Scheduling surgical procedures among operating rooms is mistakenly regarded as merely a tedious administrative task. However, the growing demand for surgical care and finite hours in a day qualify OR time as a limited resource. Accordingly, the objective of this manuscript is to reframe the process of OR scheduling as an ethical dilemma of allocating scarce medical resources. Recommendations for ethical allocation of OR time—based on both familiar and novel ethical values—are provided for healthcare institutions and individual surgeons.

Should wilderness be understood as primarily untrammeled or primarily natural? In this paper, we examine the conceptual and philosophical roots of untrammeled and natural in the context of the 1964 Wilderness Act and show how in some situations tension can arise between them, leading to a stewardship dilemma and subsequent debate over the future conservation role of wilderness. After showing that this debate is ultimately rooted in a false dichotomy, we offer a conceptual framework that presents managers with the tools (...) necessary to shepherd the wilderness idea through the changing environmental realities of the Anthropocene, and continue to allow wilderness to be both a cornerstone and touchstone for conservation in the 21st century. (shrink)