Cambridge Quarterly of Healthcare Ethics最新文献_第2页

Listening "At the Bedside": Podcasts as an Emerging Tool for Medical Ethics Education. 在床边聆听"：播客作为医学伦理教育的新兴工具。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000471

Tamar Schiff, Margot Hedlin, Jafar Al-Mondhiry

{"title":"Listening \"At the Bedside\": Podcasts as an Emerging Tool for Medical Ethics Education.","authors":"Tamar Schiff, Margot Hedlin, Jafar Al-Mondhiry","doi":"10.1017/S0963180124000471","DOIUrl":"10.1017/S0963180124000471","url":null,"abstract":"Medical ethics education is crucial for medical students and trainees, helping to shape attitudes, beliefs, values, and professional identities. Exploration of ethical dilemmas and approaches to resolving them provides a broader understanding of the social and cultural contexts in which medicine is practiced, as well as the ethical implications of medical decisions, fostering critical thinking and self-reflection skills imperative to providing patient-centered care. However, exposure to medical ethics topics and their clinical applications can be limited by curricular constraints and the availability of institutional resources and expertise. Podcasts, among other Free Open Access Medical Education (FOAMed) resources, are a novel educational tool that offers particular advantages for self-directed learning, a process by which learners engage in asynchronous educational opportunities outside of traditional academic or clinical settings. Podcasts can be readily distributed to wide audiences and played at any time, reducing barriers to access and offering a level of flexibility that is not possible with traditional forms of education and is well-suited to busy schedules. Podcasts can also use real voices and storytelling to make the content memorable and eminently human. This paper describes the development, production process, and impact of Core IM's \"At the Bedside,\" a podcast focusing on issues in medical ethics and the medical humanities, intending to supplement standard bioethics curricula in an accessible, relevant, and engaging way. The authors advocate for broad incorporation of podcasts into medical ethics education.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"393-404"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaching Ethics Consultation Using a Tabletop Exercise. 利用桌面练习教授伦理咨询。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000409

Hilary Mabel, Susan McCammon, Margot M Eves

引用次数: 0

Decreasing Perceived Moral Distress in Pediatrics Residents: A Pilot Study. 降低儿科住院医师的道德压力感：试点研究。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000355

Allison N J Lyle, Angela Quain, Sara Ali, Zeynep N Inanc Salih

{"title":"Decreasing Perceived Moral Distress in Pediatrics Residents: A Pilot Study.","authors":"Allison N J Lyle, Angela Quain, Sara Ali, Zeynep N Inanc Salih","doi":"10.1017/S0963180124000355","DOIUrl":"10.1017/S0963180124000355","url":null,"abstract":"Pediatric residents experience ethical dilemmas and moral distress during training. Few studies have identified meaningful methods in reducing moral distress in pediatric trainees. The authors aimed to determine how residents perceive ethics case discussions, whether such a program affects trainee ethics knowledge and perceived moral distress, and if residents' perceived moral distress changes before, during, and after a discussion series. Participants included pediatric residents in a single residency program. Five separate 1-hour sessions were presented over a 5-month period. Each session consisted of a case presentation by a resident developed under the guidance of an ethicist. Multidisciplinary services and content experts were present during sessions. Baseline, postsession, and final surveys were distributed to resident attendees. Open-ended responses were recorded. When comparing baseline and final responses, the only significance was increased preparedness to navigate ethical decisions (p = 0.004). A 10.2% decline was observed in perceived moral distress. An increase in ethics knowledge was observed. Residents favored case-based, multidisciplinary discussions. Residents desire more sessions, time for small-group discussions, and legal insight. Satisfaction was high with 90.7% of respondents feeling better prepared to address ethical concerns. Pediatric trainees desire case-based ethics training that incorporates small-group discussions and insight from multidisciplinary topic experts.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"344-353"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bioethics Education: The Unfolding Story. 生命伦理学教育：展开的故事。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 Epub Date: 2025-10-27 DOI: 10.1017/S0963180125100029

Ruchika Mishra, Patrick D Herron

引用次数: 0

Ethical Considerations and Implications of Multi-Cancer Early Detection Screening: Reliability, Access and Cost to Test and Treat. 多种癌症早期检测筛查的伦理考虑和意义：可靠性、可及性和检测和治疗的成本。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000744

Lorenzo F Sempere

{"title":"Ethical Considerations and Implications of Multi-Cancer Early Detection Screening: Reliability, Access and Cost to Test and Treat.","authors":"Lorenzo F Sempere","doi":"10.1017/S0963180124000744","DOIUrl":"10.1017/S0963180124000744","url":null,"abstract":"This essay focuses on the ethical considerations and implications of providing a universal multi-cancer screening test as the best approach to reduce societal cancer burden in a society with limited funds, resources, and infrastructure. With 1.9 million cancer diagnoses each year in the United States, with 86% of all cancers diagnosed in individuals over the age of 50, and with screening tools approved for only four cancer types (breast, cervical, colorectal, and lung cancer), it seems that a multi-cancer screening test to detect most cancer early that is easy to administer, and is accurate and cost-effective, would be worth considering. Whole-body magnetic resonance imaging and a multi-marker blood test are the two main technologies that we will discuss as a universal screening test. However, to understand and appreciate the societal and clinical breakthrough of such a screening test, we must first consider the accessibility and efficacy of current screening methods. We conclude with a closer examination of the ethical implications of implementing the Galleri test as a multi-cancer detection screening tool as adamantly advocated by the company that developed this blood-based test.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"489-498"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12703720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When Suicide is not a Self-Killing: Advance Decisions and Psychological Discontinuity-Part II. 当自杀不是自尽时：预先决定和心理中断--第二部分。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000239

Suzanne E Dowie

引用次数: 0

The Unthinkable Conclusion: Derek Parfit's Budding Antinatalism. 不可思议的结论：德里克-帕菲特萌芽中的反宿命论。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000483

Matti Häyry

{"title":"The Unthinkable Conclusion: Derek Parfit's Budding Antinatalism.","authors":"Matti Häyry","doi":"10.1017/S0963180124000483","DOIUrl":"10.1017/S0963180124000483","url":null,"abstract":"Derek Parfit famously opined that causing a person to exist with a life barely worth living can be wrong, although it is not wrong for that person. This conundrum is known as the nonidentity problem. Parfit also held that persons can, in a morally relevant sense, be caused to exist in the distant future by actions that make the agent a necessary condition for a person's existence. When these views are combined, which he did, and applied explicitly to persons with a life not worth living, which he did not, an interesting conditional conclusion can be drawn. If every family line eventually produces a person with a life not worth living, and if causing that person to exist cannot be justified by the benefits befalling others in the family line, it is always wrong to have children. Parfit did not draw this antinatalist conclusion, but an analysis of his introduction of the nonidentity problem shows that he could have. Since Parfit's other views on population ethics continue to be discussed with relative respect, it stands to reason that the antinatalist position should be no exception. Right or wrong, it has its legitimate place in considerations concerning the future of reproduction.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"479-488"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaching Bioethics Today: Waking from Dogmatic Curricular Slumbers. 《今日生物伦理学教学：从教条式的课程沉睡中醒来》。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180123000178

Leonard M Fleck

引用次数: 0

Meeting our students where they are: An ethics certificate program for hospital ethics committees. 满足学生的需要：医院伦理委员会的伦理证书课程。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S0963180124000495

Mathew D Pauley, Jana M Craig, Alina Bennett, Angela G Villanueva, Mary Carol Barks, Thomas May

{"title":"Meeting our students where they are: An ethics certificate program for hospital ethics committees.","authors":"Mathew D Pauley, Jana M Craig, Alina Bennett, Angela G Villanueva, Mary Carol Barks, Thomas May","doi":"10.1017/S0963180124000495","DOIUrl":"10.1017/S0963180124000495","url":null,"abstract":"To meet the specific education needs of ethics committee members (primarily full-time healthcare professionals), the Regional Ethics Department of Kaiser Permanente Northern California (KPNCAL) and Washington State University's Elson Floyd School of Medicine have partnered to create a one-academic year Medical Ethics Certificate Program. The mission-driven nature of the KPNCAL-WSU's Certificate Program was designed to be a low-cost, high-quality option for busy full-time practitioners who may not otherwise opt to pursue additional education.This article discusses the specific competency-focused methodologies and pedagogies adopted, as well as how the Certificate Program made permanent changes in response to the global pandemic. This article also discusses in detail one of the Program's signature features, its Practicum-an extensive simulated clinical ethics consultation placing students in the role of ethics consultant, facilitating a conflict between family members played by paid professional actors. This article concludes with survey data responses from Program alumni gathered as part of a quality study.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"439-447"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Against the Phrase "Aggressive Care". 反对“侵略性护理”一词。

IF 2.3 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2025-07-01 DOI: 10.1017/S096318012400077X

Trevor M Bibler

引用次数: 0