Dear readers, after a series of delays due to COVID-19, Pediatric Ethicscope will be resuming its regular publication cycle. Articles from our 2020 queue will be added weekly in the “In Press” section, and the full text released upon author approval. Thank you for your patience.
A journal devoted to pediatric bioethics
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In Press
Spring 2021;33(1)
Refugee Children: The Tiny Victims of Huge Human Catastrophes
Offering sanctuary to those fleeing war is a pressing human rights issues in the world today. Globally, there are currently 25.4 million people forced to leave their home to seek safety. Half of these people are children. Despite these staggering statistics, governments seem to have ignored their duty of care to children.
Psychological and Medical Evaluations: Asylum Seekers, Ethics, and the Law
This article highlights the importance of psychological and medical evaluations for asylum seekers in the United States, and identifies physicians and other healthcare professionals as uniquely situated for this work. This paper outlines the benefits and drawbacks to such evaluations and addresses their utility in immigration law, ultimately calling for increased clinician involvement in pro bono evaluations.
Conceptual Considerations for Trainees in Asylum Medicine
In recent years, the unique role of medical professionals in the asylum adjudication process has been thrown into sharp relief as asylum applications surge, with over one million pending cases backlogged in the U.S. asylum system as of August 2019. Medical evaluations dramatically increase the likelihood of an individual obtaining asylum. The author examines the role medical trainees play in this process.
Ethiopian physicians, nurses, and midwives routinely encounter cultural challenges created by language barriers, an urban vs rural divide, and differences in education that impact the patient-provider relationship. Despite limitations in personnel and resources, these clinicians have devised approaches to overcome these barriers to best serve their patients.
Current Issue
Fall 2020;32(2)
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Editorial volume 21 number 2: We have introduced a number of new elements to the Pediatric Ethicscope website over the past several weeks. These changes were prompted by several requests from readers, and most of the changes are aimed at aiding readers wanting to cite and download Pediatric Ethicscope articles for research or teaching purposes. About the cover; about the articles.
Disengagement and non-adherence of an adolescent with chronic disease potentially leading to life-threatening complications is a common and distressing challenge encountered by pediatricians. Most clinicians intuitively focus on balancing the patient’s emerging autonomy with beneficence and non-maleficence. We believe ‘good care’ may be better understood through the lens of care ethics.
The Use of Suffering in Pediatric Bioethics and Clinical Literature: A Qualitative Content Analysis
“Suffering” is a concept that is frequently invoked in discussions about medical decision-making in pediatrics. However, empirical accounts of how the term is used are lacking, creating confusion about the concept and leaving parents and providers unsure about the appropriate ways to account for it in pediatric decision-making. We conducted a qualitative content analysis of pediatric bioethics and clinical literature in selected journals from 2007 to 2017 to determine how authors define and operationalize the term when referring to issues in pediatric treatment.
Competing Interests in Pediatric Eating Disorders Patients
Use of sedation and restraints is sometimes the only means available to stabilize medically fragile eating disorders patients. This case study chronicles the management of an 11-year-old patient transferred from inpatient child psychiatry unit to the adolescent medicine service for nutritional rehabilitation.
Protected: Leikin Lecture: On Suffering
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Protected: On Suffering : Some Philosophical Notes
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Book Review: Handle With Care by Jodi Picoult
Jodi Picoult's Handle with Care chronicles a family’s suffering through life and medical care decisions in the face of disability.
(9650 reads, 39 reads today)
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Editorial Editorial volume 21 number 2: We have introduced a number of new elements to the Pediatric Ethicscope website over the past several weeks. These changes were prompted by several requests from readers, and most of… (1)
Psychological and Medical Evaluations: Asylum Seekers, Ethics, and the Law This article highlights the importance of psychological and medical evaluations for asylum seekers in the United States, and identifies physicians and other healthcare professionals as uniquely situated for this work. This paper outlines the benefits… (1)
Difficult Patients and Termination of Care in Pediatrics (5)
When Parents and Providers Disagree Conflicts between parents and health care providers are among the most common of the ethical issues encountered in pediatrics. In this article, three cases are presented along with an ethical framework for thinking about cases… (8)
Considerations for Informed Consent in Clinical Trials Involving Neonates This paper presents guidance developed by a multidisciplinary group of bioethicists and patient advocates considering patient- and parent-centric approaches to informed consent in neonatal research in the context of an ongoing clinical trial for neonates… (2)