Supporting whistleblowers in academic medicine: training and respecting the courage of professional conscience.

abstract：:Robertson comments on a case presented by Gafner in the same issue of the Journal of Medical Ethics. A proposal to crush a laryngeal nerve to halt the incessant yelling of an elderly demented patient is disapproved by a medical center's surgery department for risk and ethical reasons. Robertson, an anesthesiologist,...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1987-12-01 00:00:00

abstract：:In this paper we question whether the concept of "genetic privacy" is a contradiction in terms. And, if so, whether the implications of such a conclusion, inevitably impact on how society comes to perceive privacy and responsibility generally. Current law and ethical discourse place a high value on self-determination ...

journal_title：Journal of medical ethics

authors： Sommerville A,English V

更新日期：1999-04-01 00:00:00

abstract：:The ethics of the Flexibility In duty hour Requirements for Surgical Trainees (FIRST) trial have been vehemently debated. Views on the ethics of the FIRST trial range from it being completely unethical to wholly unproblematic. The FIRST trial illustrates the complex ethical challenges posed by cluster randomised trial...

journal_title：Journal of medical ethics

authors： Horn AR,Weijer C,Hey SP,Brehaut J,Fergusson DA,Goldstein CE,Grimshaw J,Taljaard M

更新日期：2018-09-01 00:00:00

abstract：:In recent years, it has become almost axiomatic that biomedical research and clinical practice should be 'innovative'-that is, that they should be always evolving and directed towards the production, translation and implementation of new technologies and practices. While this drive towards innovation in biomedicine mi...

journal_title：Journal of medical ethics

authors： Lipworth W,Axler R

更新日期：2016-07-01 00:00:00

abstract：:A questionnaire relating to attitudes towards setting economic priorities within the health care system was sent to all 151 general practitioners in Northern Norway. Of these, 109 (72 per cent) responded. Ninety-six per cent of the respondents agreed or partly agreed that the setting of economic priorities within the ...

journal_title：Journal of medical ethics

authors： Arnesen T,Fredriksen S

更新日期：1995-06-01 00:00:00

abstract：:This paper is a response to Dr Shinebourne's response to my recent paper assessing the relative merits of the Staffordshire Protocol on covert video surveillance. Dr Shinebourne does not take the opportunity to rebut the criticisms made of the text of the protocol. It is further suggested that judicial oversight of th...

journal_title：Journal of medical ethics

authors： Thomas T

更新日期：1996-12-01 00:00:00

abstract：BACKGROUND:By providing healthcare to adolescents, a major opportunity is created to help them cope with the challenges in their lives, develop healthy behaviour and become responsible healthcare consumers. Confidentiality is a major issue in adolescent healthcare, and its perceived absence may be the main barrier to a...

journal_title：Journal of medical ethics

authors： Pérez-Cárceles MD,Pereñiguez JE,Osuna E,Pérez-Flores D,Luna A

更新日期：2006-06-01 00:00:00

abstract：:Ancillary care is care that research participants need that is not essential to make the research safe or scientifically valid and is not needed to remedy injuries that eventuate as a result of the research project itself. Ancillary care duties have recently been defended on the grounds of beneficence, entrustment, ut...

journal_title：Journal of medical ethics

authors： Hooper CR

更新日期：2010-11-01 00:00:00

abstract：:We propose a principle of sustainability to complement established principles used for justifying healthcare resource allocation. We argue that the application of established principles of equal treatment, need, prognosis and cost-effectiveness gives rise to what we call negative dynamics: a gradual depletion of the v...

journal_title：Journal of medical ethics

authors： Munthe C,Fumagalli D,Malmqvist E

更新日期：2021-02-01 00:00:00

abstract：:This article reports on moral problems that were raised by medical students as the basis for an ethical case-conference in an obstetrics and gynaecology clerkship. After introducing the issue of teaching clinical ethics, the method of our case-conference is explained. Next, the variety of topics and related moral prob...

journal_title：Journal of medical ethics

authors： Olthuis G,Dukel L

更新日期：2008-09-01 00:00:00

abstract：:This essay is the text of the first Ian Ramsey Memorial Lecture delivered by the author at Oxford University in December 1986. Ramsey, Bishop of Durham from 1966 until his death in 1972, was a philosopher whose interests were contemporary ethical issues created by the interaction of law, medicine, and religion. Duns...

journal_title：Journal of medical ethics

authors： Dunstan GR

更新日期：1987-12-01 00:00:00

abstract：:Concepts such as 'coercion' and 'inducement' are often used within bioethics without much reflection upon what they mean. This is particularly so in research ethics where they are assumed to imply that payment for research participation is unethical. Wertheimer and Miller advance our thinking about these concepts and ...

journal_title：Journal of medical ethics

authors： McMillan J

更新日期：2010-07-01 00:00:00

abstract：:In The Netherlands, neonatal euthanasia has become a legal option and the Groningen Protocol contains an approach to identify situations in which neonatal euthanasia might be appropriate. In the 5 years following the publication of the protocol, neither the prediction that this would be the first step on a slippery sl...

journal_title：Journal of medical ethics

authors： Verhagen AA

更新日期：2013-05-01 00:00:00

abstract：:This article describes the findings of a mixed method literature review that examined the perceptions of elderly patients and residents of a good nurse in nursing homes, hospitals and home care. According to elderly patients and residents, good nurses are individuals who have the necessary technical and psychosocial s...

journal_title：Journal of medical ethics

authors： Van der Elst E,Dierckx de Casterlé B,Gastmans C

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:There is little research into medical students' or doctors' attitudes to abortion, yet knowing this is important, as policy makers should be aware of the views held by professionals directly involved in abortion provision and changing views may have practical implications for the provision of abortion in the...

journal_title：Journal of medical ethics

authors： Gleeson R,Forde E,Bates E,Powell S,Eadon-Jones E,Draper H

更新日期：2008-11-01 00:00:00

abstract：:As the law around surgical consent continues to evolve, surgeons and those in training risk being caught red-faced and defenceless. Despite repeated concerns regarding surgical consent being raised by the General Medical Council of the UK, how much is changing on the National Health Service shop floor? This report inv...

journal_title：Journal of medical ethics

authors： Loughran D

更新日期：2015-02-01 00:00:00

abstract：:Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

journal_title：Journal of medical ethics

authors： Schefczyk M

更新日期：2009-01-01 00:00:00

abstract：:Psychotropic and other drugs can alter brain mechanisms regulating the formation, storage, and retrieval of different types of memory. These include "off label" uses of existing drugs and new drugs designed specifically to target the neural bases of memory. This paper discusses the use of beta-adrenergic antagonists t...

journal_title：Journal of medical ethics

authors： Glannon W

更新日期：2006-02-01 00:00:00

abstract：INTRODUCTION:Consultation methods differ between medical practitioners depending on the individual setting. However, the central tenet to the doctor-patient relationship is the issue of confidentiality. This prospective survey highlights patient attitudes towards consultation methods in the setting of an ophthalmic out...

journal_title：Journal of medical ethics

authors： Aslam SA,Colapinto P,Sheth HG,Jain R

更新日期：2007-03-01 00:00:00

abstract：OBJECTIVES:To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect. DESIGN, SUBJECTS AND SETTING:A 138-item attitudinal questionnaire completed by 469 UK...

journal_title：Journal of medical ethics

authors： Dickenson DL

更新日期：2000-08-01 00:00:00

abstract：:The research assessment exercise (RAE) forms the basis for determining the funding of higher education institutions in the UK. Monies are distributed according to a range of performance criteria, the most important of which is "research outputs". Problems to do with publication misconduct, and in particular, issues of...

journal_title：Journal of medical ethics

authors： Sheikh A

更新日期：2000-12-01 00:00:00

abstract：:Many children in the USA are prescribed psychotropic drugs that have not been fully investigated in paediatric clinical trials. The common practice of prescribing psychotropic drugs off-label poses unknown and potentially serious short- and long-term consequences for these children. This paper briefly reviews the fact...

journal_title：Journal of medical ethics

authors： Tishler CL,Reiss NS

更新日期：2012-04-01 00:00:00

abstract：:In this paper we identify and evaluate arguments for and against offering assisted reproductive technologies (ART), specifically IVF, to HIV discordant couples (male partner HIV positive, female partner HIV negative). The idea of offering ART to HIV discordant couples generates concerns about safety and public health ...

journal_title：Journal of medical ethics

authors： Spriggs M,Charles T

更新日期：2003-12-01 00:00:00

abstract：:With so much attention being paid to the development and refinement of appropriate criteria and tests for death, little attention has been given to the broader conceptual issues having to do with its definition or with the relation of a definition to its criterion. The task of selecting the correct criterion is, howev...

journal_title：Journal of medical ethics

authors： Bartlett ET

更新日期：1995-10-01 00:00:00

abstract：:Doctors, for several reasons, should be concerned with exorcism is the view of Professor Trethowan, who in this paper, looks at the main features of exorcism as practised in the middle ages and now appearing in the modern world, as was seen in the recent Ossett case in Britain. He examines in some detail the nature of...

journal_title：Journal of medical ethics

authors： Trethowan WH

更新日期：1976-09-01 00:00:00

abstract：:Conflict is an important consideration in the intensive care unit (ICU). In this setting, conflict most commonly occurs over the 'best interests' of the incapacitated adult patient; for instance, when families seek aggressive life-sustaining treatments, which are thought by the medical team to be potentially inappropr...

journal_title：Journal of medical ethics

authors： Johal HK,Danbury C

更新日期：2020-07-06 00:00:00

abstract：:The inclusion of elite transwomen athletes in sport is controversial. The recent International Olympic Committee (IOC) (2015) guidelines allow transwomen to compete in the women's division if (amongst other things) their testosterone is held below 10 nmol/L. This is significantly higher than that of cis-women. Science...

journal_title：Journal of medical ethics

authors： Knox T,Anderson LC,Heather A

更新日期：2019-06-01 00:00:00

abstract：:W B Gallie's notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not...

journal_title：Journal of medical ethics

authors： McKnight C

更新日期：2003-08-01 00:00:00

abstract：:The most publicly justifiable application of human cloning, if there is one at all, is to provide self-compatible cells or tissues for medical use, especially transplantation. Some have argued that this raises no new ethical issues above those raised by any form of embryo experimentation. I argue that this research is...

journal_title：Journal of medical ethics

authors： Savulescu J

更新日期：1999-04-01 00:00:00

abstract：:This point of view compares the issue of informed patient consent primarily as it operates in Australia and the United Kingdom. It affords an overview, also, of the applicable law in the United States and Canada. It particularly focuses on the legal test to be applied to patient consent as established in the Bolam cas...

journal_title：Journal of medical ethics

authors： Kirby M

更新日期：1995-02-01 00:00:00