progress toward equal representation by sex in medical practice, women remain underrepresented in many specialties. This study sought to examine the current state of gender equality among recently graduated doctors in multiple specialties. Methods: Deidentified demographics, standardized examination scores, and Match results were gathered for 829 graduates. Participants...

SMJ Article | Perspectives

Diversity, Equity, and Inclusion as Part of Professionalism and Ethics in Dermatology

The American Academy of Dermatology (AAD) Ethics Pledge is an opportunity for dermatologists to commit to a higher moral and ethical standard. The pledge has five components, with the latest added in 2021, to “support diversity, equity, and inclusion” (DEI).1 This addition emphasizes that DEI, professionalism, and ethics are intertwined....

SMJ Article | Original Article

Perceived Value of a Women’s Health Journal Club in Rural Hawai‘i

Objectives: Rural Hawai‘i faces a shortage of physicians specializing in women’s health. Improving clinician collaboration and access to the scientific literature are potential strategies for improving physician retention in this community. In 2021, a monthly women’s health journal club was established for local clinicians and trainees on Hawai‘i Island. Although...

SMJ Article | Original Article

Impact of Faculty Mentorship in the Orthopedic Surgery Interest Group at a New Medical School: A Blueprint for Future Initiatives

Objectives: Orthopedic surgery is a highly competitive field. The residency applicant pool is expected to grow with the increasing number of new medical schools in the United States, posing significant challenges for applicants. This study explored the impact of an engaged faculty mentor in an orthopedic surgery interest group (OSIG)...

Posted in: Rheumatology and Orthopedics18

SMJ Article | Original Article

Internal Medicine Residents’ Perceptions of Their Continuity Clinic Training

Objectives: Internal Medicine (IM) residents have reported dissatisfaction with continuity clinic (CC) training, which may contribute to the increasing shortage of primary care physicians. Studies show balancing inpatient and outpatient duties as a driver of dissatisfaction, but few studies have compared CC with inpatient (IP) training, following transition to an...

SMJ Article | Original Article

Ethical and Professional Issues Encountered by Fourth-Year Medical Students during a Critical Care Clerkship before and during the COVID-19 Pandemic

Objectives: The objective of this study was to describe ethical and professional issues encountered and the ethical and professional values cited by medical students during their critical care clerkship, with a comparison of issues encountered before and during the coronavirus disease 2019 (COVID-19) pandemic. Methods: In this single-center, retrospective mixed-methods...

Posted in: Infectious Disease121

SMJ Article | Perspectives

Help Me Help You: How to Request a Letter of Recommendation

Letters of recommendation (LORs) are an essential component of a career in medicine. The process for obtaining certain letters, particularly those associated with scheduled periods of professional transition, often is governed by established institutional or specialty norms. The process of requesting LORs in more common scenarios—local or national awards, committee...

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