Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.mhst1-1501
Jayant Menon, Daniel J Riskin
The authors describe a historical pattern in which a set of enabling technologies facilitates rapid advances in medical practice, resulting in recognition of new ethical challenges and a decades-long struggle to resolve them.
{"title":"Technological innovation and ethical response in neurosurgery.","authors":"Jayant Menon, Daniel J Riskin","doi":"10.1001/virtualmentor.2015.17.01.mhst1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.mhst1-1501","url":null,"abstract":"The authors describe a historical pattern in which a set of enabling technologies facilitates rapid advances in medical practice, resulting in recognition of new ethical challenges and a decades-long struggle to resolve them.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"62-8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.oped2-1501
Marwan Hariz, Jordan P Amadio
Deep brain stimulation (DBS) for enhancements of non-disease states is ethically indefensible given our incomplete knowledge of this technology. Attention should instead be focused on increasing access to DBS for patients with illnesses potentially treatable by the procedure.
{"title":"The new era of neuromodulation.","authors":"Marwan Hariz, Jordan P Amadio","doi":"10.1001/virtualmentor.2015.17.01.oped2-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.oped2-1501","url":null,"abstract":"Deep brain stimulation (DBS) for enhancements of non-disease states is ethically indefensible given our incomplete knowledge of this technology. Attention should instead be focused on increasing access to DBS for patients with illnesses potentially treatable by the procedure.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"74-81"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.1.fred1-1501
J. Amadio
{"title":"Neurosurgery ethics: perspectives from the field, circa 2015.","authors":"J. Amadio","doi":"10.1001/virtualmentor.2015.17.1.fred1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.1.fred1-1501","url":null,"abstract":"","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"71 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86105006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.stas1-1501
Brett E Youngerman, Guy M McKhann
Surgery's unique characteristics, including difficulties in standardizing, blinding, and recruiting participants for clinical trials, render problematic the application of evidence-based standards to surgery.
{"title":"Innovation in surgery and evidence development: can we have both at once?","authors":"Brett E Youngerman, Guy M McKhann","doi":"10.1001/virtualmentor.2015.17.01.stas1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.stas1-1501","url":null,"abstract":"Surgery's unique characteristics, including difficulties in standardizing, blinding, and recruiting participants for clinical trials, render problematic the application of evidence-based standards to surgery.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"41-8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1001/virtualmentor.2014.16.12.pfor2-1412
Mei Wa Kwong, Mario Gutierrez, James P Marcin
Although cross-state licensure is currently a barrier to the widespread adoption of telemedicine, policies that would expedite it or remove the requirement to be licensed where patients are located have been proposed by the Federation of State Medical Boards and the federal government.
{"title":"Interstate Licensure for Telemedicine: The Time Has Come.","authors":"Mei Wa Kwong, Mario Gutierrez, James P Marcin","doi":"10.1001/virtualmentor.2014.16.12.pfor2-1412","DOIUrl":"https://doi.org/10.1001/virtualmentor.2014.16.12.pfor2-1412","url":null,"abstract":"Although cross-state licensure is currently a barrier to the widespread adoption of telemedicine, policies that would expedite it or remove the requirement to be licensed where patients are located have been proposed by the Federation of State Medical Boards and the federal government.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"16 12","pages":"1010-3"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/virtualmentor.2014.16.12.pfor2-1412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32896404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There have been advances in telehealth, but barriers to the adoption of telemedicine remain, including lack of coordination between federal agencies and inconsistent state medical board regulations, payment coverage restrictions, and lack of investment in broadband connectivity.
{"title":"Telemedicine: Innovation Has Outpaced Policy.","authors":"Karen Rheuban, Christine Shanahan, Katherine Willson","doi":"10.1001/virtualmentor.2014.16.12.pfor1-1412","DOIUrl":"https://doi.org/10.1001/virtualmentor.2014.16.12.pfor1-1412","url":null,"abstract":"There have been advances in telehealth, but barriers to the adoption of telemedicine remain, including lack of coordination between federal agencies and inconsistent state medical board regulations, payment coverage restrictions, and lack of investment in broadband connectivity.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"16 12","pages":"1002-9"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/virtualmentor.2014.16.12.pfor1-1412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32896403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1001/virtualmentor.2014.16.12.ecas1-1412
Richard Gunderman
Teleradiology can contribute to quality care when teleradiologists communicate and collaborate with referring physicians, have real-time access to patients' medical records, and consult for hospitals that have error detection and correction systems in place.
{"title":"Teleradiology: The Importance of Communication.","authors":"Richard Gunderman","doi":"10.1001/virtualmentor.2014.16.12.ecas1-1412","DOIUrl":"https://doi.org/10.1001/virtualmentor.2014.16.12.ecas1-1412","url":null,"abstract":"Teleradiology can contribute to quality care when teleradiologists communicate and collaborate with referring physicians, have real-time access to patients' medical records, and consult for hospitals that have error detection and correction systems in place.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"16 12","pages":"960-3"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/virtualmentor.2014.16.12.ecas1-1412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32896396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1001/virtualmentor.2014.16.12.medu1-1412
Neal Sikka, Tina Choudhri, Robert Jarrin
Medical schools should integrate health IT and biomedical informatics into their formal curricula. The George Washington University Emergency Medicine Telemedicine and Digital Health Fellowship was designed to train graduate physicians to use telemedicine in their clinical and research work.
{"title":"The George Washington University Emergency Medicine Telemedicine and Digital Health Fellowship.","authors":"Neal Sikka, Tina Choudhri, Robert Jarrin","doi":"10.1001/virtualmentor.2014.16.12.medu1-1412","DOIUrl":"https://doi.org/10.1001/virtualmentor.2014.16.12.medu1-1412","url":null,"abstract":"Medical schools should integrate health IT and biomedical informatics into their formal curricula. The George Washington University Emergency Medicine Telemedicine and Digital Health Fellowship was designed to train graduate physicians to use telemedicine in their clinical and research work.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"16 12","pages":"976-80"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/virtualmentor.2014.16.12.medu1-1412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32896399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1001/virtualmentor.2014.16.12.stas2-1412
Eseosa Asemota, Carrie L Kovarik
Telemedicine's potential to advance humanitarian efforts can be realized through further research into best practices, codification of responsibilities and liabilities, counseling and informed consent prior to the creation of electronic health records, strengthening of IT infrastructure, and the integration of an informatics curriculum into residency training programs.
{"title":"Telemedicine Use in International Relief Efforts.","authors":"Eseosa Asemota, Carrie L Kovarik","doi":"10.1001/virtualmentor.2014.16.12.stas2-1412","DOIUrl":"https://doi.org/10.1001/virtualmentor.2014.16.12.stas2-1412","url":null,"abstract":"Telemedicine's potential to advance humanitarian efforts can be realized through further research into best practices, codification of responsibilities and liabilities, counseling and informed consent prior to the creation of electronic health records, strengthening of IT infrastructure, and the integration of an informatics curriculum into residency training programs.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"16 12","pages":"997-1001"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/virtualmentor.2014.16.12.stas2-1412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32896402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1001/virtualmentor.2014.16.12.ecas2-1412
Nicholas Freudenberg, Peter M Yellowlees
Effective telepsychiatric care requires that telepsychiatrists be familiar with local mental health services and collaborate with patients' primary care providers and local nonphysician practitioners.
{"title":"Telepsychiatry as Part of a Comprehensive Care Plan.","authors":"Nicholas Freudenberg, Peter M Yellowlees","doi":"10.1001/virtualmentor.2014.16.12.ecas2-1412","DOIUrl":"https://doi.org/10.1001/virtualmentor.2014.16.12.ecas2-1412","url":null,"abstract":"Effective telepsychiatric care requires that telepsychiatrists be familiar with local mental health services and collaborate with patients' primary care providers and local nonphysician practitioners.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"16 12","pages":"964-8"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/virtualmentor.2014.16.12.ecas2-1412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32896397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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