On Seeing Long Shadows: Is Academic Medicine at its Core a Practice of Racial Oppression? [0.03%]
洞若观火：学术医学本质上是一种种族压迫行为吗？
Thomas S Huddle
Thomas S Huddle
Suggestions that academic medicine is systemically racist are increasingly common in the medical literature. Such suggestions often rely upon expansive notions of systemic racism that are deeply controversial. The author argues for an empir...
Prognostic Disclosure to Dying Adolescents Against Parental Wishes: A Point-Counter Point Debate [0.03%]
反对家长意愿向临终青少年披露预后点对点辩论
Mariah K Tanious,Grant Goodrich,Virginia Pedigo et al.
Mariah K Tanious et al.
An adolescent's last moment of life is an emotionally and medically complex time. Children may grapple with understanding the things happening to them and with grief of a future lost; caregivers struggle to simultaneously balance deep sorro...
Professionalization of Clinical Ethics Consultants: A Need for Liability Protection? [0.03%]
临床伦理咨询师的专业化需要法律责任的保护吗？
Claudia R Sotomayor,Christopher Spevak,Edward R Grant
Claudia R Sotomayor
Clinical Ethics Consultation (CEC) has grown significantly in the last decade, and efforts are being made to professionalize the practice. The American Society for Bioethics and Humanities (ASBH) has been instrumental in this process, havin...
Ritual and Power in Medicine: Questioning Honor Walks in Organ Donation [0.03%]
医学中的仪式与权力——质疑器官捐献中的荣誉行走仪式
Jay R Malone,Jordan Mason,Jeffrey P Bishop
Jay R Malone
Honor walks are ceremonies that purportedly honor organ donors as they make their final journey from the ICU to the OR. In this paper, we draw on Ronald Grimes' work in ritual studies to examine honor walks as ceremonial rituals that displa...
Jacob R Greenmyer
Jacob R Greenmyer
"Follow the science" was commonly repeated during debates on COVID-19-related policy. The phrase "follow the science" raises questions that are central to our theories of knowledge and the application of scientific knowledge to maximize the...
Specific Trends in Pediatric Ethical Decision-Making: An 18-Year Review of Ethics Consultation Cases in a Pediatric Hospital [0.03%]
儿科伦理决策的特定趋势：一家儿童医院18年伦理咨询案例回顾
Yaa Bosompim,Julie Aultman,John Pope
Yaa Bosompim
This is a qualitative examination of ethics consultation requests, outcomes, and ethics committee recommendations at a tertiary/quaternary pediatric hospital in the U.S. The purpose of this review of consults over an 18-year period is to id...
What is a High-Quality Moral Case Deliberation?-Facilitators' Perspectives in the Euro-MCD Project [0.03%]
高质量的道德案例讨论是什么？-来自Euro-MCD项目的主持者视角
Lena M Jakobsen,Bert Molewijk,Janine de Snoo-Trimp et al.
Lena M Jakobsen et al.
The evaluation of the European Moral Case Deliberation Outcomes project (Euro-MCD) has resulted in a revised evaluation instrument, knowledge about the content of MCD (moral case deliberation), and the perspectives of those involved. In thi...
Can We Be Creative with Communication? Assessing Decision-Making Capacity in an Adult with Selective Mutism [0.03%]
我们能对选择性缄默的成年人进行决策能力评估吗？探索沟通中的创意可能性
Nicholas R Mercado
Nicholas R Mercado
Selective mutism is an anxiety disorder in which an individual is unable to speak in certain social situations though may speak normally in other settings (Hua & Major, 2016). Selective mutism in adults is rare, though people with this cond...
Non-Psychiatric Treatment Refusal in Patients with Depression: How Should Surrogate Decision-Makers Represent the Patient's Authentic Wishes? [0.03%]
抑郁患者非精神科治疗的拒绝：委托决策者如何表达患者的意愿？
Esther Berkowitz,Stephen Trevick
Esther Berkowitz
Patients with mental illness, and depression in particular, present clinicians and surrogate decision-makers with complex ethical dilemmas when they refuse life-sustaining non-psychiatric treatment. When treatment rejection is at variance w...
Kelly Turner,Tim Lahey,Becket Gremmels et al.
Kelly Turner et al.
Organizational ethics-defined as the alignment of an institution's practices with its mission, vision, and values-is a growing field in health care not well characterized in empirical literature. To capture the scope and context of organiza...