
Questions about medical ethics appear in the Behavioral Science section of Step 1 and in patient management in Step 3. Ethics questions also appear on the internal medicine board exams, and other specialty boards. Medical ethics topics account for half the Behavioral Science questions on Step 1 and are perceived as the most difficult questions on Step 3. This book will guide you through these challenging questions. The book you have in your hands is a profoundly practical document that includes the most likely questions you will encounter on USMLE, practice questions, and the most relevant text in the area of medical ethics. This is not a book of philosophy. This book is to help you get the questions right on the Boards—all the questions. Professional medical ethicists will not like our approach, which is to be concrete and definite. We avoid the “we’ll see,” “it depends,” and other fuzzy, nonspecific pronouncements you might get on rounds. Professional ethicists do not have to answer “single best answer” standardized questions; you do. We have made the questions specifically conservative enough that there is a definite correct answer—one that even ethicists will agree on. If a subject is unlikely to appear on USMLE then you are unlikely to see it in this book. If we miss a subject, I would kindly appreciate you emailing me the subject within the confines of the confidentiality agreement of USMLE. We will add the subject and will be your friend for pointing out the deficiency.
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