Audiey Kao, MD, PhD, on what physicians need to know about ethics in 2022; American Medical Association (AMA), January 5, 2022

American Medical Association (AMA); Audiey Kao, MD, PhD, on what physicians need to know about ethics in 2022

"AMA's Moving Medicine video series amplifies physician voices and highlights developments and achievements throughout medicine.

Kicking off 2022 with the AMA's "Look Forward/Look Back” series, AMA Chief Experience Officer Todd Unger talks with Audiey Kao, MD, PhD, the AMA's vice president of ethics, about the AMA's critical work in medical ethics and what to expect in the months ahead.

Speaker

• Audiey Kao, MD, PhD, vice president, ethics, AMA...

Unger: One of the things I've learned, I know over the past year of talking to so many different physicians is, whatever was wrong with health care going into the pandemic certainly became a lot worse, exposed so many issues. When physicians make decisions on things like a prognosis, we have found that the cards are already stacked against patients who've been medically underserved. What ethical guidance did the AMA provide about responding to health inequities that we've seen during the pandemic?

Dr. Kao: Respecting human dignity is one of the core principles underlying the AMA Code of Medical Ethics. And so, the Code, for example, offers guidance to physicians in how to realize their ethical responsibility to address health disparities and inequities. That said, we have also seen how the COVID-19 pandemic has greatly affected historically marginalized and minoritized populations who have been long oppressed by racist policies and structures.

This past June, the AMA Journal of Ethics published an entire issue on the topic of transgenerational trauma and how clinicians can respond to individuals and communities to address the health inequities created by such trauma.

Unger: Dr. Kao, you have talked to a lot of physicians and other experts throughout the pandemic on ethics-based issues. I'd love to hear about any standout conversations, any meaningful stories that come to mind when you think about those conversations?

Dr. Kao: Yeah. As you know Todd, when the pandemic started, the journal got creative and developed a series COVID-related in interviews, and I had the privilege of interviewing many thoughtful and engaging individuals. Some that come to mind include Doctors Ceasar and Charles, who helped to start White Coats for Black Lives.

The interview I conducted with Professor Ibram Kendi about what it means to be an anti-racist also stands out in my mind. I also had the opportunity to interview physician poet, Rafael Campo and political cartoonist Matt Wuerker, about the pandemic through the lens of their respective art forms.

I'm particularly of our focus on the pandemic's impact on some of the most vulnerable among us, including individuals experiencing homelessness, those who are living in jails and prisons and those working in low wage jobs, who frankly didn't have the luxury working from home."