By Arjun S. Byju and Kajsa A. Mayo What should a clinical team do when an error occurs in the care of a patient who lacks both capacity and a surrogate, to whom an expression of contrition could otherwise be offered? This vexing question served as the initial impetus for our paper. As medical students, […]
Category: clinical ethics
Moral exploitation and junior doctors
By Joshua Parker. Medicine’s power to affect human well-being explains why the nature of doctors’ practice is deeply moral. With almost every medical decision having some moral component, doctors’ work carries a number of moral burdens. Aside from the decision-making itself, which of course can be very difficult and the risk of error consequential, there […]
The ethics of disposing of amputated limbs
By Esmée Hanna and Glenn Robert Whilst ethical issues relating to the disposal of body parts generally are increasingly discussed (largely prompted by high profile organ retention scandals), what happens in the specific case of amputated limbs has not received much attention. Amputation is however increasingly common, in part due to growing rates of diabetes […]
Puberty-blocking drugs: the difficulties of conducting ethical research
The ethics of research trials for young people with gender dysphoria are complicated.Billion Photos/Shutterstock Dominic Wilkinson, University of Oxford and Julian Savulescu, University of Oxford A recent Newsnight programme reported that a major UK puberty-blocking trial is under investigation. Doctors at a London clinic provided drugs to block the development of puberty in young adolescents […]
Can Rationing Ethics Foster Access to Scarce Specialists?
By Andrew Hantel, Gregory Abel, Mark Siegler Few people would consider rationing to be a positive concept. When confronted with restricted access to something we want or need, we inevitably react with negative feelings. Such a reaction belies the overall concept of allocating a scare resource and distracts from the good that can come from […]
‘Was this on the consent form?’ Can you really consent in a one-off conversation to interventions with uncertain and evolving consequences?
By Rachel Horton, Benjamin Bell, Angela Fenwick, Anneke Lucassen A child conceived with a donated egg has multiple health problems but no unifying diagnosis. Given that testing of biological parents may help make a genetic diagnosis in a child, is it OK to contact the child’s anonymous egg donor to ask if they would provide […]
It is time the law stopped incentivising confidentiality: bringing duties of care more in line with professional guidance
By Michael Fay and Edward Dove ABC v St George’s Healthcare (2017) is an important legal decision, and its return to court in November 2019 will be no less significant for doctors’ duties of care. Currently, a doctor is subject to a duty of care to their patient. A doctor also has a corresponding duty […]
Charging migrant women for pregnancy care is a worrying sign of the times
By Arianne Shahvisi and Fionnuala Finnerty Precious is a 26-year-old Eritrean woman who has recently arrived in the UK. She wishes to apply for asylum but is yet to do so. Precious is destitute and is living in a church and relying on the kindness of the Eritrean community. She sees a GP at an […]
How should crisis sedation be presented to dying patients at risk of a catastrophic event?
By Dr Nathan Emmerich and Prof Bert Gordijn When we consider the end of our life and the actual circumstances of our death the vast majority of us would prefer to go peacefully, perhaps dying of simple old age at the end of a life well lived. Unfortunately, this is not always possible. Whilst the […]
When is it ethical to pay clinical trial participants different amounts?
By Govind Persad, Holly Fernandez Lynch, and Emily Largent. This collaboration grew out of our shared experience as scholars studying research ethics and (for some of us) as institutional review board members. We witnessed debates over when, if ever, it can be fair to pay different participants in the same study different amounts of money. […]