The authors surveyed hospitals across the country on their policies regarding overlapping surgery, and found large variation between hospitals in how this practice is regulated. Specifically, institutions chose to define “critical portions” in a variety of ways, ultimately affecting not only surgical efficiency but also the autonomy of surgical trainees and patient experiences at these different hospitals.

Recent media articles have stirred controversy over anecdotal reports of medical students practising educational pelvic examinations on women under anaesthesia without explicit consent. The understandable public outrage that followed merits a substantive response from the medical community. As medical students, we offer a unique perspective on consent for trainee involvement informed by the transitional stage we occupy between patient and physician. We start by contextualising the role of educational pelvic examinations under anaesthesia (EUAs) within general clinical skill development in medical (...) education. Then we analyse two main barriers to achieving explicit consent for educational pelvic EUAs: ambiguity within professional guidelines on how to operationalize ‘explicit consent’ and divergent patient and physician perspectives on harm which prevent physicians from understanding what a reasonable patient would want to know before a procedure. To overcome these barriers, we advocate for more research on patient perspectives to empower the reasonable patient standard. Next, we call for minimum disclosure standards informed by this research and created in conjunction with students, physicians and patients to improve the informed consent process and relieve medical student moral injury caused by performing ‘unconsented’ educational pelvic exams. (shrink)

This volume pays tribute to the remarkable scholarship of Hans Dieter Betz, which has combined amazing range with consistency of vision. Defying the traditional boundaries of the academy, Hans Dieter Betz, Shailer Mathews Professor emeritus at the University of Chicago Divinity School, has made significant contributions in the fields of New Testament, classics, church history, theology, and history of religions. This Festschrift brings together the work of major scholars of ancient religion and philosophy who are part of Betz's international circle (...) of conversation. The volume also contains a complete bibliography of Hans Dieter Betz's publications from 1959 to 2000. (shrink)