“Hey, Iain,” says Fran, a Manchester alumna, “What do you make of this?” I won’t bother rehearsing the whole scenario described in the post, but the dilemma it describes – set out by one Simon Carley – is fairly easily summarised: you work in A&E; a patient is rolled in who’s unconscious; there’s no ID, […]
Category: clinical ethics
The Curious Case of Informed Consent for Egg Donation
Guest Post by Alana Rose Cattapan As Michael Dunn writes in a recent editorial for the JME, “no medical ethicist worth their salt would deny that consent is a foundational concept in contemporary medical ethics,” and it is an extraordinary understatement to say that much ink has been spilled on the topic. The spaces between […]
Should Doctors Perform “Minor” Forms of Female Genital Mutilation (FGM) as a Compromise to Respect Culture?
by Brian D. Earp / (@briandavidearp), with a separate guest post by Robert Darby A small surgical “nick” to a girl’s clitoris or other purportedly minimalist procedures on the vulvae of young women and girls should be legally permitted, argue two gynecologists this week in the Journal of Medical Ethics. Their proposal is offered as a “compromise” […]
A Tool to Help Address Key Ethical Issues in Research
Guest post by Rebecca H. Li and Holly Fernandez Lynch One of the most important responsibilities of a clinical project lead at a biotech company or an academic research team is to generate clinical trial protocols. The protocol dictates how a trial will be conducted and details background information on prior research, scientific objectives, study […]
Should Junior Doctors Strike?
Guest Post by Mark Toynbee, Adam Al-Diwani, Joe Clacey and Matthew Broome [Editor’s note: Events in the real world have moved more quickly than David or I have; the facts of the junior doctors’ strike have moved on since the paper was published and this post submitted. Still, the matters of principle remain. – IB] A […]
R-E-S-P-E-C-T
Here’s an intriguing letter from one John Doherty, published in the BMJ yesterday: Medical titles may well reinforce a clinical hierarchy and inculcate deference in Florida, as Kennedy writes, but such constructs are culture bound. When I worked in outback Australia the patients called me “Mate,” which is what I called them. They still wanted me to be in […]
Homeopathy, Blacklisting, and the Misuse of Choice
It seems that homeopathy might at last be facing some serious opposition from within the NHS, with the prospect of its being blacklisted being considered. There’s any number of people who’ll be entirely on board with that. Homeopathy doesn’t work. Of course, a lot of medicines turn out not to work, or not to work […]
Stop What You’re Doing: This is Important.
I’d not realised it, but the latest iteration of the erstwhile Medical Innovation Bill – colloquially known as the Saatchi Bill – is up for debate in the Commons on Friday. This is it in its latest form: to all intents and purposes, though, it’s the same thing about which I’ve blogged before. In a […]
Assisted Dying’s Conscience Claws
Aaaaaaaand so the latest attempt to get assisted dying of some sort onto the statute books in the UK has bitten the dust. I can’t say I’m surprised. Watching the debate in the Commons – I didn’t watch it all, but I did watch a fair chunk of it – it was striking just how […]
Jeremy Hunt and Costs to the Taxpayer
“Personal responsibility” is a strange phrase: while not as slippery as some, it can mean any number of things, and be put to use in any number of political contexts. It was the title of the speech that the Health Secretary, Jeremy Hunt, gave yesterday. In that, he spoke of three aspects to the concept. First […]