• El aumento de los costos sanitarios y financieros de las enfermedades, las discapacidades y las disparidades respalda la aceleración mundial de los intereses y las inversiones en IA (inteligencia artificial) sanitaria para lograr soluciones sanitarias mejores, más baratas, más rápidas y justas a escala mundial y local. Sin embargo, no existe un consenso sobre la aplicación práctica de los principios de la IA responsable en diversos sectores, estados y sistemas de creencias de todo el mundo. Este…Read more
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    During a clinical ethics fellow’s first week of independent supervised service, two unhoused patients on the same floor were resisting the medical team’s recommendations to discharge. In the team’s view, both were medically stable and no longer required hospitalization in an acute setting. The medical team suspected malingering for both. The social worker and case manager had employed their usual means of gentle persuasion and eliminating psychosocial barriers to no avail. Rather than call the p…Read more
  •  3
    During a clinical ethics fellow’s first week of independent supervised service, two unhoused patients on the same floor were resisting the medical team’s recommendations to discharge. In the team’s view, both were medically stable and no longer required hospitalization in an acute setting. The medical team suspected malingering for both. The social worker and case manager had employed their usual means of gentle persuasion and eliminating psychosocial barriers to no avail. Rather than call the p…Read more
  •  9
    Becoming Inclusive: Actionable Steps to Diversify the Field of Clinical Ethics
    with Becket Gremmels, Thomas V. Cunningham, Amy Collard, Caroline Buchanan, Jamila Young, Sheridawn Peden, and Barquiesha Madison
    Journal of Clinical Ethics 33 (4): 323-332. 2022.
    At the 2022 Clinical Ethics Unconference, the authors perceived a significant lack of racial and ethnic diversity, which was consistent with their experiences in other clinical ethics settings. As a result, they convened a working group to address the pervasive lack of diversity present in the field of clinical ethics and to propose strategies to increase the representation of people from racial and ethnic minority populations. This article identifies the harms associated with the lack of divers…Read more
  •  17
    La nueva enfermedad del coronavirus de 2019 (Covid-19), producida por el coronavirus del Síndrome Respiratorio Agudo Severo 2 (SARS-CoV-2), es una pandemia que está creando una creciente crisis sanitaria mundial, dada su novedad, su alcance y sus inicialmente limitadas opciones de tratamiento eficaz. En efecto, se sabe poco acerca de las intervenciones no farmacéuticas óptimas para evitar la morbilidad y mortalidad causadas por él, y también se conoce poco sobre la rentabilidad y aspectos …Read more
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    The biopsychosocial model is characterized by the systematic consideration of biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery. This model opposes the biomedical model, which is the foundation of most current clinical practice. In the biomedical model, quest for evidence based medicine, the patient is reduced to molecules, genes, organelles, systems, diseases, etc. This reduction has brought great advances in …Read more
  •  42
    Ethical Issues in Patients with Leukemia: Practice Points and Educational Topics for the Clinical Oncologist and Trainees
    with Jeffery S. Farroni, Phillp A. Thompson, Daud Arif, and Jorge E. Cortes
    Journal of Clinical Research and Bioethics 8 (5). 2017.
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    We Didn't Consent to This
    with Shalini Dalal and Jessica A. Moore
    Narrative Inquiry in Bioethics 7 (2): 171-178. 2017.
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    I Don’t Know Why I Called You
    with Jeffrey S. Farroni
    Narrative Inquiry in Bioethics 4 (1): 69-74. 2014.
    This case study details a request from a patient family member who calls our service without an articulated ethical dilemma. The issue that arose involved the conflict between continuing further medical interventions versus transitioning to supportive or palliative care and transferring the patient home. Beyond the resolution of the ethical dilemma, this narrative illustrates an approach to ethics consultation that seeks practical resolution of ethical dilemmas in alignment with patient goals an…Read more
  •  39
    The Misleading Vividness of a Physician Requesting Futile Treatment
    with Jeffrey S. Farroni, Jessica A. Moore, Joseph L. Nates, and Maria A. Rodriguez
    American Journal of Bioethics 15 (8): 52-53. 2015.
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    Handling Cases of 'Medical Futility'
    with Ryan F. Holmes
    HEC Forum 24 (2): 91-98. 2012.
    Abstract   Medical futility is commonly understood as treatment that would not provide for any meaningful benefit for the patient. While the medical facts will help to determine what is medically appropriate, it is often difficult for patients, families, surrogate decision-makers and healthcare providers to navigate these difficult situations. Often communication breaks down between those involved or reaches an impasse. This paper presents a set of practical strategies for dealing with cases of …Read more
  •  50
    Are We Prepared for Surrogate Decision Making in the Internet Age?
    with Jessica A. Moore
    American Journal of Bioethics 12 (10): 47-49. 2012.
    The American Journal of Bioethics, Volume 12, Issue 10, Page 47-49, October 2012
  • Pastoral care ministers and social workers are involved in providing care and assistance to people facing life changes and crises. One of the most challenging aspects of their work is dealing with people who are dying and those who care for them. This study examined this experience through interviews with experienced professionals that focused on their experience and the preparation they thought necessary for newcomers to the field. The study found that even those working in community settings s…Read more
  •  59
    Becoming a Competent Ethics Consultant: Up to Code?
    with Kathryn L. Weise, James Andrew Hynds, Barbara Lynn Secker, and Bruce David White
    American Journal of Bioethics 15 (5): 56-58. 2015.