Year: 2015
Type: article
Abstract: Perry is a primary care physician in a busy urban clinic in East Harlem in New York City.He is already behind schedule and has been somewhat apprehensive about seeing his next patient, 42-year-old Ms. Hollowell, whose medical problems are prediabetes and obesity.Ms. Hollowell comes to clinic for both scheduled visits and urgent care walkins.Dr. Perry has seen her perhaps once a month for the past several years.Today, she asks Dr. Perry for a referral for a mammogram.She is concerned that breast cancer may run in her family.An aunt of hers had breast cancer in her 60s, and two years before Ms. Hollowell had convinced Dr. Perry that she should get a "baseline" mammogram.That test was indeterminate, and she then was sent for a right breast ultrasound and diagnostic mammogram, which were both negative.Jon C. Tilburt, MD, MPH, practices general internal medicine and integrative medicine at the Mayo Clinic in Rochester, Minnesota, where he is professor of medicine and associate professor of biomedical ethics.He obtained his MD from Vanderbilt and completed ethics and general internal medicine research fellowships at Johns Hopkins University.Dr. Tilburt has served in ethics service roles for the American College of Physicians, the American Society of Clinical Oncology, the Society of General Internal Medicine, and at the Mayo Clinic.He has received numerous research awards from the National Institutes of Health, the Centers for Disease Control, and private foundations to investigate challenges and opportunities of improving patient-centered care, including evidence-based medicine, shared decision making, health care reform, integrative medicine, and health disparities, with a strong emphasis on cancer care delivery.
Source: The AMA Journal of Ethic
Institutions: Mayo Clinic, St. Olaf College
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W1929434673