Who We Are, and where we want to Go

With this issue, a decades-old dream has become real. Pediatric Ethicscope has been published as a newsletter since 1987; it is arguably the first, if not only, continuously produced publication devoted to pediatric ethics, in that time standing witness to the development of the field of bioethics itself. Pediatric Ethicscope was the brainchild of Dr Sanford Leikin, one of the pioneers of the field of pediatric ethics, who served as its first Editor-in-Chief. Jaqueline Glover PhD then took the reigns in the nineties, and Tomas Silber, MD, MaSS has continued that tradition since the turn of the new century. Pediatric Ethicscope is now entering its 30th volume; it has, and will continue, to present the work of contributors from many disciplines, sharing diverse and nuanced perspectives on issues of import to pediatric medical ethics. Our aim is thus to disseminate the best and latest thinking on pediatric ethics.

Many journals are now devoted to the exploration and dissemination of bioethical knowledge. Our interest, pediatric ethics, has developed into a vast field of its own, revealing that pediatric ethics isn’t just an adaptation, a “smaller size bioethics”, rather in many ways, it is quite different, and sometimes significantly more complicated. The movement from bilateral clinical relations between patient and clinician to trilateral relations involving minor patients, family, and clinicians, presents myriad complications, and the issues, seemingly comparable, are frequently quite distinct: “end of life” issues occurring at birth or soon after, invoke a set of concerns altogether different than those we have for our parents and grandparents.

These dynamics justify the increasing number of articles in the field and contribute to the need for a peer-reviewed journal dedicated to pediatric bioethics. Tomas Silber MD envisioned such a project nearly a decade ago. However, at that time Pediatric Ethicscope was not ready for prime time; though many articles were extremely interesting and moving, there was no external peer-review process, no editorial board, no published guidelines for authors, nor any of a number of matters necessary for a journal to function beyond the walls of a single institution and be accepted by the clinical and academic community it seeks to serve.

So, we started building. After considerable research and study, Pediatric Ethicscope’s editors have adopted an extensive body of the most well-regarded, and most stringent, journal publishing practices–those, and our operational Policies, Procedures, and Guidelines are being added to our site daily. In brief, the International Committee of Medical Journal Editors (ICMJE) Recommendations, the Council of Science Editors (CSE) White Paper on Publication Ethics, and World Association of Medical Editors (WAME) Principles of Transparency and Best Practices in Scholarly Publishing form our operational and ethical core. We also believe the pediatric ethics literature ought have the broadest reach possible. As such, we are pursuing PubMed inclusion and Medline indexing. We will keep readers apprised of our progress.

We would also like to add a word about our sponsorship. While we are supported by Children’s National Health System (CNHS), we are editorially independent. To that end, we have both a completely independent website and have  established an editorial board comprised of ethicists particularly distinguished in pediatrics from across the nation. We are humbled by their support of this project and their generous donation of time.

So after these years of planning and preparation, we are ready to enter the fray. And while we have created the aforementioned mechanisms requisite of a rigorous and professional journal, a larger task lies ahead. This project succeeds or fails on the quality and volume of manuscripts we receive, and number of readers we attract; in other words, this project succeeds or fails with you.

As for us, we will continue the tradition started by Dr. Leikin, including two longstanding features: a rendition of the annual Leikin Lecture in Pediatric Grand Rounds at Children’s National, and a winning article from the annual Pediatric Ethicscope Essay Contest for new authors. Our staff is available to discuss your ideas and make suggestions prior to the formal review process. This can save you time, and help get you on the right track. We encourage first-time authors to contact us to take advantage of this opportunity.

We have also started a few new traditions of our own. Since so much of bioethics exists in the space between people discussing ideas, we present the Dialogue with the Ethicist section. Transcribed and presented as a non-fiction play, the section is comprised of actual case review with an audience, typically lead by a prominent ethicist. We conduct interviews with providers in positions to speak about ethically important practical matters. We close each issue with our Ethics Education section, a report on educational opportunities from the student’s point of view.

Finally, we would like to invite all of our readers to both return feedback, and spread the word. Let us know what you like or dislike, for our project is a dialogue. We look forward to your response, and hope you will join us on this adventure.