دورية أكاديمية
Ethics of Pediatric and Young Adult Medical Decision-Making: Case-Based Discussions Exploring Consent, Capacity, and Surrogate Decision-Making.
| العنوان: | Ethics of Pediatric and Young Adult Medical Decision-Making: Case-Based Discussions Exploring Consent, Capacity, and Surrogate Decision-Making. |
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| المؤلفون: | deSante-Bertkau J; Assistant Professor, Department of Pediatrics, Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine., Herbst LA; Assistant Professor, Department of Pediatrics, Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine; Volunteer Assistant Professor, Department of Family & Community Medicine, Palliative Care Team, University of Cincinnati Medical Center and University of Cincinnati College of Medicine. |
| المصدر: | MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2021 Feb 11; Vol. 17, pp. 11094. Date of Electronic Publication: 2021 Feb 11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Association of American Medical Colleges Country of Publication: United States NLM ID: 101714390 Publication Model: Electronic Cited Medium: Internet ISSN: 2374-8265 (Electronic) Linking ISSN: 23748265 NLM ISO Abbreviation: MedEdPORTAL Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Washington, DC : Association of American Medical Colleges, [2005]- |
| مواضيع طبية MeSH: | Informed Consent* , Pediatrics*, Adolescent ; Child ; Clinical Decision-Making ; Humans ; Young Adult |
| مستخلص: | Introduction: Most medical decisions in pediatrics involve surrogate decision-makers. Because of this, pediatricians are even more likely to encounter ethical conflicts and dilemmas surrounding medical decision-making. Pediatricians continue to report a lack of preparedness to manage situations when conflicts and dilemmas arise, suggesting a gap in education. In response to this gap, we developed a module on the ethics of medical decision-making focused on pediatrics. Methods: The Ethics of Pediatric and Young Adult Medical Decision-Making module included three case-based, small-group sessions on decision-making capacity and advance directives, parental decision-making, and informed consent and adolescent assent. Session materials were developed based on expert opinion and previously published content. Sessions were developed for pediatric residents; however, medical students rotating on pediatrics also participated in most sessions. Trainees completed pre- and postsession assessments of comfort and understanding. Results: An average of 19 learners completed each session. Understanding of ethical principles increased after each session. Seventy-nine percent of trainees reported increased understanding of ethical principles related to decision-making capacity, and 88% reported increased understanding of standards of surrogate decision-making. Following the session on obtaining consent and assent, 71% of trainees reported comfort obtaining consent compared to 57% reporting comfort obtaining assent. Discussion: This module successfully increased trainee comfort with many ethical issues related to pediatric medical decision-making. Areas where trainee comfort was still low postsession-specifically, obtaining consent or assent-are content areas where actual practice of these psychomotor skills is likely necessary. (© 2021 deSante-Bertkau and Herbst.) |
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| فهرسة مساهمة: | Keywords: Assent; Bioethics; Capacity; Ethical Principles; Ethics; Informed Consent; Medical Decision-Making; Medical Ethics; Pediatrics; Principle-Based Ethics; Surrogate Decision-Making |
| تواريخ الأحداث: | Date Created: 20210218 Date Completed: 20210624 Latest Revision: 20210624 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7880251 |
| DOI: | 10.15766/mep_2374-8265.11094 |
| PMID: | 33598537 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2374-8265 |
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| DOI: | 10.15766/mep_2374-8265.11094 |