David Lind, Mark Taylor, Dianne Nicol, Jarrod Walshe, Brad Elphinstone
{"title":"Does Australian Law Offer the Controls Needed to Meet Public Concerns with Commercial Use of Genomic Data?","authors":"David Lind, Mark Taylor, Dianne Nicol, Jarrod Walshe, Brad Elphinstone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The creation of an Australian national genomic repository relies on the voluntary contribution of genomic data. However, the possible commercial use of donated data is a significant concern for many members of the public which, if unaddressed, may limit a national repository's success. This column examines the extent to which Australian legislation and common law address public concerns identified through previous work, concluding that in many areas the law falls short of appropriately controlling commercial use. It then argues that contractual terms are well-placed to fill gaps in the law using examples of publicly available clauses. It therefore provides guidance as to what a national set of standard contractual clauses might usefully cover to address public concerns with the commercial use of genomic data.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"49-64"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Destination or Journey? What Constitutes Successful Advance Care Planning?","authors":"John Chesterman, Catherine Joyce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article seeks to identify what constitutes successful advance care planning. It begins by examining the variety of often-interrelated reasons given for the promotion of advance care planning, which include ethical considerations, as well as instrumental and pragmatic elements. Thus, advance care planning can variously be promoted as an opportunity for the expression of personal autonomy; as the chance to document future wishes; as a method to avoid unwanted medical interventions; and as a way to reduce a family's distress at the end of a loved one's life. The article then explores key ethical, human rights and legal questions that are engaged by these various aims, when weight is sought to be given to a person's thinking about future events. The article concludes by identifying the core criteria for successful advance care planning.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"188-197"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tendency Evidence in Tribunal Disciplinary Proceedings.","authors":"Chris Corns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evidence that a health practitioner, on some other occasion, engaged in conduct similar to the conduct alleged in current disciplinary proceedings, is both prejudicial to the practitioner and potentially highly probative. The admissibility of such evidence (usually referred to as \"tendency evidence\") is highly prescribed in criminal and civil court proceedings pursuant to statutory rules and common law cases. These rules attempt to achieve a reasonable balance between prejudicial effect and probative value. However, tribunals are not bound to follow rules of evidence and tribunal disciplinary proceedings have different objectives and functions than court proceedings. Further, it has generally been understood that tribunals are not expected to make complex legal rulings concerning the admissibility of disputed evidence. There is some evidence that national boards are becoming more willing to attempt to adduce tendency evidence in cases involving sexual misconduct on the part of health practitioners. This article examines how tribunals have dealt with applications by national boards to adduce tendency evidence and how such evidence is used by tribunals given that tribunals are not bound to follow statutory rules of evidence which apply in the courts.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"198-206"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why Is Medical Consent Personal?","authors":"Albert Pielak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article engages with the nature of medical consent in the context of a patient's proxy granted in case of decision-making capacity. It argues that based on the general legal provisions on proxy, the patient cannot make medical decisions by a representative. Therefore, informed consent is of a personal nature. The thesis is supported by a comparative-legal analysis of selected continental and common law systems, Kant's and Mill's concept of autonomy, and functional reasoning.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"85-93"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applying Duties to Oversee AI to Medical Practitioners in Australia.","authors":"Mark Nevin, Sandra Lj Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ethical challenges of artificial intelligence (AI) in health require guardrails to mitigate and address them including: regulation, practice standards, duty of care, training and professional development for those using AI in clinical care. A key safeguard for AI in clinical care will be the medical workforce. This article illustrates a pathway for the Australian medical workforce to upskill to use AI safely and ethically stemming from existing regulatory requirements and professional duties. As AI applications become more widespread, medical and other health care practitioners must become competent users of these technologies in patient care.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"65-73"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cameron Stewart, Christopher Rudge, George F Tomossy, Ian Kerridge
{"title":"Desktop Legal Research and Human Ethics Review: Problems of Juridification and \"Ethics-Creep\".","authors":"Cameron Stewart, Christopher Rudge, George F Tomossy, Ian Kerridge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This column discusses whether desktop legal research must be reviewed by a human research ethics committee (HREC). We have been made aware that some HRECs have interpreted the National Statement on Ethical Conduct in Human Research as compelling legal researchers to seek ethics review for desktop legal research. We argue that this literal interpretation of the National Statement erroneously treats desktop legal research as \"human research\". Including desktop legal research in the definition of \"human research\" damages the public interest. We call on the Council of Australian Law Deans and the authors of the National Statement to make it clear that HREC review is not required for desktop legal research.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"36-48"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia van den Heuvel, Anthony Porter, Emily Kirkpatrick, Johan Verjans, Sandeep Reddy, Ian Freckelton
{"title":"The Silent Partner: A Narrative Review of AI's Impact on Informed Consent.","authors":"Julia van den Heuvel, Anthony Porter, Emily Kirkpatrick, Johan Verjans, Sandeep Reddy, Ian Freckelton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into health care presents significant challenges for traditional informed consent practices. This review examines the legal and ethical implications of using AI in clinical decision-making, with a focus on maintaining transparency and respecting patient autonomy. While the legal framework for informed consent remains clear - requiring clinicians to provide sufficient information on material risks and likely outcomes - the complexity of AI introduces nuances that demand adaptation. Unlike surgical consent, where decisions are directly tied to human judgment, AI systems analyse vast datasets and identify patterns beyond human comprehension, complicating clinicians' ability to provide clear explanations. However, this does not necessitate a complete overhaul of informed consent but, rather, careful reassessment. Practical approaches include tiered consent protocols tailored to AI complexity and enhanced clinician education to bridge the communication gap. By addressing these challenges, informed consent can evolve to support ethical AI integration while preserving patient trust and decision-making.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"74-84"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expert Opinion Evidence by Medical Practitioners: Fresh, Clear and Authoritative Australian Jurisprudence on Admissibility Criteria.","authors":"Ian Freckelton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This editorial contextualises by reference to prior appellate case law the important decision of the Australian High Court in Lang v The Queen (2023) 278 CLR 323; [2023] HCA 29 in relation to the admissibility of expert opinion evidence. It chronicles the convergence of statutory and common law requirements for the reception of evidence by experts and analyses the requirement for clear delineation of the bases of expert evidence, assumptions made and reasoning utilised. This approach prioritises presentation of expert opinions in such a way that they can be evaluated effectively by the trier of fact. However, it does not incorporate the yardstick of reliability of expert opinions as a precondition for expert evidence to be admitted, in spite of international precedents for not just requiring such a precondition but providing useful indicia for evaluating reliability. There are good reasons for following precedents such as those existing in the United States, England and Wales and Canada. However, it appears that such a reform to Australian evidence law is only likely after a clear miscarriage of justice that provides an irresistible fillip to statutory amendment to admissibility criteria.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"5-24"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Review of the Voluntary Assisted Dying Act 2019 (WA): Research Report.","authors":"Lindy Willmott, Ben P White, Casey M Haining","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Voluntary Assisted Dying Act 2019 (WA) was passed in December 2019, and came into effect on 1 July 2021. The legislation requires that the Act is reviewed at set intervals with the first review occurring as soon as practicable after the second anniversary of the Act's operation. An independent three-person panel was appointed to carry out the review. This article reports on one aspect of the review process which involved carrying out semi-structured interviews and focus groups with key stakeholders and formulating recommendations based on the data collected (and other evidence). Thematic analysis resulted in the identification of six main themes: awareness of Voluntary Assisted Dying (VAD); accessing and navigating the VAD system; eligibility assessment; prescription, administration, disposal and post-death; VAD workforce; and VAD system design. Overall, the findings reveal that the WA VAD system is working well; however, several issues with the current system remain.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"94-160"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Ageing Surgeon: Unmasking Impairment.","authors":"Mick O'Connor, Bill Madden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Australian age-related anti-discrimination laws prevent discrimination in the workplace on grounds of age alone. However, the ageing surgeon can face physical and cognitive challenges which may threaten patient safety. In 2023 8.4% of Australian surgeons and 8.8% of general practitioners were aged 70 years or older. On 7 August 2024, the Medical Board of Australia (MBA) released a consultation paper seeking comment from the medical profession and the wider community on health checks for late career doctors (aged 70 years and older) to consider whether additional safeguards are needed. The MBA's preferred option is to introduce general health checks by a general practitioner for doctors aged 70 and older, to support early detection of concerns with the opportunity for management before the public is at risk. The proposal would require doctors from the age of 70 years to undergo general health checks with their general practitioner (GP) or another doctor every three years, and yearly from 80 years of age. Other options are to compel extensive and detailed \"fitness to practise\" assessment for all doctors aged 70 and older, to be conducted by specialist occupational physicians, or to maintain the status quo, which is essentially a self-reporting requirement.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"32 1","pages":"25-35"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}