Hot Topics: professional ethics

Blog Posts (41)

June 11, 2018

A Doctor’s Beauty

STUDENT VOICES | CHYNN ETHICS PRIZE SECOND-PLACE WINNER By Carli Grace My mother is a “beautician”, the suffix -ician denoting a person skilled in the prefix, beauty, or more simply a hairdresser. Growing up my kitchen always smelled of ammonia and hair bleach, and my kitchen sink was used as a makeshift shampoo bowl. My […]
June 4, 2018

BioethicsTV (May 30, 2018): #CodeBlack Patient racism and DNRs

by Craig Klugman, Ph.D.

Code Black (Season 3; Episode 5): Patient Racism

A middle-aged-white patient needs an appendectomy. As he is being wheeled to surgery, he is beside the chief of surgery and a new trauma surgery resident.…

May 22, 2018

BioethicsTV (May 14-22): #TheResident, #ChicagoMed

by Craig Klugman, Ph.D.

The Resident (Season 1; Episode 14): Treating Loved Ones; Chemo for Healthy Patients ; Chicago Med (Season 3; Episode 20): Doctor and jury

The Resident (Season 1; Episode 14): Treating Loved Ones; Chemo for Healthy Patients

In the season finale, we learn that Hunter has been telling healthy people that they have cancer (when they do not) and giving them chemotherapy.…

May 11, 2018

BioethicsTV (May 7-11): #ChicagoMed, #GreysAnatomy

by Craig Klugman, Ph.D.

Chicago Med (Season 3; Episode 19): Maternal-Fetal Conflict; Grey’s Anatomy (Season 14; Episode 23): Personal Disclosures of Illness

As the traditional television season comes to a close, many medical dramas have steered away from ethical dilemmas in medical care to heighten the drama among their characters in order to provide strong cliff hangers for the season finale.

May 7, 2018

BioethicsTV (April 30 – May 4): #TheResident; #ChicagoMed

by Craig Klugman, Ph.D.

The Resident (Season 1; Episode 12): Pressures of the Medical Life; Making promises; Chicago Med (Season 3; Episode 18): Crisis response

The Resident (Season 1; Episode 12): Pressures of the Medical Life; Making promises

When Bradley, a resident, falls through a glass ceiling and crashes onto the board room table, Bell’s first reaction is that neither the hospital nor he are responsible for the epidemic of suicides in medicine.…

April 27, 2018

BioethicsTV (April 23-27): #TheResident, #ChicagoMed, #CodeBlack

by Craig Klugman, Ph.D.

The Resident (Season 1; Episode 11): Placebos, CYA, Office politics; Chicago Med (Season 3; Episode 17): Promise-making, Denial Brain death (PVS or coma); Code Black (Seasons 3; Episode 1): Do no harm, HIPAA

The Resident (Season 1; Episode 11): Placebos; CYA; Office politics

We learn that the hospital’s motto is “Incredible things are happening here.” That’s ironic because the incredible clearly isn’t meant to be seen in a positive light.…

April 24, 2018

BioethicsTV (April 16-20): #TheResident, #ChicagoMed, #GreysAnatomy

by Craig Klugman, Ph.D.

The Resident (Season 1; Episode 10): Self-doctoring; nonmaleficence; the problem with hospitals…; Chicago Med (Season 3; Episode 16): Compassionate lying; choosing gender; medical error; Grey’s Anatomy (Season 14; Episode 20): #METOO

The Resident (Season 1; Episode 10): Self-doctoring; nonmaleficence; the problem with hospitals…

After Conrad has a run-in with a skateboard while jogging, he hobbles into the hospital with a sprained ankle.…

April 13, 2018

BioethicsTV (April 9-13): #ChicagoMed Saving one twin; faking a license; cost of care

by Craig Klugman, Ph.D.

Lots of medical dramas were on hiatus this week but will be back.

Chicago Med (Season 1; Episode 15): Saving one twin; faking a license; cost of care

A set of conjoined twins comes to the ED with one of the twins in heart failure.…

April 6, 2018

BioethicsTV (April 2-6): #ChicagoMed; #GreysAnatomy

by Craig Klugman, Ph.D.

Chicago Med (Season 3; Episode 14): Record checking; off label use; scope of practice; Grey’s Anatomy (Season 14; Episode 18): Experimental treatment; Saying goodbye

Chicago Med (Season 3; Episode 14): Record checking; off label use; scope of practice
Psychiatry resident Dr.…

March 22, 2018

BioethicsTV (March 19-23): The Good Doctor, The Resident, Chicago Med

by Craig Klugman, Ph.D.

The Good Doctor (Season 1; Episode 17): Cost of healthcare, stealing identities, dating patients; The Resident (Season 1; Episode 8): Patient Dumping; Chicago Med (Season 3; Episode 12): Pedophilia; Cherry-picking; ECMO; teenage pregnancy

The Good Doctor (Season 1; Episode 17): Cost of healthcare, stealing identities, dating patients

In the first storyline,  a patient, “Lucy,” comes to the ER with a post-op infection: She never filled her antibiotic prescription.…

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Published Articles (18)

American Journal of Bioethics: Volume 18 Issue 1 - Jun 2018

Were the “Pioneer” Clinical Ethics Consultants “Outsiders”? For Them, Was “Critical Distance” That Critical? Bruce D. White, Wayne N. Shelton & Cassandra J. Rivais

American Journal of Bioethics: Volume 18 Issue 1 - Jun 2018

Outsider/Insider Albert R. Jonsen

American Journal of Bioethics: Volume 18 Issue 1 - Jun 2018

“Natural” Talents and Dedication—Meanings and Values in Sport Thomas H. Murray

AJOB Primary Research: Volume 9 Issue 2 - Jun 2018

How acceptable is paternalism? A survey-based study of clinician and nonclinician opinions on paternalistic decision making Kunal Bailoor, Thomas Valley, Chithra Perumalswami, Andrew G. Shuman, Raymond DeVries & Darin B. Zahuranec

American Journal of Bioethics: Volume 18 Issue 5 - May 2018

Peering into the Future of Peer Review Kayhan Parsi & Nanette Elster

AJOB Primary Research: Volume 8 Issue 1 - Mar 2018

Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates Sahil Aggarwal & Aaron Kheriaty

American Journal of Bioethics: Volume 17 Issue 10 - Oct 2017

A Question of Social Justice: How Policies of Profit Negate Engagement of Developing World Bioethicists and Undermine Global Bioethics Subrata Chattopadhyay, Catherine Myser, Tiffany Moxham & Raymond De Vries

American Journal of Bioethics: Volume 17 Issue 10 - Oct 2017

Justice and Bioethics: Who Should Finance Academic Publishing? Udo Schuklenk (Joint Editor in Chief) & David Magnus (Editor in Chief)

AJOB Neuroscience: Volume 8 Issue 1 - Mar 2017

Ethics, Ethicists, and Professional Organizations in the Neurological Sciences Tabitha Moses & Judy Illes

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

Bringing Transparency to Medicine: Exploring Physicians' Views and Experiences of the Sunshine Act Susan Chimonas, Nicholas J. DeVito & David J. Rothman

News (27)

June 19, 2018 9:00 am

Half of women in science experience harassment, a sweeping new report finds (Washington Post)

Science has a sexual harassment problem. From the most polished ivory tower to the local community college, harassment pervades lecture halls and laboratories, observatories and offices, teaching hospitals and Antarctic field sites. And it takes an economic and emotional toll on female researchers and stifles their scientific contributions, according to a sweeping new study released Tuesday.

June 18, 2018 11:16 am

Controversial NIH study of ‘moderate drinking’ will be terminated after scathing report (STAT)

The group examining the Moderate Alcohol and Cardiovascular Health (MACH) Trial also found that, starting in 2013, “there was early and frequent engagement” between NIH officials and the alcohol industry that appeared to be “an attempt to persuade industry to support the project. Several members of NIAAA staff kept key facts hidden from other institute staff members.”

June 1, 2018 9:00 am

Will U.S. academies expel sexual harassers? (Science)

As high-profile sexual harassment cases fuel public criticism, the presidents of the U.S. National Academies of Sciences, Engineering, and Medicine announced last week they may adopt new policies allowing the prestigious bodies to eject members who have committed harassment and other forms of misconduct. Members of the academies—which serve as both honorific societies and advisers to the U.S. government—are elected by existing members to life-long terms, and the bodies currently lack mechanisms for removing them for harassment.

May 21, 2018 9:00 am

Medical Experts Blast U.S.C.’s Silence Over Gynecologist Scandal (The New York Times)

For decades, allegations of misconduct dogged the primary gynecologist in the student health center at the University of Southern California. There were reports that he inappropriately touched students during pelvic exams and made sexual comments about their bodies.

Yet even after university officials suspended the doctor, George Tyndall, in 2016 and forced him to step down a year later, they did not report the accusations to the California Medical Board. When their internal investigation was complete, officials said that the findings were a personnel matter and that there was no legal obligation to notify the state oversight board, which investigates doctors accused of misconduct.

May 17, 2018 11:00 am

Why it’s hard to prove gender discrimination in science (Nature)

To prove gender discrimination in court, plaintiffs must show that they were denied opportunities or rewards because of their gender. Harassment can also be a sign of discrimination when the people responsible are in positions of power. However, recognizing and remedying these problems in academia is challenging for reasons that are deeply entrenched in the culture of science, and in how institutions have long operated, say legal and social-science scholars.

May 16, 2018 9:00 am

At Google, ‘responsibility’ upstages new technology (Washington Post)

In his keynote address on Tuesday, chief executive Sundar Pichai is expected to emphasize the theme of responsibility, the person said. Last year’s keynote was more focused on developments in artificial intelligence. The anticipated shift in tone at the event reflects increased public skepticism and scrutiny of the technology industry as it reckons with the negative consequences of how its products are used by billions of people.

May 16, 2018 9:00 am

Is your pharmacist under a 'gag rule' about drug prices? (CNN)

Independent pharmacist Ira Katz has been serving the eclectic community of Little Five Points in Atlanta for 37 years. But it wasn’t until Georgia passed a law last year banning “gag rules” that Katz could legally tell his patients they might save big bucks on their prescriptions if they paid cash or used a lower-priced generic. The gag rule was a clause in his contract with one of the pharmaceutical benefit managers, also known as PBMs, that manage most of our nation’s prescription drug programs.

May 15, 2018 3:00 pm

More evidence companies pay some doctors to prescribe opioids (NBC News)

Perks such as payments, free meals and speaking fees may be strongly influencing some doctors to prescribe opioids, researchers reported Monday.

April 5, 2018 9:00 am

NIH moves to punish researchers who violate confidentiality in proposal reviews (Science)

When a scientist sends a grant application to the U.S. National Institutes of Health (NIH) in Bethesda, Maryland, and it goes through peer review, the entire process is supposed to be shrouded in secrecy. But late last year, NIH officials disclosed that they had discovered that someone involved in the proposal review process had violated confidentiality rules designed to protect its integrity. As a result, the agency announced in December 2017 that it would rereview dozens of applications that might have been compromised.

March 30, 2018 9:00 am

Duke’s mishandling of misconduct prompts new U.S. government grant oversight (Science)

Last week, the U.S. National Institutes of Health (NIH) imposed unusual new requirements on researchers based at Duke University in Durham, North Carolina, who receive federal funds. The changes are a response to concerns over how the institution handled recent cases involving research misconduct and grant management.

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