RT Journal Article
SR Electronic
T1 Conflicts of interest in clinical ethics consults
JF Journal of Medical Ethics
JO J Med Ethics
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP e61
OP e61
DO 10.1136/medethics-2020-106725
VO 47
IS 12
A1 Elliott Mark Weiss
A1 Aaron Wightman
A1 Laura Webster
A1 Douglas Diekema
YR 2021
UL http://jme.bmj.com/content/47/12/e61.abstract
AB Although there is wide agreement that ethics consults are at risk for conflicts of interest (COIs), ethics consultants (ECs) have limited guidance with regard to how to identify and approach COIs. We aim to address these concerns and provide practical guidance. We will define and consider four categories of COIs: consult type, team composition, dual clinical roles and other concerns. We will define and consider six actions available for ECs to take in response to COIs: no action, disclosure only, obtaining a second opinion, referring to another EC, referring to an institutional ethics committee or seeking an outside consult. We will then propose a points-based algorithm for ECs to use to determine the appropriate response to COI. Finally, we will discuss the strengths and limitations of our proposed algorithm.There are no data in this work.