Journal of Medical Ethics 33 (6):320-324 (2007)

Eric Chwang
Rutgers University - Camden
Background: Despite the expansion of ethics consultation services, questions remain about the aims of clinical ethics consultation, its methods and the expertise of those who provide such services.Objective: To describe physicians’ expectations regarding the training and skills necessary for ethics consultants to contribute effectively to the care of patients in intensive care unit .Design: Mailed survey.Participants: Physicians responsible for the care of at least 10 patients in ICU over a 6-month period at a 921-bed private teaching hospital with an established ethics consultation service. 69 of 92 eligible physicians responded.Measurements: Importance of specialised knowledge and skills for ethics consultants contributing to the care of patients in ICU; need for advanced disciplinary training; expectations regarding formal-training programmes for ethics consultants.Results: Expertise in ethics was described most often as important for ethics consultants taking part in the care of patients in ICU, compared with expertise in law , religious traditions , medicine and conflict-mediation techniques . When asked about the formal training consultants should possess, however, physicians involved in the care of patients in ICU most often identified advanced medical training as important.Conclusions: Although many physicians caring for patients in ICU believe ethics consultants must possess non-medical expertise in ethics and law if they are to contribute effectively to patient care, these physicians place a very high value on medical training as well, suggesting a “medicine plus one” view of the training of an ideal ethics consultant. As ethics consultation services expand, clear expectations regarding the training of ethics consultants should be established
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DOI 10.1136/jme.2006.016287
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References found in this work BETA

Why Don't Physicians Use Ethics Consultation?L. Davies & Leonard D. Hudson - 1999 - Journal of Clinical Ethics 10 (2):116.
Paradigms for Clinical Ethics Consultation Practice.Mark D. Fox, Glenn Mcgee & Arthur Caplan - 1998 - Cambridge Quarterly of Healthcare Ethics 7 (3):308-314.
Evaluating Outcomes in Ethics Consultation Research.Ellen Fox & R. M. Arnold - 1995 - Journal of Clinical Ethics 7 (2):127-138.

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Quality in Ethics Consultations.Gerard Magill - 2013 - Medicine, Health Care and Philosophy 16 (4):761-774.
The Medium is Not the Message.Howard Trachtman - 2008 - American Journal of Bioethics 8 (12):9 – 11.
Assuring Quality for the Future.Valerye M. Milleson & Claire I. Horner - 2016 - American Journal of Bioethics 16 (3):54-55.

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