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Clinical Ethics Fellowship Programs in the U.S. and Canada: A Descriptive Study of Program Characteristics and Practices. 美国和加拿大的临床伦理奖学金项目：项目特征与实践的描述性研究》。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-10-01 Epub Date: 2024-08-20 DOI: 10.1080/15265161.2024.2388723
Ellen Fox, Jason Adam Wasserman
{"title":"Clinical Ethics Fellowship Programs in the U.S. and Canada: A Descriptive Study of Program Characteristics and Practices.","authors":"Ellen Fox, Jason Adam Wasserman","doi":"10.1080/15265161.2024.2388723","DOIUrl":"10.1080/15265161.2024.2388723","url":null,"abstract":"<p><p>To address the current lack of knowledge about clinical ethics fellowship programs (CEFPs), we surveyed all 36 programs in the U.S. and Canada. The number of CEFPs has grown exponentially over the last 40 years and far exceeds previous estimates. Commonalities among CEFPs include: 88.8% require an advanced degree or rarely accept applicants without one; 91.7% of programs do not restrict applicants to a specific background such as medicine or philosophy; and 88.9% of programs compensate fellows. CEFPs vary widely on numbers of fellows trained in the last 3 years (1-111), numbers of consultations performed by each fellow (0-450), and salaries paid ($0-$95,000). Less than half of programs meet CEFP standards established by ABPD. Nonpaying programs and larger programs tend to have lower admission standards and lower expectations for fellows. We hope these data will help inform CEFP standards that promote quality and consistency without stifling desirable diversity and innovation.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"51-66"},"PeriodicalIF":20.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breaching Confidentiality in Genetic and Non-Genetic Cases: Two Problematic Distinctions. 在遗传和非遗传案件中违反保密规定：两个有问题的区别。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-10-01 Epub Date: 2024-08-20 DOI: 10.1080/15265161.2024.2388719
Madison K Kilbride
{"title":"Breaching Confidentiality in Genetic and Non-Genetic Cases: Two Problematic Distinctions.","authors":"Madison K Kilbride","doi":"10.1080/15265161.2024.2388719","DOIUrl":"10.1080/15265161.2024.2388719","url":null,"abstract":"<p><p>Ethical questions about confidentiality arise when patients refuse to inform relatives who are at risk of a genetic condition. Specifically, healthcare providers may struggle with the permissibility of breaching confidentiality to warn patients' at-risk relatives. In exploring this issue, several authors have converged around the idea that genetic cases differ from non-genetic cases (e.g., involving a threat of violence or the spread of an infectious disease) along two related dimensions: (1) In genetic cases, the risk of harm is already present in an at-risk third party, whereas in non-genetic cases, it is not; and (2) In genetic cases, the patient does not create a risk of harm to a third party, whereas in non-genetic cases, the patient does. I argue that these distinctions do not exclusively differentiate genetic from non-genetic cases and should not bear on the permissibility of breaching confidentiality. Instead, such determinations should be based on other considerations.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"9-21"},"PeriodicalIF":20.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Choosing for the Voiceless: Reclaiming the Best Interest Standard for Unrepresented Patients. 为无声者选择：为没有代表的病人争取最佳利益标准。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2530725
Christopher Bobier
{"title":"Choosing for the Voiceless: Reclaiming the Best Interest Standard for Unrepresented Patients.","authors":"Christopher Bobier","doi":"10.1080/15265161.2025.2530725","DOIUrl":"10.1080/15265161.2025.2530725","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"111-113"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Death' Is Like 'Health'. “死亡”就像“健康”。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2535904
Jennifer Blumenthal-Barby
{"title":"'Death' Is Like 'Health'.","authors":"Jennifer Blumenthal-Barby","doi":"10.1080/15265161.2025.2535904","DOIUrl":"10.1080/15265161.2025.2535904","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"1-2"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Illuminating Potential Harms of the Physiologic Futility Standard. 阐明生理无效标准的潜在危害。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2530715
Julia K Axelrod, Sofia Weiss Goitiandia, Jason N Batten, Teva D Brender, Elizabeth Dzeng
{"title":"Illuminating Potential Harms of the Physiologic Futility Standard.","authors":"Julia K Axelrod, Sofia Weiss Goitiandia, Jason N Batten, Teva D Brender, Elizabeth Dzeng","doi":"10.1080/15265161.2025.2530715","DOIUrl":"10.1080/15265161.2025.2530715","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"94-97"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Medical Profession Determines Standards for Death Determination. 医疗行业决定死亡判定标准。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2529951
James L Bernat
{"title":"The Medical Profession Determines Standards for Death Determination.","authors":"James L Bernat","doi":"10.1080/15265161.2025.2529951","DOIUrl":"10.1080/15265161.2025.2529951","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"56-58"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human Death as Biological Reality and Social Construct. 人类死亡作为生物现实和社会建构。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2529920
Benjamin Gregg
{"title":"Human Death as Biological Reality and Social Construct.","authors":"Benjamin Gregg","doi":"10.1080/15265161.2025.2529920","DOIUrl":"10.1080/15265161.2025.2529920","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"28-30"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking Death Determination: Toward Ethical Pluralism and Epistemic Humility. 重新思考死亡决定：走向伦理多元化与认知谦卑。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2529932
Aasim I Padela, Rafaqat Rashid, Raudah M Yunus
{"title":"Rethinking Death Determination: Toward Ethical Pluralism and Epistemic Humility.","authors":"Aasim I Padela, Rafaqat Rashid, Raudah M Yunus","doi":"10.1080/15265161.2025.2529932","DOIUrl":"10.1080/15265161.2025.2529932","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"25-28"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Case to Improve, Not Abandon, the Best Interest Standard. 改进而不是放弃最佳利益标准的案例。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2530709
Nina Roesner
{"title":"The Case to Improve, Not Abandon, the Best Interest Standard.","authors":"Nina Roesner","doi":"10.1080/15265161.2025.2530709","DOIUrl":"10.1080/15265161.2025.2530709","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"98-99"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Civil Versus the Neurocentric Conceptions of Death. 公民与神经中心的死亡概念。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1080/15265161.2025.2529948
Andrew P Huang, James L Bernat
{"title":"The Civil Versus the Neurocentric Conceptions of Death.","authors":"Andrew P Huang, James L Bernat","doi":"10.1080/15265161.2025.2529948","DOIUrl":"10.1080/15265161.2025.2529948","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 9","pages":"36-38"},"PeriodicalIF":20.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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