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Pediatric Collections: Ethics Rounds: A Casebook in Pediatric Bioethics

The ethical issues that arise in pediatrics are very different from those that arise in other clinical settings. The differences arise partly because young children cannot make decisions for themselves. Thus, the principle of autonomy, a principle that is so important in resolving the dilemmas that arise in the care of adults, is irrelevant in ethical dilemmas involving young children. It is partially relevant in older children and adolescents. Furthermore, autonomy is, essentially, a procedural principle. It doesn’t claim to determine what choice is right. It only specifies who should be empowered to make the decision about what is right. Without the ability to fall back on autonomy, doctors, parents, and ethicists who are caring for children must make substantive decisions about what is best for those children. To do so, they rely on a number of ethical considerations. This collection presents a series of cases that highlight some ethical dilemmas that arise in pediatrics.
Hayley M. Wilcox, DO; Christy L. Cummings, MD; Thaddeus M. Pope, JD, PhD; Mark R. Mercurio, MD, MA
Katharine P. Callahan, MD, MSME; Ellen W. Clayton, MD, JD; Amy A. Lemke, PhD, MS; Bimal P. Chaudhari, MD, MPH; Tara L. Wenger, MD, PhD; Allison N. J. Lyle, MD, MA; Kyle B. Brothers, MD, PhD
Lewis R. First, MD, MSc; Kimberly Montez, MD, MPH; Alex R. Kemper, MD, MPH, MS
Meaghann S. Weaver, MD, PhD, MPH; Connie M. Ulrich, PhD, MSN, RN, FAAN; Margaret R. Moon, MD, MPH; Jennifer K. Walter, MD, PhD, MS
Ian Wolfe, PhD, MA, RN, HEC-C; Bryanna Moore, PhD; Lynn Bush, PhD, MS, MA; Angela Knackstedt, BSN, RN-BC; Sabrina Derrington, MD, MA, HEC-C; K. Sarah Hoehn, MD, MBe, FAAP; Liza-Marie Johnson, MD, MPH, MSB; Sarah Porter, MSW; Amy Caruso Brown, MD, MSc, MSCS, HEC-C, FAAP
Meta van den Heuvel, MD, PhD; Nusrat Zaffar, MS; Bindra Shah, MPH; David Brownstone, MSW, RSW; Catherine S. Birken, MD, MSc
Imogen Clover-Brown, MD; Bryanna Moore, PhD; Christina G. Andrews, MPA, MEd; Armand H. Matheny Antommaria, MD, PhD, FAAP
Ashley Michelle Fischer, MD; Jennifer L. Mitchell, PharmD; Kaylee C. Stanley, APN; M. Jawad Javed, MD
Kaitlyn Skrzypcak, MD; Vanessa McFadden, MD, PhD; Sarah Corey Bauer, MD
Meaghann S. Weaver, MD, PhD, MPH; Shiven Sharma, BS; Jennifer K. Walter, MD, PhD, MS
Sonia Mehta, MD; Kelsey Porada, MA; Melodee Liegl, MA; Amy Pan, PhD; Vanessa McFadden, MD, PhD
Cora C. Breuner, MD, MPH, FAAP; Elizabeth M. Alderman, MD, FSAHM, FAAP; Jennifer A. Jewell, MD, MS, FAAP; COMMITTEE ON ADOLESCENCE; Cora C. Breuner, MD, MPH, FAAP; Elizabeth M. Alderman, MD, FSAHM, FAAP; Jennifer Jewell, MD, FAAP; Elise Berlan, MD, FAAP; Richard J. Chung, MD, FAAP; Michael Colburn, MD, MEd, FAAP; Laura K. Grubb, MD, MPH, FAAP; Janet Lee, MD, FAAP; Stephenie B. Wallace, MD, MSPH, FAAP; Makia Powers, MD, MPH; Krishna K. Upadhya, MD, FAAP; Anne-Marie Amies, MD; Liwei L. Hua, MD, PhD; Ellie Vyver, MD; Seema Menon, MD; Lauren B. Zapata, PhD, MSPH; Maria Rahmandar, MD, FAAP; Karen Smith; James Baumberger, MPP; COMMITTEE ON HOSPITAL CARE; Daniel A. Rauch, MD, FAAP; Samantha House, DO, FAAP; Benson Hsu, MD, MBA, FCCM, FAAP; Melissa Mauro-Small, MD, FAAP; Nerian Ortiz-Mato, MD, FAAP; Charles Vinocur, MD, FAAP, FACS; Nicole Webb, MD, FAAP; Kimberly Ernst, MD, MSMI, FAAP; Vinh Lam, MD, FAAP; Michael S. Leonard, MD, MS, FAAP; Karen Castleberry; Nancy Hanson; Kristin Hittle Gigli, PhD, RN, CPNP-AC, CCRN; Barbara Romito, MA, CCLS; S. Niccole Alexander, MPP
Erwin Jiayuan Khoo, FRCPCH, MBBS; Devan M. Duenas, MA; Benjamin S. Wilfond, MD; Luke Gelinas, MAR, PhD; Armand H. Matheny Antommaria, MD, PhD
Vanessa N. Madrigal, MD, MSCE; Dalia M. Feltman, MD, MA; Steven R. Leuthner, MD, MA; Roxanne Kirsch, MD, MBE; Rekha Hamilton, MD; Deborah Dokken, MPA; Jennifer Needle, MD, MPH; Renee Boss, MD; Efrat Lelkes, MD; Brian Carter, MD; Eduardo Macias, MD; Shazia Bhombal, MD
Ilan Youngster, MD, MMSc; Renana Gelernter, MD; Hodaya Klainer, BSc; Hadas Paz, MD; Eran Kozer, MD; Michael Goldman, MD
M. Laurette Hughes, PhD, PNP; Jordan Constance, PhD; Alexander J. Millner, PhD; Gregory I. Young, PhD, BCBA
Lauren Chad, MDCM, MHSc; James Anderson, PhD; Diana Cagliero, MA; Robin Z. Hayeems; Linh G. Ly; Anna Szuto, MSc
AMERICAN ACADEMY OF PEDIATRICS; COMMITTEE ON ADOLESCENCE
Rachel L. Randell, MD; Daniel K. Benjamin, Jr., MD, PhD, MPH; Rachel G. Greenberg, MD, MB, MHS
Gianna McMillan, D.Bioethics
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