{"id":3030,"date":"2016-05-17T09:44:28","date_gmt":"2016-05-17T08:44:28","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=3030"},"modified":"2016-05-17T13:54:34","modified_gmt":"2016-05-17T12:54:34","slug":"healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/17\/healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals\/","title":{"rendered":"Healthcare Ethics Consultants&#8217; Place in the World of Health Care \u2018Professionals\u2019"},"content":{"rendered":"<p><strong><em>Guest Post by\u00a0Abraham Schwab<\/em><\/strong><\/p>\n<p>During a recent meeting at a local hospital, I was asked what role a good Healthcare Ethics Consultant should play. \u00a0I gave a more ambiguous answer than I would like. \u00a0I pointed out that Healthcare Ethics Consultants can help patients, providers, and administrators come to a common understanding of the values at play in a particular health care situation. \u00a0A Healthcare Ethics Consultant can also help them reach a decision that reflects the medical realities, the patient\u2019s values, and, as appropriate, the families\u2019 values. \u00a0But I also pointed out that the role of the Healthcare Ethics Consultant is determined by the particular institution\u2019s needs. \u00a0One institution\u2019s Healthcare Ethics Consult can look like another\u2019s Family Care Conference or another\u2019s Palliative Care Consult and so on. \u00a0In short, the Healthcare Ethics Consultant\u2019s role and responsibilities is not neatly defined across institutional boundaries.<\/p>\n<p>The American Society of Bioethics and Humanities (ASBH) <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"https:\/\/outlook.manchester.ac.uk\/owa\/redir.aspx?SURL=EyChS3YmkzflGQRE-JWtV-mNVV3xx72DMaxwltSXzlHKClg5Ln7TCGgAdAB0AHAAOgAvAC8AYQBzAGIAaAAuAG8AcgBnAC8AdQBwAGwAbwBhAGQAcwAvAHAAdQBiAGwAaQBjAGEAdABpAG8AbgBzAC8AQQBTAEIASAAlADIAMABDAG8AZABlACUAMgAwAG8AZgAlADIAMABFAHQAaABpAGMAcwAuAHAAZABmAA..&amp;URL=http%3a%2f%2fasbh.org%2fuploads%2fpublications%2fASBH%2520Code%2520of%2520Ethics.pdf\" target=\"_blank\">Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants<\/a><\/span> aims to \u201cset out the core ethical responsibilities of individuals performing healthcare ethics consultation.\u201d \u00a0If successful, it would provide guidance as clinical ethicists and others attempt to answer the question, \u201cWhat is a Healthcare Ethics Consultant responsible for?\u201d. \u00a0Looking over the ASBH\u2019s code, however, it\u2019s hard to imagine using it to provide a content-rich and clear answer. \u00a0 As I argue in <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/jme.bmj.com\/content\/early\/2016\/05\/11\/medethics-2015-103074.short?g=w_jme_ahead_tab\" target=\"_blank\">my paper, \u201cThe\u00a0ASBH Code of Ethics and the\u00a0Limits of Professional Healthcare Ethics Consultations\u201d<\/a><\/span>, the code falls short of its goal in two substantive ways. \u00a0First, the Code implicitly relies on the category \u201cprofessional\u201d, despite the fact that this category lacks clear definition. \u00a0Second, the code articulates only vaguely defined responsibilities.<\/p>\n<p>The ASBH\u2019s Code of Ethics is a short document &#8211; less than five pages &#8211; but invokes the word \u201cprofessional\u201d 14 times. \u00a0That the word is not defined in the code is of no surprise:\u00a0the use of \u201cprofessional\u201d is common coin in health care fields. \u00a0And yet, the category \u201cprofessional\u201d is poorly defined. \u00a0As I argue, the best available definition is a formal one:\u00a0professionals share a common commitment to <em>something<\/em>. \u00a0But that <em>something <\/em>remains undefined in general. \u00a0The concept of \u201cprofession\u201d is a placeholder indicating that practitioners of a particular occupation have taken on certain additional obligations, and those obligations are specific to the profession in question. \u00a0When an occupation claims to be a \u201cprofession\u201d, a necessary follow-up question is, &#8220;But what does that mean for your occupation?&#8221; \u00a0Ideally, the ASBH\u2019s Code of Ethics would answer this question for Healthcare Ethics Consultants.<\/p>\n<p>In this regard, the ASBH\u2019s code falls far short. \u00a0Most of the broadly defined obligations could be the obligations of any occupation. \u00a0The obligations also include conceptual confusions, from conflating privacy and confidentiality to invoking the requirement that Healthcare Ethics Consultants should meet professional standards &#8211; the very standards that the Code itself should be providing.<\/p>\n<p>Despite these shortcomings, I write to criticise the ASBH code, not to bury it. \u00a0Healthcare Ethics Consultants play important roles in the institutions in which they exist. \u00a0Help in defining their responsibilities is needed. \u00a0And so I also provide a suggestion for moving the ASBH code forward. \u00a0Specifically, the relationships between\u00a0 \u201cprofessionals\u201d in health care has shifted. \u00a0The isolated responsibilities of the isolated physician have gone the way of the country doctor. \u00a0The work of health care \u201cprofessionals\u201d is now the work of a team and a system, and the responsibilities that attach to these \u201cprofessionals\u201d are team-based responsibilities. \u00a0Further defining the responsibilities of Healthcare Ethics Consultants will require a more comprehensive collaboration across disciplinary boundaries.<\/p>\n<p>If the ASBH\u2019s Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants is to help answer the question, \u201cWhat role does a Healthcare Ethics Consultant play?\u201d, it\u2019s next iteration will have to provide more narrowly and clearly defined responsibilities.<\/p>\n<p><em>Read the full paper <span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"http:\/\/jme.bmj.com\/content\/early\/2016\/05\/11\/medethics-2015-103074.short?g=w_jme_ahead_tab\" target=\"_blank\">here<\/a><\/span>.<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Guest Post by\u00a0Abraham Schwab During a recent meeting at a local hospital, I was asked what role a good Healthcare Ethics Consultant should play. \u00a0I gave a more ambiguous answer than I would like. \u00a0I pointed out that Healthcare Ethics Consultants can help patients, providers, and administrators come to a common understanding of the values [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/17\/healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[968,2153,1542,443,563,2745],"tags":[],"class_list":["post-3030","post","type-post","status-publish","format-standard","hentry","category-clinical-ethics","category-guest-post","category-in-the-journals","category-jme","category-language","category-professionalism"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Healthcare Ethics Consultants&#039; Place in the World of Health Care \u2018Professionals\u2019 - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/17\/healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Healthcare Ethics Consultants&#039; Place in the World of Health Care \u2018Professionals\u2019 - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"Guest Post by\u00a0Abraham Schwab During a recent meeting at a local hospital, I was asked what role a good Healthcare Ethics Consultant should play. \u00a0I gave a more ambiguous answer than I would like. \u00a0I pointed out that Healthcare Ethics Consultants can help patients, providers, and administrators come to a common understanding of the values [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-ethics\/2016\/05\/17\/healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Medical Ethics blog\" \/>\n<meta property=\"article:published_time\" content=\"2016-05-17T08:44:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-05-17T12:54:34+00:00\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2016\\\/05\\\/17\\\/healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2016\\\/05\\\/17\\\/healthcare-ethics-consultants-place-in-the-world-of-health-care-professionals\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Healthcare Ethics Consultants&#8217; 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