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  1. Why Are There So Few Ethics Consults in Children’s Hospitals?Brian Carter, Manuel Brockman, Jeremy Garrett, Angie Knackstedt & John Lantos - 2018 - HEC Forum 30 (2):91-102.
    In most children’s hospitals, there are very few ethics consultations, even though there are many ethically complex cases. We hypothesize that the reason for this may be that hospitals develop different mechanisms to address ethical issues and that many of these mechanisms are closer in spirit to the goals of the pioneers of clinical ethics than is the mechanism of a formal ethics consultation. To show how this is true, we first review the history of collaboration between philosophers and physicians (...)
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  • Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has (...)
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  • Health Care Ethics Consultation: An Update on Core Competencies and Emerging Standards from the American Society for Bioethics and Humanities’ Core Competencies Update Task Force.Anita J. Tarzian & Asbh Core Competencies Update Task Force 1 - 2013 - American Journal of Bioethics 13 (2):3-13.
    Ethics consultation has become an integral part of the fabric of U.S. health care delivery. This article summarizes the second edition of the Core Competencies for Health Care Ethics Consultation report of the American Society for Bioethics and Humanities. The core knowledge and skills competencies identified in the first edition of Core Competencies have been adopted by various ethics consultation services and education programs, providing evidence of their endorsement as health care ethics consultation (HCEC) standards. This revised report was prompted (...)
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  • Education for Ethics Practice: Tailoring Curricula to Local Needs and Objectives. [REVIEW]Cheryl Cline, Ann Heesters, Barbara Secker & Andrea Frolic - 2012 - HEC Forum 24 (3):227-243.
    Currently, there is no authoritative credentialing process for individuals engaged in ethics practice, no accreditation system that sets minimum education standards for programs aiming to prepare these individuals for their work, and little evidence available that any particular training model is actually achieving its pedagogical goals. At the same time, a number of healthcare organizations and universities now routinely offer post-graduate programs, clinical fellowships and in-house training specifically devised to prepare graduates for ethics practice. However, while their numbers appear to (...)
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  • Philosophy of Healthcare Ethics Practice Statements: Quality Attestation and Beyond.Lauren Notini - 2018 - HEC Forum 30 (4):341-360.
    One element of the American Society for Bioethics and Humanities’ recently-piloted quality attestation portfolio for clinical ethics consultants is a “philosophy of clinical ethics consultation statement” describing the candidate’s approach to clinical ethics consultation. To date, these statements have been under-explored in the literature, in contrast to philosophy statements in other fields such as academic teaching. In this article, I argue there is merit in expanding the content of these statements beyond clinical ethics consultation alone to describe the author’s approach (...)
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  • Ethics knowledge of recent paediatric residency graduates: the role of residency ethics curricula.Jennifer C. Kesselheim, Julie Najita, Debra Morley, Elizabeth Bair & Steven Joffe - 2016 - Journal of Medical Ethics 42 (12):809-814.
    ObjectiveTo evaluate the relationship between recently trained paediatricians' ethics knowledge and exposure to a formal ethics or professionalism curriculum during residency.MethodsWe conducted a cross-sectional survey of recently trained paediatricians which included a validated 23-item instrument called the Test of Residents' Ethics Knowledge for Pediatrics. The sample included paediatricians who completed medical school in 2006–2008, whose primary specialty was paediatrics or a paediatric subspecialty, and who completed paediatric residency training in 2010–2011. This sample was stratified based on residency programme variables: presence (...)
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  • Clinical Ethicists Have an Ethical Obligation to Create Professional Standards and a National Certification Process.Alexander A. Kon - 2016 - American Journal of Bioethics 16 (3):30-32.
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  • The Process to Accredit Clinical Ethics Fellowship Programs Should Start Now.Wayne N. Shelton & Bruce D. White - 2016 - American Journal of Bioethics 16 (3):28-30.
    Fins and colleagues rightly note that “clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems” for which “progress in developing standards for q...
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  • Bridging the Gap between Knowledge and Skill: Integrating Standardized Patients into Bioethics Education.Nada Gligorov, Terry M. Sommer, Ellen C. Tobin Ballato, Lily E. Frank & Rosamond Rhodes - 2015 - Hastings Center Report 45 (5):25-30.
    Upon entering the examination room, Caitlyn encounters a woman sitting alone and in distress. Caitlyn introduces herself as the hospital ethicist and tells the woman, Mrs. Dennis, that her aim is to help her reach a decision about whether to perform an autopsy on her recently deceased husband. Mrs. Dennis begins the encounter by telling the ethicist that she has to decide quickly, but that she is very torn about what to do. Mrs. Dennis adds, “My sons disagree about the (...)
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  • Transplant Ethics: Let’s Begin the Conversation Anew: A Critical Look at One Institute’s Experience with Transplant Related Ethical Issues.David Shafran, Martin L. Smith, Barbara J. Daly & David Goldfarb - 2016 - HEC Forum 28 (2):141-152.
    Standardizing consultation processes is increasingly important as clinical ethics consultation becomes more utilized in and vital to medical practice. Solid organ transplant represents a relatively nascent field replete with complex ethical issues that, while explored, have not been systematically classified. In this paper, we offer a proposed taxonomy that divides issues of resource allocation from viable solutions to the issue of organ shortage in transplant and then further distinguishes between policy and bedside level issues. We then identify all transplant related (...)
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  • Ethics consultation volume at U.S. children's hospitals: A cross-sectional survey.George E. Hardart & Mindy Lipson - 2016 - AJOB Empirical Bioethics 7 (1):64-70.
    Background: There is growing interest in credentialing hospital ethicists. Consult volume is being incorporated into credentialing criteria, although few data supporting this approach are available...
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  • The Duty of Competence and the Role of Simulated Ethics Case Consultation.Katherine Wasson & Mark G. Kuczewski - 2015 - American Journal of Bioethics 15 (5):58-59.
    The Code of Ethics for Health Care Ethics Consultation (HCEC) is a pivotal step in the process of identifying and clarifying standards in our field. It draws on the Core Competencies articulated by...
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  • Knowledge of Pediatric Ethics: Results of a Survey of Pediatric Ethics Consultants.Jennifer C. Kesselheim, Nita Bhatia, Angel Cronin, Eric Kodish & Steven Joffe - 2015 - AJOB Empirical Bioethics 6 (4):19-30.
    Background: Ethics consultants (ECs) are increasingly expected to possess core knowledge and skills. Few data address whether ECs actually possess recommended core knowledge. We aimed to measure pediatric ECs’ understanding of ethical principles, identify knowledge gaps, and explore associations between experience/training and knowledge in pediatric ethics consultations. Methods: We identified the 2 ECs most knowledgeable in pediatric ethics from each of 45 freestanding children's hospitals and an equal number of general teaching hospitals in the United States. This yielded a sample (...)
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  • Same Goal, Different Path.Adam Peña, Courtenay R. Bruce & Mary A. Majumder - 2014 - American Journal of Bioethics 14 (1):23-24.
    In their article “Structuring a Written Examination to Assess ASBH Health Care Ethics Consultation Core Competencies” (2014), White, Jankowski, and Shelton argue that a written examination to evalu...
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  • Examining Methods to Assess Core Knowledge Competencies: A Canadian Perspective.Barbara Secker, Cécile Bensimon, Cheryl Cline, Dianne Godkin, Ann Heesters & Kevin Reel - 2014 - American Journal of Bioethics 14 (1):30-33.
    We agree with White, Jankowski, and Shelton (2014) that professionalization of health care ethics practice requires serious consideration of a written examination to assess core knowledge competenc...
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  • The Birth of Clinical Ethics Consultation as a Profession.Jeffrey P. Spike - 2014 - American Journal of Bioethics 14 (1):20-22.
    The year 2013 may someday be seen as the year a new profession was born. Clinical ethics consultation has been practiced in different ways for roughly 30 years, originally initiated by a group of h...
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  • Structuring a Written Examination to Assess ASBH Health Care Ethics Consultation Core Knowledge Competencies.Bruce D. White, Jane B. Jankowski & Wayne N. Shelton - 2014 - American Journal of Bioethics 14 (1):5-17.
    As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published core knowledge (...)
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  • Quality in ethics consultations.Gerard Magill - 2013 - Medicine, Health Care and Philosophy 16 (4):761-774.
    There is an increasing need for quality in ethics consultations, though there have been significant achievements in the United States and Europe. However, fundamental concerns that place the profession in jeopardy are discussed from the perspective of the U.S. in a manner that will be helpful for other countries. The descriptive component of the essay (the first two points) explains the achievements in ethics quality (illustrated by the IntegratedEthics program of the Veterans Health Administration) and the progress on standards and (...)
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  • Ensuring Quality in Clinical Ethics Consultations: Perspectives of Ethicists Regarding Process and Prior Training of Consultants.Henry J. Silverman, Emily Bellavance & Brian H. Childs - 2013 - American Journal of Bioethics 13 (2):29-31.
    The ASBH Core Competencies Update Task Force (Tarzian and ASBH Core Competencies Update Task Force 2013) provides useful information for individual consultants performing case consultations. A grow...
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  • Practical Guidance for Charting Ethics Consultations.Courtenay R. Bruce, Martin L. Smith, Olubukunola Mary Tawose & Richard R. Sharp - 2014 - HEC Forum 26 (1):79-93.
    It is generally accepted that appropriate documentation of activities and recommendations of ethics consultants in patients’ medical records is critical. Despite this acceptance, the bioethics literature is largely devoid of guidance on key elements of an ethics chart note, the degree of specificity that it should contain, and its stylistic tenor. We aim to provide guidance for a variety of persons engaged in clinical ethics consultation: new and seasoned ethics committee members who are new to ethics consultation, students and trainees (...)
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