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  1. May 25, 2021 · Clinical ethical case consultations have been widely implemented in clinical practice. It has been hailed as important tool to support clinical decision making. At the same time, it is a matter of debate what ethical case consultations actually do contribute to clinical practice and what it should actually contribute.

    • What Is A Clinical Ethics Consult?
    • Who Can Request A Clinical Ethics Consult?
    • Who Does Clinical Ethics Consults?
    • What Happens in A Clinical Ethics Consult?
    • Are There “Informal Consults?”

    Making decisions amid modern medicine’s complexities is not easy. Ethical questions can arise, for instance, when a patient has lost the capacity to make decisions, when there is uncertainty about who should decide, when it is unclear whether the burdens of a treatment are worth the expected benefits, or when values appear to conflict. Clinical Eth...

    University of Chicago patients, families, doctors, nurses, chaplains, social workers, or anyone involved in the case.

    Consults are done by physicians who have trained in clinical medical ethics. At the University of Chicago, more than 20 physicians serve as ethics consultants for one to two months. In addition, current ethics fellows (about 10 each year) train under the supervision of ethics attendings.

    An Attending Ethicist will review each request to see if a full consult is warranted. Sometimes the concern may only be a communication problem. A full consult will generally involve a review of the case by the Ethics Attending and Ethics Fellow, and conversations with members of the health care team, the patient, and/or family as appropriate. The ...

    Sometimes, a University of Chicago faculty member, hospital employee, or trainee has an ethical question that is not necessarily specific to an individual patient but relates to an institutional policy or practice. Any University of Chicago employee may contact the Ethics Consult Service for an informal consult. Together, the employee and ethics te...

  2. Sep 27, 2022 · Background Clinical ethics consultations (CEC) can be complex interventions, involving multiple methods, stakeholders, and competing ethical values. Despite longstanding calls for rigorous evaluation in the field, progress has been limited. The Medical Research Council (MRC) proposed guidelines for evaluating the effectiveness of complex interventions. The evaluation of CEC may benefit from ...

  3. Nov 27, 2021 · Although definitions of clinical ethics rooted in principlism aim to benefit patients in ethically questionable situations, a far more appropriate and beneficial definition of clinical ethics may be uncovered by amalgamating the ASBH’s goals and definition of healthcare ethics consultation with Bernard Lo’s description in his text, Resolving Ethical Dilemmas: A Guide for Clinicians.

    • bertinojt@upmc.edu
  4. Unlike bioethicists whose primary appointments are in departments of bioethics or philosophy, the professionals providing clinical ethics consultation are primarily doctors, nurses, social workers, and chaplains, whose day-to-day work is more often providing treatment and care rather than commenting on it (Fox et al. 2007).

    • Katrina Hauschildt, Raymond De Vries
    • 2020
  5. May 1, 2016 · The Professionalization of Clinical Ethics Consultation. The challenge in professionalizing bioethics is to retain interdisciplinary membership and exchange as an integral part of the profession. AMA J Ethics. 2016; 18 (5):506-513. doi: 10.1001/journalofethics.2016.18.5.nlit1-1605.

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  7. This book provides a careful and comprehensive, step-by-step method for providing clinical ethics consultation. This Guide can be applied in almost any healthcare setting and takes the reader from establishing an intake process and developing strategies for interviewing those involved in the situation, to undertaking a consultation meeting and ...

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