Refusing to Treat: A Collision of Medicine and Conscience

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Do doctors need protection from having to provide treatments they don’t believe in?

During Human Rights Week at the Carver College of Medicine, we heard some hard truths from national news commentator, human rights activist, and podcaster Angela Rye. In her speech to the College of Medicine, she clued white people in on what black Americans face every day in 2017.  She also pointed out that Martin Luther King, Jr’s “I Have a Dream” speech was just the beginning of his activism.  Meanwhile,  Mackenzie Walhof, Joyce Wahb, Claire Casteneda, and Gabe Conley discuss the department of Health and Human Services announcement that it would be forming a department to protect doctors from having their religious rights infringed. Do doctors need protection so they can refuse to treat as a matter of conscience?  Or do they self-select what they do and don’t do by where they practice and what they specialize in?

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A Creeping Eruption

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A 40-year-old male presents to his family physician with a pruritic, erythematous lesion on his foot after returning from vacation in coastal Brazil a week earlier. On examination, a serpiginous, slightly elevated tunnel can be seen on the lateral aspect of his left foot. He is otherwise well, but mentions that the intense pruritus is disturbing his sleep. Which of the following treatments is the next best step?

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Checking the Boxes: Should You Give Up Your Job To Do Research?

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Sometimes the requirements aren’t required.

Annie wrote in to [email protected] to ask Kaci McCleary, Erik Kneller, Gabriel Conley, and Marissa Evers if she should give up her 10-year job as a radiology tech so she’d have time to do research before applying to medical school. As is often the case with these kinds of questions, the answer is no! But maybe yes. In some cases.

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Is this patient high-risk?

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A 55-year-old female presents with a low-grade fever, a new heart murmur, and Janeway lesions one week following a dental cleaning, and a preliminary diagnosis of infective endocarditis is made. Prophylactic antibiotics are administered prior to dental cleanings to prevent endocarditis in patients considered to be high-risk. Which of the following valvular conditions requires prophylactic antibiotics prior to dental cleanings?

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Creating Your Residency Rank List for Match Day

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This time of year medical students are beginning to think of where they may match for residency. At this point in the application cycle, most candidates have completed a number of interviews and have an idea of what characteristics make up their ideal program. However, many candidates consider only a handful of major criteria when making their rank list. Some of these include geography, academic vs nonacademic focus, class size, salary, living cost, and opportunities for fellowship. Although these are great factors to think about, they shouldn’t be the only factors residency applicants consider. 

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Quiz of the Week: Painful urination, a swollen knee, and eye pain—what’s the cause?

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A 31-year-old female presents to the emergency department with a two-day history of pain on urination and discomfort in her left knee and heel. She also complains of right eye pain, which is exacerbated by reading and bright lights. She recently recovered from a gastrointestinal illness two weeks earlier, but is otherwise healthy. Examination reveals a swollen left knee that is warm to the touch, and tenderness at the insertion point of the left Achilles tendon. Her right eye is red, and she has direct and consensual photophobia. Cells and flare are noted in the right anterior chamber on slit lamp examination. Based on this patient’s probable diagnosis, which of the following cutaneous manifestations is most likely?

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Making Clerkships Work

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Are clerkships a grind, or a boon?  It’s up to you.

The second-year students are moving from the pre-clinical curriculum to the clerkships this week. This transition is exciting—after all, seeing patients is what they’ve come to medical school to do, and now it’s finally happening.

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