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):198-201.
We respond to Autumn Fiester's critique that our proposed bioethical consensus project amounts to "ethical hegemony," and evaluate her claim that ethicists should restrict themselves to "mere process" recommendations. We argue that content recommendations are an inescapable aspect of clinical ethics consultation, and our primary concern is that, without standardization of bioethical consensus, our field will vacillate among appeals to the disparate claims in the 22 "Core References," unsustainable efforts to defend value-neutral process recommendations, or become a practice of Lone Ranger clinical ethicists. We contend that a consensus document that captures the basic moral commitments of patients and careproviders is the next step in the professional evolution of our field.
我们回应 Autumn Fiester 的批评，即我们提出的生物伦理共识项目相当于“伦理霸权”，并评估她的观点，即伦理学家应该将自己限制在“仅仅是程序”的建议上。我们认为，内容建议是临床伦理咨询不可避免的一个方面，我们主要关注的是，如果没有生物伦理共识的标准化，我们的领域将在诉诸于 22 个“核心参考文献”中的不同主张、难以持续地捍卫价值中立的程序建议，或者成为孤独的临床伦理学家的实践之间摇摆不定。我们认为，一份能够捕捉到患者和护理提供者基本道德承诺的共识文件是我们领域专业发展的下一步。
