Abstract

This chapter is a meta-commentary on case commentaries in the present volume, which highlight potential hazards of using case narratives to evaluate clinical ethics consultation. I argue that in several ways, the commentaries illustrate how important it is, given the attestation model currently used to evaluate the practice of clinical ethics consultation, to develop an idea of a standardized narrative in clinical ethics consultation. If we do not, we risk mistaking clear, eloquent, or rhetorically impressive case narratives for rigorous, ethically appropriate consultations.