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As a Physician Assistant (PA) in a highly acute and specialized level 4 neonatal/infant intensive care unit (NICU), ethical issues come up on a daily basis. How to appropriately handle this part of our job is rarely discussed, and as a PA, I had minimal training related to handling situations in which medical ethics are involved.

The dilemmas and barriers that providers encounter daily in clinical practice in attempting to maintain confidentiality for their adolescent patient while simultaneously protecting the adolescent from potential harm are daunting for providers as there are no nationally recognized, evidence-based standards addressing adolescent confidentiality and privacy issues in the delivery of quality healthcare to adolescents.

Certainly, these are interesting times in medicine as the integration of homeopathic remedies and over-the-counter supplements has become increasingly more common in the past few decades. However, with inconsistent medical research and a lack of US Food and Drug Administration regulation, it remains unclear what the most safe and efficacious role these substances will play in the future of medical care.