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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.
Imogen Clover-Brown, MD; Bryanna Moore, PhD; Christina G. Andrews, MPA, MEd; Armand H. Matheny Antommaria, MD, PhD, FAAP
Doi: 10.1542/peds.2022-060066
Ashley Michelle Fischer, MD; Jennifer L. Mitchell, PharmD; Kaylee C. Stanley, APN; M. Jawad Javed, MD
Doi: 10.1542/hpeds.2022-006644
Kaitlyn Skrzypcak, MD; Vanessa McFadden, MD, PhD; Sarah Corey Bauer, MD
Doi: 10.1542/hpeds.2022-006879
Meaghann S. Weaver, MD, PhD, MPH; Shiven Sharma, BS; Jennifer K. Walter, MD, PhD, MS
Doi: 10.1542/peds.2022-058999
Sonia Mehta, MD; Kelsey Porada, MA; Melodee Liegl, MA; Amy Pan, PhD; Vanessa McFadden, MD, PhD
Doi: 10.1542/hpeds.2022-006580
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
Doi: 10.1542/peds.2022-060646
Erwin Jiayuan Khoo, FRCPCH, MBBS; Devan M. Duenas, MA; Benjamin S. Wilfond, MD; Luke Gelinas, MAR, PhD; Armand H. Matheny Antommaria, MD, PhD
Doi: 10.1542/peds.2021-055702
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
Doi: 10.1542/peds.2022-056415N
Ilan Youngster, MD, MMSc; Renana Gelernter, MD; Hodaya Klainer, BSc; Hadas Paz, MD; Eran Kozer, MD; Michael Goldman, MD
Doi: 10.1542/peds.2022-058281
M. Laurette Hughes, PhD, PNP; Jordan Constance, PhD; Alexander J. Millner, PhD; Gregory I. Young, PhD, BCBA
Doi: 10.1542/hpeds.2021-006118
Lauren Chad, MDCM, MHSc; James Anderson, PhD; Diana Cagliero, MA; Robin Z. Hayeems; Linh G. Ly; Anna Szuto, MSc
Doi: 10.1542/hpeds.2022-006654
Doi: 10.1542/peds.2022-058781
Rachel L. Randell, MD; Daniel K. Benjamin, Jr., MD, PhD, MPH; Rachel G. Greenberg, MD, MB, MHS
Doi: 10.1542/hpeds.2022-006811
Gianna McMillan, D.Bioethics
Doi: 10.1542/peds.2021-055426
Shiven Sharma, BA; Meaghann S. Weaver, MD, MPH, PhD; Jennifer K. Walter, MD, PhD, MS
Doi: 10.1542/hpeds.2022-006662
Vanessa N. Madrigal, MD, MSCE, HEC-C; Kara Curry, MA, RN
Doi: 10.1542/hpeds.2022-006734
Joseph P. Shapiro, MD; Melanie Anspacher, MD; Vanessa Madrigal, MD, MSCE, HEC-C; John D. Lantos, MD, HEC-C
Doi: 10.1542/peds.2021-055558
Megan H. Pesch, MD, MS; Phoebe Danziger, MD; Lainie Friedman Ross, MD, PhD; Armand H. Matheny Antommaria, MD, PhD
Doi: 10.1542/peds.2021-055368
Adrien M. Aubert, MSc; Raquel Costa, PhD; Ulrika Ådén, MD, PhD; Marina Cuttini, MD, PhD; Mairi Männamaa, PhD; Véronique Pierrat, MD, PhD; Iemke Sarrechia, PhD; Arno F. van Heijst, MD, PhD; Michael Zemlin, MD; Samantha Johnson, PhD; Jennifer Zeitlin, MA, DSc; the SHIPS Research group
Doi: 10.1542/peds.2021-054920
Abigail English, JD; Carol A. Ford, MD
Doi: 10.1542/peds.2022-056414
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