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A recent review reveals what many of observe in practice: clinicians use the phrase "goals of care" in a variety of ways, often with a definition more assumed than revealed. The phrase is of particular importance when it is used to refer to a certain kind of conversation between a clinician and...
Do surgeons and patients/parents value shared decision-making in pediatric surgery? Shared decision-making (SDM) is touted as the preferred approach to clinical counseling. However, few data exist regarding whether patients prefer SDM over surgeon-guided discussions for complex surgical decision-...
Patients with co-existing cancer and mental illness must be given special attention due to the vulnerability that is created by their compromised psychological ability to comprehend the meaning of their cancer diagnosis, treatment, and prognosis. They are at increased risk for mortality due to many...
The U.S. Food and Drug Administration (FDA) has issued draft guidance on the use of "electronic informed consent" (eIC) in FDA-regulated clinical trials of medical products, including drugs and biological products, medical devices, and combinations of those products for human use. As part of an...
The UIHC Ethics Consult Service officially started on June 2, 2014. The Service is a resource for patients, family members, or health professionals at UIHC who would like help addressing an ethical question or issue related to a patient's care. During the first year of the Service, there were a...
Marc Polacco, a recent graduate of the Carver College of Medicine, and his colleagues administered an anonymous online survey of medical students, interns, and faculty to examine self-reported adherence to hand hygiene opportunities. They found variation in self-reported adherence ranged from...
The aim of this study was to test the separate effectiveness of interactivity and multimedia at improving participant understanding and confidence in understanding of informed consent compared with a standard, face-to-face biobank consent process. A 2 (face-to-face versus multimedia) x 2 (standard...
The UIHC Ethics Consult Service is a resource for patients, family members, or health professionals at UIHC who would like help addressing an ethical question or problem related to a patient's care. An Ethics Consult involves trained ethics consultants who respond to requests for help from...
The public’s voice has been nearly absent in discussions on managing genomic incidental findings. This article by a team of University of Iowa researchers, including Dr. Simon of the Program of Bioethics and Humanities, reports on nine focus groups and nine interviews (n =63) with a broad cross-...
The mission of the Clinical Research Ethics Consultation Service (CRECS) is to assist clinical investigators in identifying and addressing the ethical challenges that frequently arise when designing or conducting research with human subjects. The service provides free consultation on ethical issues...