Hot Topics: Informed Consent

Blog Posts (61)

October 5, 2017

Livestreaming Surgery: New guidelines raise questions of who benefits

by Craig Klugman, Ph.D.

The Internet and social media have raised hosts of new ethical issues in the health care world: Should doctors friend their patients?

October 3, 2017

Fordham University’s Dr. Celia Fisher Discusses What the Revised Common Rule Means for Informed Consent in Medical Ethics Advisor

The Federal Policy for the Protection of Human Subjects, or the Common Rule was revised earlier this year and is set to be effective on January 19th, 2018. The Common Rule was created in 1991 to “better protect human subjects involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators.” … More Fordham University’s Dr. Celia Fisher Discusses What the Revised Common Rule Means for Informed Consent in Medical Ethics Advisor
September 29, 2017

BIOETHICSTV: Gender-change surgery; coercing consent; conflict of interest and impaired judgement

by Craig Klugman, Ph.D.

Late September means the beginning of a new television year. This week saw the return for the 14th season of Grey’s Anatomy and the introduction of a new medical drama, The Good Doctor.

September 15, 2017

Medical Gawking Case Points to Need for Culture Change

by Craig Klugman, Ph.D.

According to a news report in The Washington Post, a number of medical staff at a Pittsburgh hospital have been reprimanded over a gross violation of a patient’s privacy.…

September 8, 2017

“She Can’t Help The Choices She Makes”

STUDENT VOICES | CHYNN PRIZE FIRST-PLACE WINNER By Madeleine Cardona I will never forget the day my mother got diagnosed. I could swear that just yesterday I was thirteen years old waiting anxiously to be called in from the waiting room of some fancy New York State doctor’s office. I was young, but I had … More “She Can’t Help The Choices She Makes”
August 29, 2017

Taking Patient Autonomy Out of the DNR

by Craig Klugman, Ph.D.

The Texas government has passed SB 11 an act “relating to general procedures and requirements for certain do-not-resuscitate orders; creating a criminal offense.” As of April 1, 2018, one can be jailed for offenses involving DNR orders.  …

August 22, 2017

Double Dutch euthanasia evokes sympathy through age and romance

by Craig Klugman, Ph.D.

O true apothecary!
Thy drugs are quick. Thus with a kiss I die.
– Romeo & Juliet, Act 5, Scene 3

In a scene reminiscent of Romeo and Juliet, a Dutch couple were voluntarily euthanized together after sharing their final kiss.…

August 2, 2017

Sterilization for Prisoners Is Not New and Shows That Studying History is Essential

by Craig Klugman, Ph.D.

In 1927, Supreme Court Justice Oliver Wendell Holmes ruled that Carrie Buck and her baby could be sterilized because of a perception that they were “mental defectives.” In the 20th century, 32 states had federally funded programs that sterilized “undesirable” populations.…

July 25, 2017

Surgical Bioethics: Is It Different?

By Wydell L. Williams, Jr. Recently I was asked to give a talk on ethics to my surgical colleagues.  The Nevada Chapter of the American College of Surgeons has regular meetings and there are usually one or two speakers giving talks that are relevant to surgeons and their practice.  The speakers are usually academic surgeons […]
July 19, 2017

The Constructed Sex Worker: Clinical Tool or Normalizer of Sexual Objectification

by Craig Klugman, Ph.D.

Sex robots are real and so are the campaigns to free them. In the 2016 HBO series Westworld, viewers are introduced to an old Wild West town which includes a saloon where one can buy a drink, listen to music, or procure the services of an android sex worker.…

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Published Articles (36)

AJOB Primary Research: Volume 8 Issue 3 - Sep 2017

A randomized study of a method for optimizing adolescent assent to biomedical research Robert D. Annett PhD, Janet L. Brody, David G. Scherer, Charles W. Turner, Jeanne Dalen & Hengameh Raissy

AJOB Primary Research: Volume 8 Issue 3 - Sep 2017

Improving informed consent: Stakeholder views Emily E. Anderson, Susan B. Newman & Alicia K. Matthews

AJOB Primary Research: Volume 8 Issue 3 - Sep 2017

Is it important to disclose how treatments are selected in clinical research and clinical care? Rahul K. Nayak & David Wendler

American Journal of Bioethics: Volume 17 Issue 7 - Jul 2017

The Final Rule: When the Rubber Meets the Road P. Pearl O'Rourke

American Journal of Bioethics: Volume 17 Issue 7 - Jul 2017

Examining Provisions Related to Consent in the Revised Common Rule Jeremy Sugarman

American Journal of Bioethics: Volume 17 Issue 7 - Jul 2017

Rethinking the Belmont Report? Phoebe Friesen, Lisa Kearns, Barbara Redman & Arthur L. Caplan

American Journal of Bioethics: Volume 17 Issue 6 - Jun 2017

When Respecting Autonomy Is Harmful: A Clinically Useful Approach to the Nocebo Effect John T. Fortunato, Jason Adam Wasserman & Daniel Londyn Menkes

AJOB Primary Research: Volume 8 Issue 2 - Apr 2017

Perspectives of IRB chairs on the informed consent process Eugene I. Kane III & Joseph J. Gallo

AJOB Primary Research: Volume 8 Issue 2 - Apr 2017

Does experience matter? Implications for community consultation for research in emergency settings Victoria M. Scicluna, Mohammed K. Ali, Rebecca D. Pentz, David W. Wright & Neal W. Dickert

AJOB Primary Research: Volume 8 Issue 1 - Feb 2017

When are primary care physicians untruthful with patients? A qualitative study Stephanie R. Morain, Lisa I. Iezzoni, Michelle M. Mello, Elyse R. Park, Joshua P. Metlay, Gabrielle Horner & Eric G. Campbell

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News (26)

June 14, 2017 9:00 am

Heaven over hospital: Dying girl, age 5, makes a choice (CNN)

Julianna Snow is dying of an incurable disease. She’s stable at the moment, but any germ that comes her way, even just the common cold virus, could kill her. She’s told her parents that the next time this happens, she wants to die at home instead of going to the hospital for treatment. If Julianna were an adult, there would be no debate about her case: She would get to decide when to say “enough” to medical care and be allowed to die. But Julianna is 5 years old. Should her parents have let her know how grave her situation is? Should they have asked her about her end-of-life wishes? And now that those wishes are known, should her parents heed them?
May 19, 2017 9:00 am

For Tuskegee Syphilis Study Descendants, Stigma Hasn't Faded (The New York Times)

For 40 years starting in 1932, medical workers in the segregated South withheld treatment for unsuspecting men infected with a sexually transmitted disease simply so doctors could track the ravages of the horrid illness and dissect their bodies afterward. Finally exposed in 1972 , the study ended and the men sued, resulting in a $9 million settlement. Twenty years ago this May, President Bill Clinton apologized for the U.S. government. It seemed to mark the end of this ugly episode, once and for all. Except it didn’t.

April 6, 2017 9:00 am

Trump Completes Repeal of Online Privacy Protections From Obama Era (Washington Post)

President Trump on Monday signed a congressional resolution to complete the overturning of internet privacy protections created by the Federal Communications Commission during the Obama administration. The change will allow broadband internet service suppliers, such as cable and telecommunications companies, to track and sell a customer’s online information with greater ease.

March 23, 2017 9:00 am

San people of Africa draft code of ethics for researchers (Science)

The San people of Southern Africa are among the closest living relatives of our hunting and gathering ancestors. Scientists have flocked to study their age-old rituals and ancient genetic fingerprints. Now, after more than a century of being scrutinized by science, the San are demanding something back. Earlier this month the group unveiled a code of ethics for researchers wishing to study their culture, genes, or heritage.

March 20, 2017 9:00 am

Informed Patient? Don’t Bet On It (New York Times)

As doctors, our goal is to help you, of course, and to do no harm. But we may actually hurt you, irreversibly. Not that this happens frequently, but it might. How does that sound? Ready to take the plunge? The secret is that informed consent in health care is commonly not-so-well informed. It might be a document we ask you to sign, at the behest of our lawyers, in case we end up in court if a bad outcome happens. Unfortunately, it’s often not really about informing you.

February 10, 2017 9:00 am

Brain researchers fight National Hockey League’s demand for records (Science)

A pair of Boston University (BU) brain researchers is pushing back against demands by the National Hockey League (NHL) that they release data, brain pathology slides, and interview records of former NHL players and their families. The scientists accumulated the records during their research on chronic traumatic encephalopathy (CTE), a neurodegenerative disease that has been linked to repetitive head trauma.

January 20, 2017 9:00 am

How Science Is Helping Us Understand Gender (National Geographic)

A “neutral space” is a hard thing for a teenager to carve out: Biology has a habit of declaring itself eventually. Sometimes, though, biology can be put on hold for a while with puberty-blocking drugs that can buy time for gender-questioning children.

January 20, 2017 9:00 am

New Common Rule on the Federal Policy for the Protection of Human Subjects (Federal Register)

The departments and agencies listed in this document announce revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was originally promulgated as a Common Rule in 1991. This final rule is intended to better protect human subjects involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators.

October 21, 2016 8:00 am

The dangers of euthanasia-on-demand (Chicago Tribune)

If the Dutch Cabinet gets what it wants, citizens who feel they have a “completed life” soon will be able to request public support for help in ending their lives. It is a frightening precedent that other nations ought not follow, and a policy the Dutch ought to reject.

September 22, 2016 8:00 am

Belgium minor first to be granted euthanasia (BBC News)

A terminally ill 17-year-old has become the first minor to be helped to die in Belgium since age restrictions on euthanasia requests were removed two years ago, officials say.

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