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One fortunate change in 25 years is that medical ethics has entered the mainstream of discussion and debate, but increased visibility can have unfortunate drawbacks, as well.
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The Montana Supreme Court issued a ruling just as 2009 ended, on Dec. 31, which determined Montanans have the right under that state's public policy to seek a physician's aid in assisted suicide, with no threat of sanction or legal action against the physician.
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With the advent of consumer-directed health care (CDHC), two professors argue, contrary to the common notion that physicians should ignore financial considerations when treating patients, that it is entirely appropriate for physicians to be sensitive to a patient's financial position when a patient is paying out of pocket.
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A surgeon and a pediatrician are among the four American physicians have been named as recipients of the first Hastings Center Cunniff-Dixon Physician Awards.
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While Rebecca Walker, PhD, assistant professor, Department of Social Medicine Adjunct Assistant Professor, Department of Philosophy at the University of North Carolina at Chapel Hill, says she does not "mean any one thing" by the use of the term "justice," she does have justice concerns regarding the use of psychosocial criteria in determining individuals who are selected to receive organs from donation for transplantation.
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Using the National Cancer Institute's Central IRB (CIRB) saved affiliated institutions money, staff time and time spent on review, according to a recent study of the costs and benefits associated with the CIRB.
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For more than 30 years, the National Surgical Adjuvant Breast and Bowel Project has collected copies of every consent form signed by the more than 130,000 patients enrolled in its clinical cooperative group trials.
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When an institution conducts IRB reviews of hundreds of protocols, it can be hard to maintain consistency on such details as language used in informed consent to describe potential risks and adverse events.
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Some of the thorniest questions that IRBs face are those for which there are no clear-cut answers opinions may vary, arguments on both sides may be compelling, regulatory guidance may be scanty.
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The current system of regulating community-based participatory research (CBPR) doesn't truly engage or protect communities as it should and fails to follow up on promises made by researchers to IRBs and to those whom they study, says one community researcher.
