John La Puma, MD; David L. Schiedermayer, MD
A clinical ethics consultant gathers information firsthand at the patient's bedside. The consultant's special clinical skills include the ability to identify and analyze ethical problems; use reasonable clinical judgment; communicate effectively; negotiate and facilitate negotiations; and teach others how to construct their own ethical frameworks for medical decision making. Appropriate roles for the consultant include those of professional colleague, negotiator, patient and physician advocate, case manager, and educator. The training necessary for an ethics consultant includes substantial patient care experience, instruction in health care law and moral reasoning, and preparation in medical humanism. We favor a clinical model for ethics consultation. When urgent care is needed, other consultants promptly see the patient; the clinical ethics consultant can be expected to do the same.
Learn more about subscription options.
Register Now for a free account.
La Puma J, Schiedermayer DL. Ethics Consultation: Skills, Roles, and Training. Ann Intern Med. 1991;114:155-160. doi: 10.7326/0003-4819-114-2-155
Download citation file:
Published: Ann Intern Med. 1991;114(2):155-160.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only