Assistant Professor in the Department of Foundational Medical Studies at Oakland University William Beaumont School of Medicine in Rochester, Michigan, and a Clinical Ethicist at Royal Oak Beaumont Hospital in Royal Oak, Michigan USA.
Associate Staff Clinical Ethicist at Cleveland Clinic in Cleveland, Ohio USA.
J Clin Ethics. 2022 Fall;33(3):175-188.
We argue that the American Society for Bioethics and Humanities has endorsed a facilitation approach to clinical ethics consultation that asserts that bioethicists can offer moral recommendations that are well-grounded in bioethical consensus. We claim that the closest thing the field currently has to a citable, nationally endorsed bioethical consensus are the 22 Core References used to construct the questions for the Healthcare Ethics Consultant-Certified (HEC-C) exam. We acknowledge that the Core References reflect some important points of bioethical consensus, but note they are unwieldy, repetitive, and sometimes inconsistent on important issues faced by clinical ethicists. In this article, we draw carefully qualified inspiration from the Ethical and Religious Directives for Catholic Health Care Services (ERDs) to argue for the creation of a concise, nationally endorsed bioethical consensus document on moral issues commonly faced in clinical ethics, what we call the Standardized Ethical Guidelines for Secular Health Care Services (SEGs). We observe that such a document would better meet the expectations of stakeholders, clinical ethicists, and their trainees who desire moral recommendations grounded in a clearly articulated bioethical consensus, and we defend the SEGs from some common objections.
我们认为，美国生物伦理学和人文学会支持临床伦理咨询的促进方法，该方法断言生物伦理学家可以提供基于生物伦理共识的道德建议。我们声称，目前该领域最接近可引用的、得到全国认可的生物伦理共识的是用于构建医疗保健伦理顾问认证（HEC-C）考试问题的 22 个核心参考文献。我们承认，核心参考文献反映了一些重要的生物伦理共识观点，但也注意到它们在临床伦理学家面临的一些重要问题上不够灵活、重复且有时不一致。在本文中，我们从天主教医疗保健服务的伦理和宗教指令（ERDs）中谨慎地汲取灵感，主张制定一份简洁的、全国认可的生物伦理共识文件，内容涉及临床伦理中常见的道德问题，我们称之为世俗医疗保健服务的标准化伦理指南（SEGs）。我们观察到，这样的文件将更好地满足利益相关者、临床伦理学家及其希望基于明确阐述的生物伦理共识提出道德建议的受训者的期望，并且我们为 SEGs 辩护，反对一些常见的反对意见。
