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Prescribing potentially addictive medications "is often a very challenging situation for physicians," says David A. Fleming, MD, MA, FACP, professor and chairman of the Department of Internal Medicine and director of the Center for Health Ethics at University of Missouri in Columbia.
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Linking payment to patient satisfaction could have a profound impact on the doctor-patient relationship, argues James N. Kirkpatrick, MD, an assistant professor of medicine at the Hospital of the University of Pennsylvania who is affiliated with the University of Pennsylvania Department of Medical Ethics and Health Policy.
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Approximately one in five (22%) out of 608 critical care physicians surveyed reported always providing surrogates of critically ill adult patients with a recommendation about limiting life support, while one in 10 (11%) reported rarely or never doing so, according to a just-published study.1 Surrogates' desires for recommendations and physicians' agreements with surrogates' likely decisions may influence whether recommendations are provided.
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With federal regulators shifting toward policies that would facilitate more central IRBs for multisite research, human subjects research protection offices need to take note and develop guidelines and tools for handling shared IRB responsibilities in multisite trials, an expert says.
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IRBs and investigators sometimes waste time on unnecessary IRB submissions. A simple initial review triage checklist can eliminate this problem, one IRB has discovered.
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The report prepared for the University of Michigan about international research conducted there lays out a series of recommendations that can aid other institutions' investigators and IRBs.
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When the National Institutes of Health (NIH) released its policy regarding data sharing for NIH-supported genome-wide association studies (GWAS) in 2007, officials at the University of Washington in Seattle knew it would have an effect on their operations.
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As IRBs continue to contemplate various models of centralized review for multisite studies, projects have begun to pop up, trying out these models.
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The University of CaliforniaBerkeley's office for the protection of human subjects has developed new guidance for investigators involved in Web-based research. One of the main sections of the guidance involves informed consent issues.
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As Internet use has exploded worldwide, so has Web-based research. Between 2004 and 2009, the number of web-based research studies published in the American Psychological Association's (APA) Journal of Personality and Social Psychology rose by more than 500%.
