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The Future of BioethicsInternational Dialogues$
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Akira Akabayashi

Print publication date: 2014

Print ISBN-13: 9780199682676

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780199682676.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2021

Primary Topic Article

Primary Topic Article

The Future of Clinical Ethics Education: Value Pluralism, Communication, and Mediation

(p.703) 20.1 Primary Topic Article
The Future of Bioethics

Edward J. Bergman

Autumn Fiester

Oxford University Press

In the United States, the traditional approach to resolving clinical ethics dilemmas in a hospital setting is the “clinical ethics consultation.” The most common structure for this kind of work is the hospital ethics committee. The traditional process employed in consults involves summoning the ethics committee, or a subset of it, to explore ethical issues, discuss the merits and drawbacks of the various positions being taken (or that might be taken) and, ultimately, offering recommendations to the clinical providers who requested the consult. The authors perceive many ethical problems with this approach to the resolution of a clinical ethics conflict. In this essay, the authors highlight one – that clinical ethics consultation, in its traditional form, fails to recognize the value-pluralism that exists in even the most homogeneous communities. After examining that problem in detail, the authors argue for an innovative approach to clinical ethics referred to as “clinical ethics mediation” or “bioethics mediation.”

Keywords:   Clinical Ethics, Ethics Committees, Mediation, Facilitation, Bioethics education, Values pluralism, Ethical expertise

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