We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

The Ethics of Disclosure and Counseling of Patients With Thyroid Cancer

Brendan C. Stack Jr, MD1; Peter Angelos, MD, PhD2
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock
2MacLean Center for Clinical Medical Ethics, Department of Surgery, The University of Chicago Medicine and Biological Sciences, Chicago, Illinois
JAMA Otolaryngol Head Neck Surg. 2015;141(11):957-958. doi:10.1001/jamaoto.2015.2419.
Text Size: A A A
Published online


This Viewpoint discusses the importance of shared decision-making and observation protocol in patients with thyroid cancer.

The ethical basis for the interactions between physicians and patients is primarily grounded in the principles of beneficence and respect for persons. Beneficence emphasizes the importance of acting in such a way that patients will benefit from the interaction. The principle of beneficence is central to patients’ expectations of their physicians. Patients expect that their physicians will make recommendations that are in the patient's best interests rather than primarily in the physicians’ best interests. In previous generations, physicians were given wide latitude to make choices on behalf of their patients because, based on their education and experience, they were optimally suited to decide what was the medically optimal treatment. Patients held their physicians in high regard for those reasons as well as their status in society. This paternalistic approach to medical decision-making has, in recent decades with a growth of potential conflicts of interest, been tempered by a realization that the best interest of a patient may not always be solely grounded in the medical facts.1

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
Are the results credible?

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed
Was the Choice of Participants or Observations Explicit and Comprehensive?