11 found
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  1.  76
    Believing in black boxes: machine learning for healthcare does not need explainability to be evidence-based.Liam G. McCoy, Connor T. A. Brenna, Stacy S. Chen, Karina Vold & Sunit Das - 2022 - Journal of Clinical Epidemiology 142:252-257.
    Objective: To examine the role of explainability in machine learning for healthcare (MLHC), and its necessity and significance with respect to effective and ethical MLHC application. Study Design and Setting: This commentary engages with the growing and dynamic corpus of literature on the use of MLHC and artificial intelligence (AI) in medicine, which provide the context for a focused narrative review of arguments presented in favour of and opposition to explainability in MLHC. Results: We find that concerns regarding explainability are (...)
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  2.  24
    Beyond Words: Reconsidering the Moral Distinction of Action in Consent for Assisted Dying.Matthew Cho, Liam G. McCoy, Connor T. A. Brenna & Sunit Das - 2023 - American Journal of Bioethics 23 (9):25-27.
    In their forthcoming article, Shavelson and colleagues (2023) identify a key ethical concern associated with medical aid-in-dying (MAiD) laws in the eleven US jurisdictions where the practice is le...
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  3.  32
    The name of the game: a Wittgensteinian view of ‘invasiveness’.Stacy S. Chen, Connor T. A. Brenna, Matthew Cho, Liam G. McCoy & Sunit Das - 2024 - Journal of Medical Ethics 50 (4):240-241.
    In their forthcoming article, ‘What makes a medical intervention invasive?’ De Marco, Simons, and colleagues explore the meaning and usage of the term ‘invasive’ in medical contexts. They describe a ‘Standard Account’, drawn from dictionary definitions, which defines invasiveness as ‘incision of the skin or insertion of an object into the body’. They then highlight cases wherein invasiveness is employed in a manner that is inconsistent with this account (eg, in describing psychotherapy) to argue that the term invasiveness is often (...)
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  4.  18
    The Divided Principle of Justice: Ethical Decision-Making at Surge Capacity.Sunit Das & Connor T. A. Brenna - 2021 - American Journal of Bioethics 21 (8):37-39.
    As Alfandre and colleagues describe in “Between Usual and Crisis Phases of a Public Health Emergency: The Mediating Role of Contingency Measures”, efforts to maintain standards of care durin...
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  5.  13
    Host as a Unique Ethical Dimension of Germline Interventions.Connor T. A. Brenna - 2020 - American Journal of Bioethics 20 (8):51-53.
    Volume 20, Issue 8, August 2020, Page 51-53.
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  6.  20
    Steering clear of Akrasia: An integrative review of self‐binding Ulysses Contracts in clinical practice.Connor T. A. Brenna, Stacy S. Chen, Matthew Cho, Liam G. McCoy & Sunit Das - 2023 - Bioethics 37 (7):690-714.
    In many jurisdictions, legal frameworks afford patients the opportunity to make prospective medical decisions or to create directives that contain a special provision forfeiting their own ability to object to those decisions at a future time point, should they lose decision‐making capacity. These agreements have been described with widely varying nomenclatures, including Ulysses Contracts, Odysseus Transfers, Psychiatric Advance Directives with Ulysses Clauses, and Powers of Attorney with Special Provisions. As a consequence of this terminological heterogeneity, it is challenging for healthcare (...)
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  7.  3
    To Assess or Not to Assess? Physician-Patient Disagreement as the Primary Trigger for Capacity Testing in Clinical Practice.Matthew Cho, Connor T. A. Brenna, Stacy S. Chen, Liam G. McCoy & Sunit Das - 2024 - American Journal of Bioethics 24 (8):98-100.
    Volume 24, Issue 8, August 2024, Page 98-100.
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  8.  26
    Ethics of Amnestics and Analgesics: The Role of Memory in Mediating Pain and Harm.Marina Salis & Connor T. A. Brenna - 2022 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 5 (4):60-67.
    Analgesia and amnesia represent two complimentary pillars of anesthesia directed, respectively, at mitigating the experience of pain and the processes of encoding that experience into memory. These elements are typically combined in modern anesthetic techniques, but some circumstances exist – such as conscious sedation – in which the conditions of amnesia are satisfied while analgesia plays an auxiliary and often incomplete role. These activities reflect a widely held yet underrecognized belief in clinical practice that although pain experiences may be short-lived, (...)
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  9.  16
    Medical Machines: The Expanding Role of Ethics in Technology-Driven Healthcare.Connor T. A. Brenna - 2021 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 4 (1).
    Emerging technologies such as artificial intelligence are actively revolutionizing the healthcare industry. While there is widespread concern that these advances will displace human practitioners within the healthcare sector, there are several tasks – including original and nuanced ethical decision making – that they cannot replace. Further, the implementation of artificial intelligence in clinical practice can be anticipated to drive the production of novel ethical tensions surrounding its use, even while eliminating some of the technical tasks which currently compete with ethical (...)
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  10.  18
    An ethical analysis of clinical triage protocols and decision-making frameworks: what do the principles of justice, freedom, and a disability rights approach demand of us?Sunit Das, Chloë G. K. Atkins, Liam G. McCoy, Connor T. A. Brenna & Jane Zhu - 2022 - BMC Medical Ethics 23 (1):1-9.
    BackgroundThe expectation of pandemic-induced severe resource shortages has prompted authorities to draft and update frameworks to guide clinical decision-making and patient triage. While these documents differ in scope, they share a utilitarian focus on the maximization of benefit. This utilitarian view necessarily marginalizes certain groups, in particular individuals with increased medical needs.Main bodyHere, we posit that engagement with the disability critique demands that we broaden our understandings of justice and fairness in clinical decision-making and patient triage. We propose the capabilities (...)
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  11.  21
    Big Decisions on a Small Scale: From Evidence-Based Medicine to Personalized Medicine.Liam G. McCoy, Stacy S. Chen, Connor T. A. Brenna & Sunit Das - 2022 - American Journal of Bioethics Neuroscience 13 (2):132-134.
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