The "Ethics" Expertise in Clinical Ethics Consultation. 2016

Ana S Iltis, and Lisa M Rasmussen
Wake Forest University, Winston-Salem, North Carolina, USA University of North Carolina, Charlotte, North Carolina, USA.

The nature, possibility, and implications of ethics expertise (or moral expertise) in general and of bioethics expertise in particular has been the focus of extensive debate for over thirty years. What is ethics expertise and what does it enable experts to do? Knowing what ethics expertise is can help answer another important question: What, if anything, makes a claim of expertise legitimate? In other words, how does someone earn the appellation "ethics expert?" There remains deep disagreement on whether ethics expertise is possible, and if so, what constitutes such expertise and what it entails and legitimates. Discussion of bioethics expertise has become particularly important given the growing presence of bioethicists in the clinical setting as well as efforts to professionalize bioethics through codes of ethics and certification (or quasi-certification) efforts. Unlike in the law or in engineering, where there may be a body of knowledge that professional organizations or others have articulated as important for education and training of experts, ethics expertise admits of no such body of knowledge or required experience. Nor is there an entity seen as having the authority to articulate the necessary scope of knowledge. Questions about whether there is such a body of knowledge for particular areas within bioethics have emerged and played a central role in professionalization efforts in recent years, especially in the area of clinical ethics.

UI MeSH Term Description Entries
D011361 Professional Competence The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality. Competence, Professional,Generalization of Expertise,Technical Expertise,Expertise Generalization,Expertise, Technical
D003219 Confidentiality The privacy of information and its protection against unauthorized disclosure. Patient Data Privacy,Privacy of Patient Data,Privileged Communication,Confidential Information,Secrecy,Communication, Privileged,Communications, Privileged,Data Privacy, Patient,Information, Confidential,Privacy, Patient Data,Privileged Communications
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001675 Bioethics A branch of applied ethics that studies the value implications of practices and developments in life sciences, medicine, and health care. Biomedical Ethics,Health Care Ethics,Ethics, Biomedical,Ethics, Health Care
D028681 Moral Obligations Duties that are based in ETHICS, rather than in law. Moral Duties,Duties, Moral,Duty, Moral,Moral Duty,Moral Obligation,Obligation, Moral,Obligations, Moral
D032781 Codes of Ethics Systematic statements of principles or rules of appropriate professional conduct, usually established by professional societies. Ethical Codes,Ethical Oaths,Code of Ethics,Codes of Professional Ethics,Ethical Directives,Code, Ethical,Codes, Ethical,Directive, Ethical,Directives, Ethical,Ethical Code,Ethical Directive,Ethical Oath,Ethics Code,Ethics Code, Professional,Ethics Codes,Ethics Codes, Professional,Oath, Ethical,Oaths, Ethical,Professional Ethics Code,Professional Ethics Codes
D033061 Ethics Consultation Services provided by an individual ethicist (ETHICISTS) or an ethics team or committee (ETHICS COMMITTEES, CLINICAL) to address the ethical issues involved in a specific clinical case. The central purpose is to improve the process and outcomes of patients' care by helping to identify, analyze, and resolve ethical problems. Consultation, Ethics,Consultations, Ethics,Ethics Consultations

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