What are the ethical issues raised by the increasing use of big data and artificial intelligence in health care? How should physicians respond when they have a conscientious objection to an intervention requested by a patient? How should health care organizations respond to physician requests? How can physicians best help patients make informed decisions about end-of-life and life-sustaining care? How should interns and residents respond to ethical dilemmas created by duty hours restrictions? Resolving Ethical Dilemmas: A Guide for Clinicians helps residents, students, and practitioners work through these and many more common and challenging ethical questions that affect patient care. The 6th Edition reflects important changes in medicine and healthcare policy and provides additional clarity to complex concepts. Offering practical, real-world advice, it helps you think through and resolve difficult cases, prompting thoughtful, well-reasoned answers to the question of "What do I do in this situation?" Begins with a concise discussion of clinical ethics that provides background information essential to understanding key ethical issues. Explores a wide range of real-world ethical dilemmas, each accompanied by expert guidance on salient issues and how to approach them. Provides new insights on cases related to oncology, palliative care, family medicine, clinical practice guidelines, genetic testing, the electronic health record, opioid prescriptions, evidence-based medicine, ambulatory care, quality improvement, and advance care planning. Helps you work thorough challenges such as how to handle changes arising from the Affordable Care Act, how to manage treatment when it no longer works for the patient, and much more. Uses a highly visual, two-color design to facilitate retention of material. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine. Table of Contents Front Matter Summary 1 Introduction 2 Principles for Identifying and Assessing Conflicts of Interest 3 Policies on Conflict of Interest: Overview and Evidence 4 Conflicts of Interest in Biomedical Research 5 Conflicts of Interest in Medical Education 6 Conflicts of Interest and Medical Practice 7 Conflicts of Interest and Development of Clinical Practice Guidelines 8 Institutional Conflicts of Interest 9 Role of Supporting Organizations References Appendix A: Study Activities Appendix B: U.S. Public Health Service Regulations: Objectivity in Research (42 CFR 50) Appendix C: Conflict of Interest in Four Professions: A Comparative Analysis Appendix D: How Psychological Research Can Inform Policies for Dealing with Conflicts of Interest in Medicine Appendix E: The Pathway from Idea to Regulatory Approval: Examples for Drug Development Appendix F: Model for Broader Disclosure Appendix G: Committee Biographies Index

Ethical Considerations for Research on Housing-Related Health Hazards Involving Children explores the ethical issues posed when conducting research designed to identify, understand, or ameliorate housing-related health hazards among children. Such research involves children as subjects and is conducted in the home and in communities. It is often conducted with children in low-income families given the disproportionate prevalence of housing-related conditions such as lead poisoning, asthma, and fatal injuries among these children. This book emphasizes five key elements to address the particular ethical concerns raised by these characteristics: involving the affected community in the research and responding to their concerns; ensuring that parents understand the essential elements of the research; adopting uniform federal guidelines for such research by all sponsors (Subpart D of 45 CFR 46); providing guidance on key terms in the regulations; and viewing research oversight as a system with important roles for researchers, IRBs and their research institutions, sponsors and regulators of research, and the community. Table of Contents Front Matter Executive Summary 1 Introduction 2 Housing and Health 3 Grimes v. Kennedy Krieger Institute: Revisiting the Ethical Issues 4 Characteristics of Housing Health Hazards Research 5 Community Involvement 6 Parental Permission, Consent, and Payment 7 Researchers' Responsibilities 8 Research Oversight References Appendix Biographical Sketches of Committee Members and Staff