By Crystal Lemus What does it really mean to “provide medicine”? For many, the image is clinical—white coats, prescription pads, MRI scans, and protocols. But at its philosophical core, medicine is a moral act: one human being entering into the vulnerability of another. The practice of medicine is rooted in a complex interplay between trust, […]
Category: clinical ethics
Hi, I’m a hospice doctor. Here’s your bill.
By Jennifer Eitingon, MD, with Margaret P Battin, PhD When asked about the often serious ethical quandaries hospice providers are often faced when providing care for a patient nearing death, the one thing that plagues most is not the medical aspect of how to manage suffering, nor the existential questions of how we, as embodied […]
Meet your new medical ethicist: ChatGPT
By Daniel Sokol In February 2023, I wrote on this forum about a new honesty test for doctors.[1] Developed with an experienced clinical psychologist, the test was a Situational Judgement Test of 22 real-life scenarios involving truth-telling problems. The ‘correct’ answers were determined by six professors of medical ethics who were also medical doctors. To […]
Efficiency and Education: Finding Harmony in AI-Driven Medical Notes
By Trisha Nagin Artificial Intelligence (AI) scribing technology has been praised as a revolutionary tool in modern healthcare. It can be seen as an answer to the long-standing problem of physician burnout caused by documentation. By listening in on doctor-patient conversations and generating clinical notes automatically, the technology is designed to save time, increase efficiency, […]
Why Administration Of Lethal Drugs Should Not Be The Role Of The Doctor
By Sally Barker and Zoë Fritz The Westminster Parliament is currently considering Kim Leadbeater’s Terminally Ill Adults (End of Life) Bill, which would make doctors both gatekeepers and facilitators of an assisted death for eligible terminally ill adults. The legislation proposes that doctors are involved at several stages of the process. Firstly, they must listen […]
The New Gatekeepers: the role of the UK High Court in the oversight of medical assistance in dying
By Sean R. Riley After decades of unsuccessful attempts by advocates, in November 2024, the United Kingdom House of Commons passed a second reading of a bill permitting medical assistance-in-dying (MAiD). The bill still faces a long legislative road before royal assent, but MAiD may very well be a reality for English and Welsh terminally […]
Do ecological preferences belong to patient autonomy? The answer is yes
By Sabine Salloch Healthcare is being increasingly recognized as a major emitter of greenhouse gases in industrialized societies. It accounts for approximately 5 percent of national carbon budgets. Whereas some countries already adopted national climate strategies targeting at a net-zero healthcare other governments still struggle with finding appropriate pathways. This is not surprising as, on […]
Clinical ethics: looking backwards, thinking forwards
By R Mohindra, S Louw Our paper is primarily an audit of the Newcastle upon Tyne Hospitals Clinical Ethics Advisory Group (CEAG). But it has several threads including: The nature of the workflow for the clinical ethics committee including volume and complexity over time; The impact of the relatively recent changes, including principles of approach, […]
Making visible the invisible elements of clinical ethics consultation
By Clare Delany, Sharon Feldman, Barbara Kameniar, and Lynn Gillam. In our article, ‘Making clinical ethics facilitation visible and accessible: Seven steps of the Critical Dialogue method of Ethics Consultation’, we detail our method of clinical ethics facilitation, broken down into seven steps. We also share the rationale for the various steps, and provide concrete […]
What does it mean to diagnose and live with cancer risk?
By Elspeth Davies In the past, people only became patients when they felt unwell and visited their doctor in search of remedies. In recent decades, a shift towards prevention in the UK’s National Health Service (NHS) has meant that people can become patients on the basis of their future risk of disease, rather than only […]