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 ......
Comment & Response |

Use of Descriptive Terms in Medical Records—Reply

Joseph R. Berger, MD1
[+] Author Affiliations
1Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA Neurol. 2015;72(11):1379. doi:10.1001/jamaneurol.2015.2645.
Text Size: A A A
Published online


In Reply I thank Dr Hesselbrock for his articulate support of my belief that medical records should include information regarding race/ethnicity and country of origin in light of its potential contribution to medical care. As he appropriately advises, these should be recorded in a nonjudgmental, nonpejorative fashion. At the conclusion of my Viewpoint,1 I challenged the readership to inform me of their perceptions regarding this issue. In response, I have received in excess of 20 emails and several text messages; most, but not all, came from academic neurologists. Some of the correspondence was from nonneurologists. All but 2 responses were extremely supportive. One responder reminded me that these elements of the history are generally considered inappropriate by journal editors in case reports unless they are germane to the condition being reported. I could not agree more with that belief; on the other hand, we are addressing elements of a confidential medical document recorded at the time of the initial patient visit when the physician may be uncertain of the diagnosis and appropriate treatment and has little familiarity with the patient. Among the comments that I received was a caution to be aware of the blowback. It was with a bit of trepidation that I initially put pen to paper for the Viewpoint1 for that very reason, but I have been heartened by the apparent alignment on this issue of so many fellow physicians.


Sign in

Purchase Options

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

First Page Preview

View Large
First page PDF preview





November 1, 2015
Roger Hesselbrock, MD
1USAF School of Aerospace Medicine, Neuropsychiatry Branch, USAFSAM/FECN, Wright-Patterson Air Force Base, Ohio
JAMA Neurol. 2015;72(11):1378. doi:10.1001/jamaneurol.2015.2642.
November 1, 2015
Jack N. Alpert, MD
1Department of Neurology, University of Texas Health Sciences at Houston, Houston
JAMA Neurol. 2015;72(11):1379. doi:10.1001/jamaneurol.2015.2648.
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.

0 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...