BACKGROUND The generation of evidence is integral to the work of public health and health service providers. Traditionally, ethics has been addressed differently in research projects, compared with other forms of evidence generation, such as quality improvement, program evaluation, and surveillance, with review of non-research activities falling outside the purview of the research ethics board....

INTRODUCTION Scant information is available about the nature of the professional violations resulting in referral of physicians for remedial continuing medical education (CME). The CME program at Case Western Reserve University (CWRU) School of Medicine has developed the Intensive Course in Medical Ethics, Boundaries, and Professionalism (medical ethics course) for physician referrals due to et...

the cytology study is effective and reliable technique in intraoperative consultation. this study was performed to evaluate the accuracy of the cytology study in intraoperative consultation of the breast lesions. 125 specimens of the breast lesions were examined and studied in imam khomeini hospital during the years 1998-99. the sensitivity, specificity and accuracy for cytological method were ...

Introduction: The application of organizational ethics in hospitalsis one of the novel ways to improve medical ethics. Nowadaysachieving efficient and sufficient ethical hospital indicators seemsto be inevitable. In this connection, the present study aims todetermine the best indicators in hospital accreditation.Methods: 69 indicators in 11 fields to evaluate hospital ethicswere achieved throug...

Challenges in societal demographics, finances, and human suffering are pushing us towards a new paradigm in health care delivery. The palliative care paradigm is a necessary complement to existing acute care and chronic care paradigms. Palliative care does not replace prior paradigms; instead, it adds value and provides a shift in focus when appropriate. Baylor University Medical Center has all...

We review Marguerite S. Lederberg's 1999 Acta Oncologica article entitled "Disentangling Ethical and Psychological Issues: A Guide for Oncologists," in which she introduces a method of analysis that facilitates clarification of ethical and psychological aspects of complex cases. Based on her understanding of the dynamics at play in patients', family members', and physicians' experiences, Lederb...

Stereotyping is a subject of singular relevance to ethics in general and to bioethics in particular. Every medical interaction in the doctor-patient dyad has the potential to involve individuals in stereotypic views, each of the other member. Such occurs in any traditional doctor-patient consultation, where at first interview both the doctor and the patient bring an a priori view of the other’s...

advice of the intensive care team. Under these circumstances it may be reasonable to continue support for a predetermined period, following which the situation is reassessed with the family. On the rare occasions when confl ict cannot be resolved, a second opinion, perhaps from a clinician from another institution, or an ethics consultation may be helpful. Occasionally it may be advisable to ob...