All posts by craigklugman

Craig Klugman is a bioethicist who teaches, lectures, writes, innovates and inspires

My blogs this week

Deregulating Anti-Kickback: More Than A Kick in Patients’ Wallets

“The proposed Administration changes are more like “throwing out the baby with the bathwater” than simply finding a better way to wash the baby. These anti-kickback regulations serve an important purpose: To promote patient trust that the physician is not making a choice to benefit their own pocket but instead is acting out of altruism to benefit the patient.”

BioethicsTV: November 26-30

New article – Humanities Teaching in Medical Schools

Klugman CM (2018). Medical Humanities Teaching in North American Allopathic and Osteopathic Medical Schools. Journal of Medical Humanities. DOI: 10.1007/s10912-017-9491-z

Although the AAMC requires annual reporting of medical humanities teaching, most literature is based on single-school case reports and studies using information reported on schools’ websites. This study sought to discover what medical humanities is offered in North American allopathic and osteopathic undergraduate medical schools. An 18-question, semistructured survey was distributed to all 146 (as of June 2016) member schools of the American Association of Medical Colleges and the American Association of Colleges of Osteopathic Medicine. The survey sought information on required and elective humanities content, hours of humanities instruction, types of disciplines, participation rates, and humanities administrative structure. The survey was completed by 134 schools (145 AAMC; 31 AACOM). 70.8% of schools offered required and 80.6% offered electives in humanities. Global health and writing were the most common disciplines. Schools required 43.9 mean (MD 45.4; DO 37.1) and 30 (MD 29; DO 37.5) median hours in humanities. In the first two years, most humanities are integrated into other course work; most electives are offered as stand-alone classes. 50.0% of schools report only 0-25% of students participating in humanities electives. Presence of a certificate, concentration or arts journal increased likelihood of humanities content but decreased mean hours. Schools with a medical humanities MA had a higher number of required humanities hours. Medical humanities content in undergraduate curriculum is lower than is indicated in the AAMC annual report. Schools with a formal structure have a greater humanities presence in the curriculum and are taken by more students.

New Publication: Ethics of Digital Medicine

“There remains a need to examine the ethical landscape of digital medicine as these new drug-device technologies enter the market and become more widely used. This article seeks to map that landscape.”

Klugman CM, Laura B. Dunn, Jack Schwartz, I. Glenn Cohen. 2018. The Ethics of Smart Pills and Self-Acting Devices: Autonomy, Truth-Telling, and Trust at the Dawn of Digital Medicine. American Journal of Bioethics 18(9): 38-47.

PDF click here

New Paper Published: “The Health Humanities and the Future of Publishing”

My new paper on The Health Humanities and the Future of Publishing is now live on Humanities Futures at the Franklin Humanities Institute of Duke University. Click here to access. 

This paper offers a multimedia platform using text, hyperlinks and original comics.

Abstract: The Health Humanities is a new field that has grown out of and expanded on the work begun in the “medical humanities,” an area of study established in the mid-twentieth century.  This paper discusses the evolution of the field and examines the effects that changes in publishing may hold for its continued development, including open access, pre-print servers, textbooks, ebooks, blogs, and other innovations that might presage a non-print—and even post-text—future.