Everyday Ethics in the Clinical Practice of Pediatrics
Ethics is a method for analyzing conflicting moral obligations, seeking to identify the set of options that offers the best balance of obligations and a morally justifiable path forward. Clinical ethics has long been part of clinical practice, but the history of clinical ethics has tended to direct focus to dilemmas arising at the extremes of life, issues related to innovative technologies that challenge our understanding of life and death, or essential conflicts arising from nonmainstream religious or cultural beliefs. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 11, 2023 Category: Pediatrics Authors: Margaret Moon Tags: Preface Source Type: research

Everyday Ethics in a Changing World
Bioethics is defined as a “branch of applied ethics that studies the philosophic, social, and legal issues arising in medicine and the life sciences.”1 There is no shortage of philosophic, social, and legal issues that arise in our work as clinicians, researchers, educators, and child advocates. In this day and age of ra pid scientific and technological advancement, ethical issues abound. Having a strong grounding in ethical principles and a framework to guide analysis can help navigate these issues. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 11, 2023 Category: Pediatrics Authors: Tina L. Cheng Tags: Foreword Source Type: research

The Philosophical Underpinning of the Family for Pediatric Decision-Making
Although traditional medical ethics focuses on the dyadic doctor –patient relationship, when the patient is a child, the relationship is triadic, meaning it involves the patient, the parent(s), and the clinician. A brief examination of the family, the rights and responsibilities of parents, the rights of children, and the moral basis of the parent–child relat ionship provide a philosophic underpinning for understanding the family in pediatric decision-making. Although biological parents have presumptive authority to make health-care decisions for their children, and are given wide discretion, parental autonomy is not a...
Source: Pediatric Clinics of North America - September 26, 2023 Category: Pediatrics Authors: Lainie Friedman Ross Source Type: research

Everyday Ethics in Ambulatory Pediatrics
This article presents three clinical scenarios that might be encountered in ambulatory pediatrics. The framework for ethical analysis presented by Dr Hughes in a separate article in this issue of the Journal is used to examine these clinical scenarios and demonstrate application of the framework. The three cases involve a physician being asked by parents to write a letter for better housing that would require the doctor to be dishonest; parents who decline to have their 8-month-old daughter vaccinated; and a physician who believes contraception is a sin and therefore would not prescribe it to a sexually active 17-year-old ...
Source: Pediatric Clinics of North America - September 19, 2023 Category: Pediatrics Authors: Joseph A. Carrese Source Type: research

Pediatrician as Advocate and Protector
This article proposes an ethics-guided approach to identifying and addressing underlying modifiable risk factors for medical neglect through collaboration with family caregivers and other stakeholders (eg, medical providers, school staff, and community resources). Pediatricians should recognize their critical role, beyond only as a mandated reporter, to be a mandated supporter. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 19, 2023 Category: Pediatrics Authors: Rebecca R. Seltzer, B. Simone Thompson Source Type: research

Establishing Goals of Care in Serious and Complex Pediatric Illness
This article offers strategies for addressing each of these challenges. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 19, 2023 Category: Pediatrics Authors: Carrie M. Henderson, Renee D. Boss Source Type: research

Shared Decision-Making in Pediatrics
This article briefly reviews a 4-step process for implementing shared decision-making (SDM) in pediatrics. The authors address difficulties with determining whether SDM should occur and comment on how the SDM process relates to, and may be conflated with, other decision-making models that leverage similar patient-centered and family-centered communication strategies. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 14, 2023 Category: Pediatrics Authors: Kimberly E. Sawyer, Douglas J. Opel Source Type: research

Shedding New Light
This article details methods used for testing in preclinical models, and outlines newer models that may identify additional, curative, strategies. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Authors: Natasha Pillay-Smiley, Jonathan S. Fletcher, Peter de Blank, Nancy Ratner Source Type: research

Newborn Screening
The goal of newborn screening is to identify medical conditions that can cause significant morbidity and/or mortality if not treated early in life. Pediatricians often play a vital role in the initial disclosure of newborn screening results and coordination of confirmatory testing, treatment, and referral to specialty care. The goal of this article is to provide an overview of current newborn screening in the United States, focusing on the various disorders, their manifestations, the newborn screening process, the confirmatory testing, and treatments. Some practical considerations will be discussed as well. (Source: Pediat...
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Authors: Kara B. Pappas Source Type: research

CME Accreditation Page
(Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Source Type: research

Pediatric Genetics
PEDIATRIC CLINICS OF NORTH AMERICA (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Authors: Anne Slavotinek, Brittany Simpson, Allison Tam Source Type: research

Copyright
ELSEVIER (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Source Type: research

Contributors
TINA L. CHENG, MD, MPH (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Source Type: research

Contents
Tina L. Cheng (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Source Type: research

Forthcoming Issues
Everyday Ethics in the Clinical Practice of Pediatrics and Young Adult Medicine (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - September 12, 2023 Category: Pediatrics Source Type: research