Ethics Papers and Books

The first physician in the U.S. to undertake and complete the first postgraduate fellowship in clinical ethics, at the University of Chicago, Dr La Puma’s clinical care and papers have identified, analyzed and sometimes resolved moral problems in a particular patient’s care.

Dr La Puma also established the first ethics consultation service at the University, published the first empiric research on ethics consultation, and is regarded as a pioneer in the field. His work helped to change AMA and ACP policies on professionalism and end-of-life care, and his publications continue to offer guidance to trainees and scholars in identifying, analyzing and resolving moral problems in patient care and in health care institutions.

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1. Physicians recommendations for and personal use of low-fat and low-carbohydrate diets.
La Puma J, Szapary P, Maki KC.
Int J Obes (Lond). 2005 Feb;29(2):251-3. No abstract available.
PMID: 15534615 [PubMed - indexed for MEDLINE]
2. Weight-loss programs need health plan support.
La Puma J, Palmer M.
Manag Care. 2007 Nov;16(11):11. No abstract available.
PMID: 18092548 [PubMed - indexed for MEDLINE]
3. Meals at medical specialty society annual meetings: a preliminary assessment.
La Puma J, Schiedermayer D, Becker J.
Dis Manag. 2003 Winter;6(4):191-7.
PMID: 14743829 [PubMed - indexed for MEDLINE]
4. Ethics of alternative medicine: the unconventional has its place.
La Puma J.
Manag Care. 1998 Nov;7(11):54-5. No abstract available.
PMID: 10187129 [PubMed - indexed for MEDLINE]
5. Managed care ethics: oxymoron or opportunity?. Interview by Louise Kaegi.
La Puma J.
Jt Comm J Qual Improv. 1998 Apr;24(4):212-7. No abstract available.
PMID: 9589334 [PubMed - indexed for MEDLINE]
6. What a physician can learn in the role of family member.
La Puma J.
Manag Care. 1997 Nov;6(11):85-6. No abstract available.
PMID: 10176726 [PubMed - indexed for MEDLINE]
7. Smoking, slimming and seat belts: is public health part of managed care?
La Puma J.
Manag Care. 1996 May;5(5):57-8. No abstract available.
PMID: 10159064 [PubMed - indexed for MEDLINE]
8. How ethics consultation can help resolve dilemmas about dying patients.
La Puma J, Schiedermayer D, Siegler M.
West J Med. 1995 Sep;163(3):263-7. No abstract available.
PMID: 7571590 [PubMed - indexed for MEDLINE]
9. Financial ties as part of informed consent to postmarketing research. Attitudes of American doctors and patients.**
La Puma J, Stocking CB, Rhoades WD, Darling CM, Ferner RE, Neuberger J, VandenBurg M, Dews I, Tobias JS.
BMJ. 1995 Jun 24;310(6995):1660-3. Erratum in: BMJ 1995 Aug 5;311(7001):373.
PMID: 7795459 [PubMed - indexed for MEDLINE]
Free article
10. Flavor and nutritional competence.
La Puma J.
J Gen Intern Med. 1995 Mar;10(3):175-6. No abstract available.
PMID: 7769479 [PubMed - indexed for MEDLINE]
11. Make low-cholesterol diets tasty.
La Puma J.
Ann Intern Med. 1994 Apr 1;120(7):621-2. No abstract available.
PMID: 8117008 [PubMed - indexed for MEDLINE]
Related articles Free article
12. Is there a doctor in the house? An analysis of the practice of physicians’ treating their own families.**
La Puma J, Priest ER.
JAMA. 1992 Apr 1;267(13):1810-2. Review. No abstract available.
PMID: 1545466 [PubMed - indexed for MEDLINE]
13. Medical staff privileges for ethics consultants: an institutional model.
La Puma J, Priest ER.
QRB Qual Rev Bull. 1992 Jan;18(1):17-20.
PMID: 1549319 [PubMed - indexed for MEDLINE]
14. When physicians treat members of their own families. Practices in a community hospital.**
La Puma J, Stocking CB, La Voie D, Darling CA.
N Engl J Med. 1991 Oct 31;325(18):1290-4.
PMID: 1922224 [PubMed - indexed for MEDLINE]
15. The noncompliant substance abuser.
Cassel C, La Puma J, Stell LK.
Hastings Cent Rep. 1991 Mar-Apr;21(2):30; discussion 30-2. No abstract available.
PMID: 2045279 [PubMed - indexed for MEDLINE]
16. Ethics consultation: skills, roles, and training.**
La Puma J, Schiedermayer DL.
Ann Intern Med. 1991 Jan 15;114(2):155-60. Review.
PMID: 1984395 [PubMed - indexed for MEDLINE]
17. Quality-adjusted life-years. Ethical implications for physicians and policymakers.**
La Puma J, Lawlor EF.
JAMA. 1990 Jun 6;263(21):2917-21.
PMID: 2110986 [PubMed - indexed for MEDLINE]
18. Care of adolescent patients.
Sigman G, La Puma J.
Ann Intern Med. 1989 Sep 15;111(6):541-2. No abstract available.
PMID: 2774381 [PubMed - indexed for MEDLINE]
19. Outpatient clinical ethics.**
La Puma J, Schiedermayer DL.
J Gen Intern Med. 1989 Sep-Oct;4(5):413-20. No abstract available.
PMID: 2795265 [PubMed - indexed for MEDLINE]
20. Ethics consultations masking economic dilemmas in patient care.
Schiedermayer DL, La Puma J, Miles SH.
Arch Intern Med. 1989 Jun;149(6):1303-5.
PMID: 2499291 [PubMed - indexed for MEDLINE]
21. Ethics consultants and ethics committees.
La Puma J, Toulmin SE.
Arch Intern Med. 1989 May;149(5):1109-12.
PMID: 2719504 [PubMed - indexed for MEDLINE]
22. Surrogacy and Shakespeare: the Merchant’s contract revisited.
La Puma J, Schiedermayer DL, Grover J.
Am J Obstet Gynecol. 1989 Jan;160(1):59-62.
PMID: 2912103 [PubMed - indexed for MEDLINE]
23. An ethics consultation service in a teaching hospital. Utilization and evaluation.**
La Puma J, Stocking CB, Silverstein MD, DiMartini A, Siegler M.
JAMA. 1988 Aug 12;260(6):808-11.
PMID: 3392812 [PubMed - indexed for MEDLINE]
24. Ethics, economics, and endocarditis. The physician’s role in resource allocation.**
La Puma J, Cassel CK, Humphrey H.
Arch Intern Med. 1988 Aug;148(8):1809-11.
PMID: 3401102 [PubMed - indexed for MEDLINE]
25. Talking to comatose patients.**
La Puma J, Schiedermayer DL, Gulyas AE, Siegler M.
Arch Neurol. 1988 Jan;45(1):20-2.
PMID: 3337670 [PubMed - indexed for MEDLINE]