AAN position statement:

Author:

Rubin Michael A.,Bonnie Richard J.,Epstein Leon,Hemphill Claude,Kirschen Matthew,Lewis Ariane,Suarez Jose I.,

Abstract

Patients, clinicians, and hospitals have undergone monumental changes during the coronavirus disease 2019 (COVID-19) pandemic. This crisis has forced us to consider the obligations that we neurologists have to our individual patients as well as the greater community. By returning to our fundamental understanding of these duties, we can ensure that we are providing the most ethically appropriate contingency and crisis care possible. We recommend specific adaptations to both the inpatient and outpatient settings, as well as changes to medical and trainee education. Furthermore, we explore the daunting but potentially necessary implementation of scare resource allocation protocols. As the pandemic evolves, we will need to adapt continuously to these rapidly changing circumstances and consider both national and regional standards and variation.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical)

Reference13 articles.

1. AMA Council on Ethical and Judicial Affairs;Virtual Mentor,2011

2. Kinlaw K , Levine R . Ethical guidelines in pandemic influenza: Ethics Subcommittee of the Advisory Committee to the Director, Center for Disease Control and Prevention. 2017. Available at: https://www.cdc.gov/os/integrity/phethics/docs/White_Paper_Final_for_Website_2012_4_6_12_final_for_web_508_compliant.pdf. Accessed April 27, 2020.

3. Berlinger N , Wynia M , Powell T , et al . Ethical framework for health care institutions responding to novel coronavirus SARS-CoV-2 (COVID-19): The Hastings Center. 2020. Available at: thehastingscenter.org/ethicalframeworkcovid19/. Accessed April 27, 2020.

4. Yancy CW . COVID-19 and African Americans. JAMA Epub 2020 Apr 15.

5. Telemedicine in neurology

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