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 (...) initiated a two‐step quality attestation process as a means to assess clinical ethics consultants and help identify individuals who are qualified to perform this role. This article describes the process. (shrink)

Emerging biomedical technologies often raise new research ethics questions that have the potential to impact not just patients and families, but society as a whole. At the Stanford Center for Biomedical Ethics, we recognized the importance of a proactive approach to addressing the implications of biomedical research at an early stage. We have therefore established a new ethics consultation service for clinical and basic scientists. Our experiences suggest that demand for such services extends beyond academia to companies and funding institutions. (...) The results of the pilot program also indicate that knowledge of scientific methods and process is important for consultants. Consultations resulted in modifications of study design, research procedures, consent forms, grant applications, publications, and institutional policies. Preliminary evaluations indicate that the researchers value the outcomes of these consultations and especially the delivery of concrete recommendations. Consultations are also useful to bioethicists and institutions as a way to identify areas of ethical concern to researchers. (shrink)