Theoretical Medicine and Bioethics

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Bioethics is both a field of study and professional practice, interested in ethical issues related to health, including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine, ethical education in science, animal, and environmental ethics, and public health.

Mark Kuczewski is an American philosopher and bioethicist who has been a key contributor to the New Professionalism movement in medicine and medical education. In general, interest in professionalism has been widespread in medicine probably owing to the increasing regulatory and economic pressures on the practice of medicine. Many physicians have sought to identify the focal meaning of what it is to be a doctor in an effort to revitalize the profession. Kuczewski has been among a group that includes Richard and Sylvia Creuss, John Coulehan, and Matthew Wynia who see medical professionalism as including a commitment to social justice. That is, while professionalism entails such things as etiquette, communication skills, and basic medical ethics, professions are also expected to be leaders in educating the public and in advocating for the health of the public. Such leadership requires an understanding of the factors that lead some patient populations to be underserved and a commitment to bringing about social change to ameliorate these problems. The New Professionalism movement in medicine is a revival of communitarian bioethics that focus on the kinds of people and society we wish to be rather than on particular ethical questions of right and wrong. This focus on the relationship between the professional and the community can have important implications for medical education and professional development. While not eschewing case analysis and problem solving, the emphasis on the development of the person has created a renewed interest in narrative methods and reflection. Kuczewski has been an outspoken critic of efforts in medical education to focus on quantitative measures of professionalism education. He has argued that in an effort to make professionalism education “objective,” many medical educators are equating professionalism with trivial but easily measured behaviors. Kuczewski’s interest in professionalism and social justice has led him to pursue ethical issues in the interactions between medicine and recent immigrant populations. He has brought his work in communitarian and casuistic methods to bear on questions such as medical repatriation, insurance for undocumented immigrants, and the eligibility of DREAMers to become practicing physicians. His scholarship and advocacy was the catalyst for the Loyola University Chicago Stritch School of Medicine becoming the first medical school in the United States to explicitly welcome applications from DREAMers with Deferred Action for Childhood Arrivals (DACA) status. Under Kuczewski’s direction, the Neiswanger Institute for Bioethics and Health Policy at Loyola University Chicago has become a leader in educational programming to promote the relationship between medical professionalism and social justice. The Neiswanger Institute has contributed elements to the Stritch curriculum that explore the relationship between the business of medicine and social justice. The Institute also has online master of arts and doctoral programs that incorporating public health and leadership training in order to help health care professionals across the United States to promote service to the underserved. Kuczewski was elected president of the American Society for Bioethics and Humanities and served a two-year term from 2009 to 2011. The ASBH is the major professional association in the United States for individuals engaged in bioethics and medical humanities. During his term, the society aggressively began moving toward a process called Quality Attestation that will attest to the credentials and expected competence of clinical ethics consultants.

Jonathan D. Moreno is an American philosopher and historian who specializes in the intersection of bioethics, culture, science, and national security, and has published seminal works on the history, sociology and politics of biology and medicine. He is an elected member of the National Academy of Medicine.

Culture, Medicine and Psychiatry is a cross-cultural peer-reviewed medical journal published quarterly by Springer Science+Business Media.

Dan W. Brock was an American philosopher, bioethicist, and professor emeritus at Harvard University and Brown University. He was the Frances Glessner Lee Professor Emeritus of Medical Ethics in the Department of Global Health and Social Medicine at Harvard Medical School, the former Director of the Division of Medical Ethics at the Harvard Medical School, and former Director of the Harvard University Program in Ethics and Health (PEH).

Stephen Garrard Post has served on the Board of the John Templeton Foundation (2008-2014), which focuses on virtue and public life. He is a researcher, opinion leader, medical school professor, and best-selling author who has taught at the University of Chicago Medical School, Fordham University-Marymount, Case Western Reserve University School of Medicine (1988-2008) and Stony Brook University School of Medicine (2008-). He is widely known for his research on the ways in which giving can enhance the health and happiness of the giver, how empathy and compassionate care contribute to patient outcomes, ethical issues in caring for people with dementia, medical professionalism and the virtues, and positive psychology in relation to health and well-being. Post is an elected member of the College of Physicians of Philadelphia, the New York Academy of Medicine, and the Royal Society of Medicine, London. He was selected nationally as the Public Member of the United States Medical Licensing Examination (USMLE) Composite Committee (2000-2005), and was reappointed for outstanding contributions.

Hilde Lindemann is an American philosophy professor and bioethicist and emerita professor at Michigan State University. Lindemann earned her B.A. in German language and literature in 1969 at the University of Georgia. Lindemann also earned her M.A. in theatre history and dramatic literature, in 1972, at the University of Georgia. Lindemann began her career as a copyeditor for several universities. She then moved on to a job at the Hastings Center in New York City, an institute focused on bioethics research, and co-authored book The Patient in the Family, with James Lindemann Nelson, before deciding to earn a Ph.D. in philosophy at Fordham University in 2000. Previously, she taught at the University of Tennessee and Vassar College and served as the associate editor of the Hastings Center Report (1990–95). Lindemann usually teaches courses on feminist philosophy, identity and agency, naturalized bioethics, and narrative approaches to bioethics at Michigan State University.

Jamie Lindemann Nelson is a philosophy professor and bioethicist currently teaching at Michigan State University. Nelson earned her doctorate in philosophy at the State University of New York at Buffalo in 1980 and taught at the University of Tennessee at Knoxville and St. John's University before moving to Michigan State University. In addition, Nelson was an Associate for Ethical Studies at The Hastings Center from 1990–95 and is both a Woodrow Wilson Visiting Fellow and a Fellow of the Hastings Center. Nelson usually teaches courses on biomedical ethics, ethical theory, moral psychology, feminist theory, and philosophy of language.

The MacLean Center for Clinical Medical Ethics, founded in 1981, is a non-profit clinical medical ethics research institute based in the United States. Founded by its director, Mark Siegler, the MacLean Center for Clinical Medical Ethics aims to improve patient care and outcomes by promoting research in clinical medical ethics by educating physicians, nurses, and other health care professionals and by helping University of Chicago Medicine patients, families, and health care providers identify and resolve ethical dilemmas. The center has trained over 410 fellows, including many physicians, attorneys, PhDs and bioethicists.

Jeffrey Paul Bishop is a philosopher, bioethicist, author and the Tenet Endowed Chair of Health Care Ethics at Saint Louis University. The director of the Albert Gnaegi Center for Health Care Ethics, he is most widely recognized and cited for work in medical ethics as relating to death and dying in addition to contributions in the field of medical humanities. Bishop is a physician, holds a Doctorate of Philosophy from the University of Dallas and serves on the editorial boards of both the Journal of Medicine and Philosophy and the Journal of Christian Bioethics for Oxford University Press.

David John Doukas, is an American family physician and bioethicist. He holds the James A. Knight Chair of Humanities and Ethics in Medicine, and directs the Program in Medical Ethics and Human Values at Tulane University's School of Medicine. Prof. Doukas is also the Executive Director of the Master of Science in Bioethics and Medical Humanities at Tulane University. Additionally, Dr. Doukas serves as the Health Care Chief Ethics Consultant at the Southeast Louisiana Veterans Health Care System in New Orleans as well as the VISN16 Clinical Ethics Liaison. Professor Doukas was Founding President of the Academy for Professionalism in Health Care, for which he was awarded the first Presidential Award at the Academy for Professionalism in Health Care Annual Meeting in June 2023, for his efforts as Founder and President of APHC for seven years (2012–2019). In a 2023 analysis of the top 100 cited articles in ethics education, Prof. Doukas was "recognized as one of the most influential authors in the field of ethics education, with five articles in the top 10 list attributed to his name that have amassed a total of 296 citations."

The philosophy of medicine is a branch of philosophy that explores issues in theory, research, and practice within the field of health sciences. More specifically in topics of epistemology, metaphysics, and medical ethics, which overlaps with bioethics. Philosophy and medicine, both beginning with the ancient Greeks, have had a long history of overlapping ideas. It was not until the nineteenth century that the professionalization of the philosophy of medicine came to be. In the late twentieth century, debates among philosophers and physicians ensued of whether the philosophy of medicine should be considered a field of its own from either philosophy or medicine. A consensus has since been reached that it is in fact a distinct discipline with its set of separate problems and questions. In recent years there have been a variety of university courses, journals, books, textbooks and conferences dedicated to the philosophy of medicine.

Homeopathy is a peer-reviewed medical journal covering research, reviews, and debates on all aspects of homeopathy, a pseudoscientific form of alternative medicine. It is the official journal of the London-based Faculty of Homeopathy. The journal was established in 1911 as the British Homoeopathic Journal, resulting from a merger between the British Homoeopathic Review and the Journal of the British Homoeopathic Society. It uses its current name since 2001 and the editor-in-chief is Robert Mathie.

Daniel Sulmasy is an American medical ethicist and former Franciscan friar. He has been Acting Director of the Kennedy Institute of Ethics and on the faculty of the Pellegrino Center for Clinical Bioetics was also named He is the inaugural Andre Hellegers Professor of Biomedical Ethics, with co-appointments in the Departments of Philosophy and Medicine at Georgetown.

<span class="mw-page-title-main">Francoise Baylis</span> Canadian bioethicist

Françoise Elvina BaylisFISC is a Canadian bioethicist whose work is at the intersection of applied ethics, health policy, and practice. The focus of her research is on issues of women's health and assisted reproductive technologies, but her research and publication record also extend to such topics as research involving humans, gene editing, novel genetic technologies, public health, the role of bioethics consultants, and neuroethics. Baylis' interest in the impact of bioethics on health and public policy as well as her commitment to citizen engagement]and participatory democracy sees her engage with print, radio, television, and other online publications.

Medicine, Health Care and Philosophy is a quarterly peer-reviewed medical journal covering the intersection of philosophy and medicine, including bioethics.

<span class="mw-page-title-main">Christine Mitchell</span> American filmmaker and bioethicist

Christine I. Mitchell is an American filmmaker and bioethicist and until her retirement in September 2022, the executive director of the Center for Bioethics at Harvard Medical School (HMS).

Nancy Ann Silbergeld Jecker is a bioethicist, philosopher, and author. She is Professor of Bioethics and Humanities at the University of Washington School of Medicine, Department of Bioethics and Humanities, with Adjunct Professorships at the university's Department of Philosophy, School of Law, and Department of Global Health. She also holds visiting professorships at the University of Johannesburg, Gauteng South Africa and the Chinese University of Hong Kong Centre for Bioethics

References

  1. Veatch, Robert M. (15 December 2006). "How Philosophy of Medicine Has Changed Medical Ethics". Journal of Medicine and Philosophy . 31 (6): 585–600. doi:10.1080/03605310600806117. PMID   17162733.
  2. "Humanities and Bioethics Journals". asbh.org. American Society for Bioethics and Humanities. Retrieved 2018-06-23.
  3. "Theoretical Medicine and Bioethics - incl. option to publish open access". Springer. Retrieved 2017-09-10.
  4. "Theoretical Medicine and Bioethics". 2018 Journal Citation Reports. Web of Science (Science ed.). Clarivate Analytics. 2019.