The ASBH code of ethics and the limits of professional healthcare ethics consultations

Schwab, Abraham

doi:10.1136/medethics-2015-103074

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…Given its organizational home within medical institutions and its practical focus on problems among clinicians and patients in that setting, the moral claims of those excluded from those institutions were often missed. This belated recognition of bioethicists' professional power also prompted debates over its proper exercise-hence, "the ethics of bioethics" (Eckenwiler and Cohn 2007)-and ongoing, unresolved disputes over whether bioethicists themselves should adopt a code of ethics (Baker 2005;Freedman 1989;Schwab 2016;Tarzian et al 2015).…”

Section: Internal and External Critiquementioning

confidence: 99%

Insiders and Outsiders: Lessons for Neuroethics from the History of Bioethics

Chiong

2020

AJOB Neuroscience

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Recent disputes over the NIH Neuroethics Roadmap have revealed underlying tensions between neuroethics and the broader neuroscience community. These controversies should spur neuroethicists to more clearly articulate an oft-cited ideal of "integrating" neuroethics in neuroscience. In this, it is useful to consider the integration of bioethics in medical practice as both historical precedent and context for integration in neuroethics. Bioethics began as interdisciplinary scholars joined biomedical institutions to serve on newly-created IRBs and hospital ethics committees. These early bioethicists identified as outsiders and their presence was initially resisted by some in the medical establishment, but over time they became integrated into the very institutions that many had originally come to critique. This work has transformed medical practice, but also required compromises and intellectual costs. Also, the successful integration of bioethics relied in part on structural features of postwar medicine with no clear analogue in contemporary neuroscience; for neuroethics, imaginative new approaches will also be needed. While neuroethics to date has focused somewhat narrowly on questions in neurotechnology, I argue that successful integration in neuroethics will likely require a broader vision, encompassing the clinical neurosciences as well as questions at the interface of neuroscience and society.

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Section: Internal and External Critiquementioning

confidence: 99%

Insiders and Outsiders: Lessons for Neuroethics from the History of Bioethics

Chiong

2020

AJOB Neuroscience

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“…These criteria distinguish professions (medical and otherwise) from other work. 61 Incorporating the six values above might help guide a physician’s actions, particularly thanks to the specific responsa and physician codes referenced throughout, but our discussion would be incomplete without examining how professionalism itself frames the six values because of this added context; different accounts of professional responsibility can lead to radically different ways a professional may be expected to implement any set of core values. When the values held by the professional, the public, and the political infrastructure diverge, questions of professional autonomy versus accountability arise, which necessarily frame any values adopted.…”

Section: Values and Professional Accountabilitymentioning

confidence: 99%

Six Values Never to Silence: Jewish Perspectives on Nazi Medical Professionalism

Kolman

Miller

2018

Rambam Maimonides Med J

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An ideological case study based on medical profession norms during the Third Reich will be used to exemplify the importance of diversity in the manifestations of professional ethics. The German professional medical community banned their Jewish colleagues from treating German citizens. This included legally mandated employment discrimination and outright censure which led to a professional ethic devoid of diverse voices. While the escalation to the T-4 program and medicalized genocide was influenced by many causes, the intentional, ethnocentric-based exclusion of voices was an important contributing element to the chronicled degradation of societal mores. For illustration, six core Jewish values—life, peace, justice, mercy, scholarship, and sincerity of intention—will be detailed for their potential to inspire health-care professionals to defend and protect minorities and for readers to think critically about the role of medical professionalism in Third Reich society. The Jewish teachings highlight the inherent professional obligations physicians have toward their patients in contrast to the Third Reich’s corruption of patient-centered professionalism. More fundamentally, juxtaposing Jewish and Nazi teachings exposes the loss of perspective when a profession’s identity spurns diversity. To ensure respect for persons in all vulnerable minorities, the first step is addressing professional inclusion of minority voices.

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Ethics Consultation: Biomedical Ethics

Steinberg

2020

The Multidisciplinary Nature of Morality and Applied Ethics

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The ASBH code of ethics and the limits of professional healthcare ethics consultations

Cited by 6 publications

References 17 publications

Insiders and Outsiders: Lessons for Neuroethics from the History of Bioethics

Insiders and Outsiders: Lessons for Neuroethics from the History of Bioethics

Six Values Never to Silence: Jewish Perspectives on Nazi Medical Professionalism

Ethics Consultation: Biomedical Ethics

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