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Mark G. Kuczewski [50]Mark Kuczewski [31]
  1.  90
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has (...)
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  2.  78
    A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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  3.  48
    Developing an Evaluation Tool for Assessing Clinical Ethics Consultation Skills in Simulation Based Education: The ACES Project.Katherine Wasson, Kayhan Parsi, Michael McCarthy, Viva Jo Siddall & Mark Kuczewski - 2016 - HEC Forum 28 (2):103-113.
    The American Society for Bioethics and Humanities has created a quality attestation process for clinical ethics consultants; the pilot phase of reviewing portfolios has begun. One aspect of the QA process which is particularly challenging is assessing the interpersonal skills of individual clinical ethics consultants. We propose that using case simulation to evaluate clinical ethics consultants is an approach that can meet this need provided clear standards for assessment are identified. To this end, we developed the Assessing Clinical Ethics Skills (...)
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  4.  8
    Fragmentation and Consensus: Communitarian and Casuist Bioethics.Mark G. Kuczewski - 1999 - Georgetown University Press.
    Both communitarianism and casuistry have sought to restore ethics as a practical science—the former by incorporating various traditions into a shared definition of the common good, the latter by considering the circumstances of each situation through critical reasoning. Mark G. Kuczewski analyzes the origins and methods of these two approaches and forges from them a new unified approach. This approach takes the communitarian notion of the person as its starting point but also relies upon the narrative and analogical tools of (...)
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  5.  31
    Clinical Ethicists Awakened: Addressing Two Generations of Clinical Ethics Issues Involving Undocumented Patients.Mark Kuczewski - 2019 - American Journal of Bioethics 19 (4):51-57.
    Because the United States has failed to provide a pathway to citizenship for its long-term undocumented population, clinical ethicists have more than 20 years of addressing issues that arise in caring for this population. I illustrate that these challenges fall into two sets of issues. First-generation issues involve finding ethical ways to treat and discharge patients who are uninsured and ineligible for safety-net resources. More recently, ethicists have been invited to help address second-generation issues that involve facilitating the presentation for (...)
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  6.  63
    The professionalism movement: Can we pause?Delese Wear & Mark G. Kuczewski - 2004 - American Journal of Bioethics 4 (2):1 – 10.
    The topic of developing professionalism dominated the content of many academic medicine publications and conference agendas during the past decade. Calls to address the development of professionalism among medical students and residents have come from professional societies, accrediting agencies, and a host of educators in the biomedical sciences. The language of the professionalism movement is now a given among those in academic medicine. We raise serious concerns about the professionalism discourse and how the specialized language of academic medicine disciplines has (...)
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  7.  60
    Disability: An Agenda for Bioethics.Mark G. Kuczewski - 2001 - American Journal of Bioethics 1 (3):36-44.
    Contemporary bioethics has been somewhat skewed by its focus on high-tech medicine and the resulting development of ethical frameworks based on an acute-care model of healthcare. Research and scholarship in bioethics have payed only cursory attention to ethical issues related to disability. I argue that bioethics should concern itself with the full range of theoretical and practical issues related to disability. This encounter with the disability community will enrich bioethics and, potentially, society as well. I suggest a number of items (...)
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  8.  51
    What Ethical Issues Really Arise in Practice at an Academic Medical Center? A Quantitative and Qualitative Analysis of Clinical Ethics Consultations from 2008 to 2013.Katherine Wasson, Emily Anderson, Erika Hagstrom, Michael McCarthy, Kayhan Parsi & Mark Kuczewski - 2016 - HEC Forum 28 (3):217-228.
    As the field of clinical ethics consultation sets standards and moves forward with the Quality Attestation process, questions should be raised about what ethical issues really do arise in practice. There is limited data on the type and number of ethics consultations conducted across different settings. At Loyola University Medical Center, we conducted a retrospective review of our ethics consultations from 2008 through 2013. One hundred fifty-six cases met the eligibility criteria. We analyzed demographic data on these patients and conducted (...)
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  9.  30
    Reconceiving the Family: The Process of Consent in Medical Decisionmaking.Mark G. Kuczewski - 1996 - Hastings Center Report 26 (2):30-37.
    Bioethicists think about families in terms of conflicting interests. This mistake results from an impoverished notion of informed consent. Only by adequately characterizing the process of informed consent can we capture the phenomenon of shared decisionmaking.
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  10.  30
    Everything I Really Needed to Know to Be a Clinical Ethicist, I Learned From Elisabeth Kübler-Ross.Mark G. Kuczewski - 2019 - American Journal of Bioethics 19 (12):13-18.
    I analyze the insights present in Elisabeth Kübler-Ross’s seminal work, On Death and Dying that have laid the foundation for contemporary clinical bioethics as it is practiced by clinical ethics co...
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  11.  33
    What Is the Minimal Competency for a Clinical Ethics Consult Simulation? Setting a Standard for Use of the Assessing Clinical Ethics Skills (ACES) Tool.Katherine Wasson, William H. Adams, Kenneth Berkowitz, Marion Danis, Arthur R. Derse, Mark G. Kuczewski, Michael McCarthy, Kayhan Parsi & Anita J. Tarzian - 2019 - AJOB Empirical Bioethics 10 (3):164-172.
    Background: The field of clinical ethics is examining ways of determining competency. The Assessing Clinical Ethics Skills (ACES) tool offers a new approach that identifies a range of skills necessary in the conduct of clinical ethics consultation and provides a consistent framework for evaluating these skills. Through a training website, users learn to apply the ACES tool to clinical ethics consultants (CECs) in simulated ethics consultation videos. The aim is to recognize competent and incompetent clinical ethics consultation skills by watching (...)
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  12.  48
    Can Medical Repatriation Be Ethical? Establishing Best Practices.Mark Kuczewski - 2012 - American Journal of Bioethics 12 (9):1-5.
    Hospitals in the United States have been engaging in the practice of returning immigrant patients, usually undocumented immigrant patients, to their country of origin when the patient has long-term medical needs for which no reimbursement is available. I argue that for such an action to be ethical, it must be done in accordance with the mission and values of hospitals. I describe three standards that an individual instance of repatriation must meet to be ethical: (1) patient best interests, (2) medical (...)
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  13.  47
    Talking about spirituality in the clinical setting: Can being professional require being personal?Mark G. Kuczewski - 2007 - American Journal of Bioethics 7 (7):4 – 11.
    Spirituality or religion often presents as a foreign element to the clinical environment, and its language and reasoning can be a source of conflict there. As a result, the use of spirituality or religion by patients and families seems to be a solicitation that is destined to be unanswered and seems to open a distance between those who speak this language and those who do not. I argue that there are two promising approaches for engaging such language and helping patients (...)
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  14.  34
    The Really New Jim Crow: Why Bioethicists Must Ally With Undocumented Immigrants.Mark Kuczewski - 2016 - American Journal of Bioethics 16 (4):21-23.
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  15.  65
    Who is my neighbor? A communitarian analysis of access to health care for immigrants.Mark G. Kuczewski - 2011 - Theoretical Medicine and Bioethics 32 (5):327-336.
    Immigrants lacking health insurance access the health care system through the emergency departments of non-profit hospitals. Because these persons lack health insurance, continued care can pose challenges to those institutions. I analyze the values of our health care institutions, utilizing a Walzerian approach that describes its appropriate sphere of justice. This particular sphere is dominated by a caring response to need. I suggest that the logic of this sphere would be best preserved by providing increased access to health insurance to (...)
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  16. Whose will is it, anyway? A discussion of advance directives, personal identity, and consensus in medical ethics.Mark G. Kuczewski - 1994 - Bioethics 8 (1):27–48.
    ABSTRACTI consider objections to the use of living wills based upon the discontinuity of personal identity between the time of the execution of the directive anbd the time the person becomes incompetent. Recent authors, following Derek Parfit's “Complex View” of personal identity, have argued that there is often not sufficient identity interests between the competent person who executes the living will and the incompetent patient to warrant the use of the advance directive. I argue that such critics err by seeking (...)
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  17.  27
    Narrative Views of Personal Identity and Substituted Judgment in Surrogate Decision Making.Mark G. Kuczewski - 1999 - Journal of Law, Medicine and Ethics 27 (1):32-36.
  18.  87
    The common morality in communitarian thought: Reflective consensus in public policy.Mark G. Kuczewski - 2009 - Theoretical Medicine and Bioethics 30 (1):45-54.
    I explore the possible meanings that the notion of the common morality can have in a contemporary communitarian approach to ethics and public policy. The common morality can be defined as the conditions for shared pursuit of the good or as the values, deliberations, traditions, and common construction of the narrative of a people. The former sense sees the common morality as the universal and invariant structures of morality while the second sense is much more contingent in nature. Nevertheless, the (...)
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  19.  10
    An ethics casebook for hospitals: practical approaches to everyday ethics consultations.Mark G. Kuczewski - 2018 - Washington, DC: Georgetown University Press. Edited by Rosa Lynn B. Pinkus & Katherine Wasson.
    Originally published in 1999, this classic textbook includes twenty-six cases with commentary and bibliographic resources designed especially for medical students and the training of ethics consultants. The majority of the cases reflect the day-to-day moral struggles within the walls of hospitals typically described as community hospitals; as a result, the cases do not focus on esoteric, high-tech dilemmas--viz., genetic engineering or experimental protocols--but rather on fundamental problems that are pervasive in basic healthcare delivery in the United States: where to send (...)
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  20.  32
    We Can Do Something! Caring for the Ongoing Needs of an Undocumented Patient.Mark Kuczewski - 2019 - American Journal of Bioethics 19 (1):82-83.
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  21.  77
    The epistemology of communitarian bioethics:Traditions in the public debates.Mark G. Kuczewski - 2001 - Theoretical Medicine and Bioethics 22 (2):135-150.
    I consider the problem liberalism poses for bioethics.Liberalism is a view that advocates that the state remain neutralto views of the good life. This view is sometimes supported by askeptical moral epistemology that tends to propel liberalismtoward libertarianism. I argue that the possibilities for sharedagreement on moral matters are more promising than is sometimesappreciated by such a view of liberalism. Using two examples ofpublic debates of moral issues, I show that commonly sharedintuitions may ground moral principles even if they may (...)
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  22.  98
    Ethics in long-term care: Are the principles different?Mark G. Kuczewski - 1999 - Theoretical Medicine and Bioethics 20 (1):15-29.
    It has become common in medical ethics to discuss difficult cases in terms of the principles of respect for autonomy, beneficence, nonmaleficence, and justice. These moral concepts or principles serve as maxims that are suggestive of appropriate clinical behavior. Because this language evolved primarily in the acute care setting, I consider whether it is in need of supplementation in order to be useful in the long-term care setting. Through analysis of two typical cases involving residents of long-term care facilities, I (...)
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  23.  35
    Failure to thrive: Can education save the life of ethics consultation?Kayhan Parsi & Mark G. Kuczewski - 2007 - American Journal of Bioethics 7 (2):37 – 39.
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  24.  31
    Casuistry and its communitarian critics.Mark G. Kuczewski - 1994 - Kennedy Institute of Ethics Journal 4 (2):99.
    Communitarian critics have derided case-based reasoning for ignoring the need to arrive at a shared hierarchy of goods prior to case.
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  25.  77
    Informed Consent: Does It Take a Village? The Problem of Culture and Truth Telling.Mark Kuczewski & Patrick J. Mccruden - 2001 - Cambridge Quarterly of Healthcare Ethics 10 (1):34-46.
    Bioethicists have become very interested in the importance of social groups. This interest has spawned a growing literature on the role of the family and the place of culture in medical decisionmaking. These ethicists often argue that much of medical ethics suffers from the individualistic bias of the dominant culture and political tradition of the United States. As a result, the doctrine of informed consent has come under some scrutiny. It is believed that therein lies the source of the problem (...)
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  26.  50
    Our cultures, our selves: Toward an honest dialogue on race and end-of-life decisions.Mark G. Kuczewski - 2006 - American Journal of Bioethics 6 (5):13 – 17.
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  27.  30
    Physician, Know Thyself: The Role of Reflection in Bioethics and Professionalism Education.Katherine Wasson, Eva Bading, John Hardt, Lena Hatchett, Mark G. Kuczewski, Michael McCarthy, Aaron Michelfelder & Kayhan Parsi - 2015 - Narrative Inquiry in Bioethics 5 (1):77-86.
    Reflection in medical education is becoming more widespread. Drawing on our Jesuit Catholic heritage, the Loyola University Chicago Stritch School of Medicine incorporates reflection in its formal curriculum and co–curricular programs. The aim of this type of reflection is to help students in their formation as they learn to step back and analyze their experiences in medical education and their impact on the student. Although reflection is incorporated through all four years of our undergraduate medical curriculum, this essay will focus (...)
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  28.  11
    Bioethics' consensus on method: Who could ask for anything more.Mark Kuczewski - 1997 - In Hilde Lindemann (ed.), Stories and their limits: narrative approaches to bioethics. New York: Routledge. pp. 134--147.
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  29.  21
    Don’t We Need Something More in These Extraordinary Times? Response to the Commentaries.Mark Kuczewski - 2019 - American Journal of Bioethics 19 (4):W10-W12.
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  30.  28
    Is informed consent enough? Monetary incentives for research participation and the integrity of biomedicine.Mark Kuczewski - 2001 - American Journal of Bioethics 1 (2):49 – 51.
    (2001). Is Informed Consent Enough? Monetary Incentives for Research Participation and the Integrity of Biomedicine. The American Journal of Bioethics: Vol. 1, No. 2, pp. 49-51.
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  31.  24
    In Search of an Honest Case.Mark G. Kuczewski - 2001 - American Journal of Bioethics 1 (1):44-45.
  32.  28
    When your healthcare ethics committee "fails to thrive".Mark G. Kuczewski - 1999 - HEC Forum 11 (3):197-207.
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  33.  46
    Fostering Professionalism: The Loyola Model.Mark G. Kuczewski, Eva Bading, Mary Langbein & Beverly Henry - 2003 - Cambridge Quarterly of Healthcare Ethics 12 (2):161-166.
    Medicine is in a very self-reflective mood. There is a revival of interest not only in medical ethics but also in medical history, the Hippocratic corpus, and various kinds of literature that indicate physicians are reexamining the foundations of medicine and what it is that gives meaning to medicine. That is, they are reexamining the physician's vocation, in the true sense of vocation as a calling. This interest has coincided with the concern of third parties such as accreditation agencies about (...)
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  34.  5
    Bioethics: Ancient Themes in Contemporary Issues.Mark G. Kuczewski - 2000 - MIT Press.
    Contemporary bioethicists and scholars of ancient philosophy explore the import of classical ethics on pressing bioethical concerns.
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  35.  43
    Is organizational ethics the remedy for failure to thrive? Toward an understanding of mission leadership.Patrick McCruden & Mark Kuczewski - 2006 - HEC Forum 18 (4):342-348.
  36.  43
    Re-Reading On Death & Dying: What Elisabeth Kubler-Ross Can Teach Clinical Bioethics.Mark G. Kuczewski - 2004 - American Journal of Bioethics 4 (4):W18-W23.
  37.  29
    Two Models of Ethical Consensus, Or What Good Is a Bunch of Bioethicists?Mark Kuczewski - 2002 - Cambridge Quarterly of Healthcare Ethics 11 (1):27-36.
    Contemporary bioethics is a peculiar creature. What was once a subdivision of moral theology and philosophy tended mainly within the confines of schools of arts and sciences or seminaries has now become a quasi-profession whose practitioners come from a wide variety of disciplines. Perhaps still more intriguing is that the of this discipline routinely engage the public at the hospital bedside, in the institutional boardroom, and through public policy consultation. Bioethicists have actively embraced these roles as the natural outgrowth of (...)
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  38.  27
    The Rescinding of DACA: What Should Healthcare Professionals and Academics Do?Mark G. Kuczewski & Danish Zaidi - 2017 - American Journal of Bioethics 17 (11):1-3.
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  39. Democratic ideals and bioethics commissions : the problem of expertise in an egalitarian society.Mark G. Kuczewski - 2007 - In Lisa A. Eckenwiler & Felicia Cohn (eds.), The ethics of bioethics: mapping the moral landscape. Baltimore: Johns Hopkins University Press. pp. 83.
  40.  8
    An Ethics Casebook for Hospitals: Practical Approaches to Everyday Cases.Mark G. Kuczewski & Rosa Lynn B. Pinkus - 1999 - An Ethics Casebook for Hospitals.
    This collection of thirty-one cases and commentaries addresses ethical problems commonly encountered by the average health care professional, not just those working on such high-tech specialties as organ transplants or genetic engineering. It deals with familiar issues that are rarely considered in ethics casebooks, including such fundamental matters as informed consent, patient decision-making capacity, the role of the family, and end-of-life decisions. It also provides resources for basic but neglected ethical issues involving placement decisions for elderly or technologically dependent patients, (...)
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  41.  81
    Special issue: Bioethics & disability.Mark Kuczewski & Kristi Kirschner - 2003 - Theoretical Medicine and Bioethics 24 (6):455-458.
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  42.  11
    Make My Case: Ethics Teaching and Case Presentations.Gretchen M. E. Aumann, Rosa Lynn Pinkus, Robert M. Arnold, Mark R. Wicclair & Mark Kuczewski - 1994 - Journal of Clinical Ethics 5 (4):310-315.
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  43.  3
    Doing What We Do Well: How Bioethicists Can Assist in Promoting Racial Justice.Mark Kuczewski - 2024 - American Journal of Bioethics 24 (10):15-17.
    Volume 24, Issue 10, October 2024, Page 15-17.
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  44.  30
    Report Card Time: How Has the Biden Administration Addressed the U.S. Hispanic Community’s Social Determinants of Health?Cesar Montelongo Hernandez, Sullibet Ramirez Alvarado, Joanne Suarez & Mark Kuczewski - 2022 - American Journal of Bioethics 23 (1):7-11.
    Much media attention has been given to the potentially shifting voting patterns of the U.S. Hispanic population in the 2020 election. However, far less attention has been given to the implications...
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  45.  15
    Medical Education as Mission: Why One Medical School Chose to Accept DREAMers.Mark G. Kuczewski & Linda Brubaker - 2013 - Hastings Center Report 43 (6):21-24.
    In October 2012, the Loyola University Chicago Stritch School of Medicine amended its eligibility requirements for admission. In addition to U.S. citizens and permanent residents, persons who qualify for the Deferred Action for Childhood Arrivals program of the United States Citizenship and Immigration Service are now eligible for admission. Simply put, we extended the educational opportunity of medical school to people who are in a particular category of undocumented immigrants. We became the first medical school in the United States to (...)
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  46.  38
    Response to Open Peer Commentaries on “Can Medical Repatriation Be Ethical? Establishing Best Practices”.Mark Kuczewski - 2012 - American Journal of Bioethics 12 (9):W1-W3.
    The American Journal of Bioethics, Volume 12, Issue 9, Page W1-W3, September 2012.
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  47.  17
    Bette Anton, MLS, is the Head Librarian of the Optometry Library/Health Sciences Information Service. This library serves the University of California at Berkeley–University of California at San Francisco Joint Medical Program and the University of California at Berkeley School of Optometry.David A. Asch, Jeffrey R. Botkin, Katrina A. Bramstedt, Arthur L. Caplan, H. Tristram Engelhardt Jr, D. Micah Hester, Kenneth V. Iserson & Mark G. Kuczewski - 2002 - Cambridge Quarterly of Healthcare Ethics 11:4-5.
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  48.  24
    Against Consent Form Language Requiring Multiple or Specific Methods of Contraception.Mark G. Kuczewski & Emily E. Anderson - 2018 - IRB: Ethics & Human Research 40 (3):11-13.
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  49. Book Reviews-An Ethics Casebook for Hospitals: Practical Approaches to Everyday Cases.Mark G. Kuczewski, Rosa Lynn B. Pinkus & Erich H. Loewy - 2000 - Bioethics 14 (2):178-180.
     
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  50.  18
    “Critical Thinking” as a Teaching Methodology.Mark Kuczewski - 1997 - Inquiry: Critical Thinking Across the Disciplines 16 (3):42-44.
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