Clinical Ethics Case Research Articles

Online Ethics Discussion Forum Facilitates Medical Center Clinical Ethics Case Reviews

Clinical ethics consultants are increasingly called upon to give counsel in the clinical arena on issues including but not limited to withdrawal or withholding of specific medical treatments, assisting minors and mentally impaired patients with care decisions, working with difficult patients and families, identifying appropriate surrogate decision makers, and executing advance directives and end-of-life decisions. Often, the consultant may need to convene the ethics committee members to review and provide feedback for a given case. This process may be difficult to schedule in a timely way because of member's clinical and other work-related obligations. To this end, the University of Illinois Medical Center in Chicago has set up a unique Web board to facilitate ongoing case discussions via a secured, password-protected ethics committee online forum. This allows for real-time review by all ethics committee members. We will explain our online process as well as discuss our clinical case experiences.

The “four quadrants” approach to clinical ethics case analysis; an application and review

In 1982, Jonsen, Siegler and Winslade published Clinical Ethics, in which they described the “four quadrants” approach, a new method of analysing clinical ethics cases. Although the book is now...

The Use of E-Mail in Clinical Ethics Case Consultation

The Use of E-Mail in Clinical Ethics Case Consultation

Residency Ethics Teaching

There is a growing effort to formalize ethics teaching for medical residents. Currently, this effort is overemphasizing a single approach--the clinical ethics consultation or ethics case conference--at the expense of several other important options. While the clinical ethics approach has many benefits, it also has harmful side effects when it is made the single method for residency ethics teaching: it constricts ethics teaching within too narrow a view of medical ethics, and it forfeits an opportunity for ethics to challenge some problematic features of residency education itself.