Health action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Ethics Alerts - United States

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In 2003, The American Medical Association (AMA) began providing free "ethics alerts" to USA physicians via ePocrates' DocAlert® system, a messaging system for personal digital assistants (PDAs). These alerts are intended to increase understanding of the AMA's Code of Medical Ethics, and thus provide physicians with practical guidance on dealing with ethical challenges in medical practice.
Communication Strategies
The central programme strategy and goal is to provide physicians with immediate and easily accessed information from the Code of Medical Ethics to enhance physicians' decisions in ethically complex situations.

The AMA's Ethics Standards Division will create the content for bimonthly ethics messages, which ePocrates Rx® users will receive when they update ("hotsync") their handheld devices. Specifically, up to 3 short, timely news briefs are delivered to users each time they update their ePocrates® software. Messages include medication safety alerts, practice management news, and clinical news targeted by specialty. Users can view additional information, save it to their PDA, or request additional information via email. Depending on the alert, this additional information may include clinical abstracts, continuing medical education opportunities, conference event descriptions, clinical guidelines, or links to websites (such as the AMA site) and electronic reports.

These strategies are designed to enable physicians to obtain practical, point-of-care access to informed opinions on practical, clinical matters such as:
  • What is the professional responsibility of physicians who are asked to render second opinions and disagree with the first physician's medical judgment?
  • How should physicians respond to the increasing numbers of emails they are receiving from patients?
  • Is informed consent necessary for routine lab tests and procedures?
Development Issues
Health, Ethics, Technology.
Key Points
The AMA's Code of Medical Ethics focusses on ethics, quality care, physician performance, and social policy on areas such as AIDS, drug evaluation, end-of-life care, and assisted reproductive technology.

Over 325,000 health care professionals, including over 130,000 USA physicians, currently subscribe to a version of ePocrates Rx®. More than one-third of practicing physicians in the United States use PDAs; two-thirds of them (over 20% of all practicing USA physicians) are ePocrates subscribers.

A select number of the ethics alert messages are sponsored by health care and pharmaceutical companies.
Partners

ePocrates and AMA.

Sources

Letter sent from Clare Kirk to The Communication Initiative on October 3 2003; and "AMA Will Provide Electronic Ethics Alerts to Physicians", dated September 8 2003; and The American Journal of Bioethics Weekly News & Updates, sent to the Communication Initiative on September 17 2003.