Journal Update

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


In Press

Fall 2021;33(2)


Death and Scandal in Pediatric Cardiac Surgery Programs

Close up of pediatric cardiac surgery.

Over the past few years, several high-profile scandals have befallen well-known U.S. pediatric cardiac surgery programs. The aftermath paints a picture of persistent systemic institutional problems that motivated staff to become whistleblowers. The industry experts point to the lack of regionalization as the problem. Is the cause of such problems the lack of regionalized pediatric cardiac surgery centers? We analyze recent U.S. scandals to contrast and compare them with international scandals and approaches to pediatric cardiac surgery.

In Press

Spring 2021;33(1)


Refugee Children: The Tiny Victims of Huge Human Catastrophes

Refugee Children

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

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.

More Similar Than Different: Discoveries in Medical Culture when Practicing Global Health at Pediatric Hospital in Ethiopia

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)



Pediatric Ethicscope cover 32(2) The Sick Child, Munch

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.

Pierre in the Clinic

Pierre in the Clinic draws the parallel between the children's story and pediatric ethics. Pediatric Ethicscope 2019 vol. 32 no. 2.

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

The Use of Suffering in Pediatric Bioethics and Clinical Literature

“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

Pediatric Ethicscope: Tomas Jose Silber, Leikin Lecture on Suffering main image: Chiron, Peleus, and Infant Achilles

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Protected: On Suffering : Some Philosophical Notes

Pediatric Ethicscope: Tomas Jose Silber, Leikin Lecture on Suffering main image: Chiron, Peleus, and Infant Achilles

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Book Review: Handle With Care by Jodi Picoult

Handle with Care by Jodi Picoult, Pediatric Ethicscope Book Review

Jodi Picoult's Handle with Care chronicles a family’s suffering through life and medical care decisions in the face of disability.

Pediatric Ethicscope at a Glance



Pediatric Ethicscope: The Journal of Pediatric Bioethics is a peer-reviewed clinical and academic journal dedicated to presenting the work of multidisciplinary contributors sharing diverse, nuanced perspectives on issues in pediatric ethics, bioethics and clinical ethics. In an effort to democratize knowledge of the important issues in pediatric ethics, the journal is OA platinum; we charge fees to neither readers nor authors.

Editorial Board

The Pediatric Ethicscope editorial board is comprised by renown experts in the field of pediatric ethics, bioethics, and clinical ethics. More can be read about each of the board members here.

Douglas S Diekema MD, MPH
Jacqueline Glover PhD
John Lantos MD
Christine Mitchell RN, MS, MTS
Jonathon Moreno PhD
Mark Mercurio MD, MA
Lainie Ross MD, PhD
Cynda Rushton PhD, RN, FAAN
Yoram Unguru MD, MS, MA


Being Open Access Platinum, Pediatric Ethicscope has an annual readership of over 4,000 in the United States. While most readers are located in the United States and Canada, overall readership spans 145 countries, with 7,000 annual readers worldwide. The journal is archived by the library of Congress (ISSN Print 2328-4617, ISSN Online 2328-4625). Below: Geographic distribution of readers denoted in blue, with darker tones indicating greater numbers.

Google Analytics data on Pediatric Ethicscope worldwide readership


Pediatric Ethicscope has been published biannually for the past 32 years, and more about the journal’s history can be found here. The journal publishes original research, review articles, case studies, short and long form issue analyses, grand rounds, point/counterpoint segments, interviews with prominent ethicists, book reviews, and reports on ethics education opportunities.

The journal accepts manuscripts in all aforementioned categories within our defined scope: issues in pediatric ethics, pediatric clinical ethics cases and practices, and matters of bioethics policy affecting children and families. Please see For Authors for more information on our submittal and peer-review processes, and contact the editors with any further questions.

Issues are released both online and in print. The online, HTML versions can be found below. Following online issue, PDFs  of the print version are created and uploaded, and can be read online or downloaded using the link, “Download Print Version PDF” to the right of this text. Please note past issues are available both online and in downloadable PDF versions under the Archives  tab. Thank you for your interest in Pediatric Ethicscope.

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