Notini Lauren
Joint Centre for Bioethics, University of Toronto, Suite 754, 7th Floor, 155 College Street, Toronto, ON, M5T 1P8, Canada.
Level 9, Melbourne Law School, University of Melbourne, 185 Pelham Street, Carlton, VIC, 3053, Australia.
HEC Forum. 2018 Dec;30(4):341-360. doi: 10.1007/s10730-018-9354-7.
One element of the American Society for Bioethics and Humanities' recently-piloted quality attestation portfolio for clinical ethics consultants is a "philosophy of clinical ethics consultation statement" describing the candidate's approach to clinical ethics consultation. To date, these statements have been under-explored in the literature, in contrast to philosophy statements in other fields such as academic teaching. In this article, I argue there is merit in expanding the content of these statements beyond clinical ethics consultation alone to describe the author's approach to other important "domains" of healthcare ethics practice (e.g., organizational policy development/review and ethics teaching). I also claim such statements have at least three additional uses outside quality attestation: (1) as a reflective practice learning tool to increase role clarity among practicing healthcare ethicists and bioethics fellows; (2) assisting practicing healthcare ethicists in clarifying role expectations with those they work with; and (3) helping inform developing professional practice standards.
美国生物伦理与人文学会近期为临床伦理顾问试行的质量认证组合中的一个要素，是一份“临床伦理咨询理念声明”，用以描述候选人进行临床伦理咨询的方法。迄今为止，与学术教学等其他领域的理念声明相比，这些声明在文献中尚未得到充分探讨。在本文中，我认为有必要将这些声明的内容从仅涉及临床伦理咨询扩展，以描述作者在医疗伦理实践的其他重要“领域”（如组织政策制定/审查和伦理教学）中的方法。我还声称，此类声明在质量认证之外至少还有三个其他用途：（1）作为一种反思性实践学习工具，以提高执业医疗伦理学家和生物伦理研究员对自身角色的清晰度；（2）协助执业医疗伦理学家与共事者明确角色期望；（3）为制定专业实践标准提供参考。
