Results for 'Pierce Randall Wayne Shelton Albany Medical College'

943 found
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  1.  11
    Barriers to Overriding Refusal for Patients Who Lack Capacity.Pierce Randall Wayne Shelton Albany Medical College - 2024 - American Journal of Bioethics 24 (8):109-111.
    Volume 24, Issue 8, August 2024, Page 109-111.
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  2. For Lack of a Better Plan: A Framework for Ethical, Legal, and Clinical Challenges in Complex Inpatient Discharge Planning. [REVIEW]Jane Jankowski, Terese Seastrum, Robert N. Swidler & Wayne Shelton - 2009 - HEC Forum 21 (4):311-326.
    For Lack of a Better Plan: A Framework for Ethical, Legal, and Clinical Challenges in Complex Inpatient Discharge Planning Content Type Journal Article Pages 311-326 DOI 10.1007/s10730-009-9117-6 Authors Jane Jankowski, Albany Medical Center Albany NY 12208 USA Terese Seastrum, Northeast Health 2212 Burdett Ave. Troy NY 12180 USA Robert N. Swidler, Northeast Health 2212 Burdett Ave. Troy NY 12180 USA Wayne Shelton, Alden March Bioethics Institute, Albany Medical College 47 New Scotland Avenue, (...)
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  3.  7
    Barriers to Overriding Refusal for Patients Who Lack Capacity.Pierce Randall & Wayne Shelton - 2024 - American Journal of Bioethics 24 (8):109-111.
    Volume 24, Issue 8, August 2024, Page 109-111.
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  4.  30
    The Place of Bioethics in Philosophy: Toward a Mutually Constructive Integration.Pierce Randall, Daniel T. Kim & Wayne Shelton - 2022 - American Journal of Bioethics 22 (12):54-56.
    The critique to which Blumenthal-Barby et al. (2022), respond—that philosophy has little left to do in bioethics—reflects a common assumption that normative theorizing first generates general moral...
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  5.  22
    Educational opportunities about ethics and professionalism in the clinical environment: surveys of 3rd year medical students to understand and address elements of the hidden curriculum.Wayne Shelton, Sara Silberstein, Lisa Campo-Engelstein, Henry Pohl, James Desemone & Liva H. Jacoby - 2023 - International Journal of Ethics Education 8 (2):351-372.
    Medical students’ concerns during clinical clerkships may not always be addressed with mentors who work under significant time constraints. This study examined 3rd year students’ survey responses regarding patient encounters to elucidate what may be hidden aspects of their learning environment. We analyzed results to an 18-item survey completed during a required ethics and professionalism course in third-year medicine clerkships over a period of 18 months. The survey covered types of concerns elicited by patient encounters, interactions with mentors about (...)
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  6. A broader look at medical futility.Wayne Shelton - 1998 - Theoretical Medicine and Bioethics 19 (4):383-400.
    This paper attempts to provide a descriptive theoretical overview of the medical futility debate. I will first argue that quantitative data cannot alone resolve the medical futility debate. I will then examine two aspects of medical futility, which I call the prospective and immediate, respectively. The first involves making prospective factual and value judgments about the efficacy of proposed medical interventions, while the latter involves making value judgments about ongoing medical conditions where the clinical data (...)
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  7.  21
    Clinician Moral Distress: Toward an Ethics of Agent‐Regret.Daniel T. Kim, Wayne Shelton & Megan K. Applewhite - 2023 - Hastings Center Report 53 (6):40-53.
    Moral distress names a widely discussed and concerning clinician experience. Yet the precise nature of the distress and the appropriate practical response to it remain unclear. Clinicians speak of their moral distress in terms of guilt, regret, anger, or other distressing emotions, and they often invoke them interchangeably. But these emotions are distinct, and they are not all equally fitting in the same circumstances. This indicates a problematic ambiguity in the moral distress concept that obscures its distinctiveness, its relevant circumstances, (...)
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  8.  34
    Limits of advance directives in decision-making around food and nutrition in patients with dementia.Wayne Shelton & Cynthia Geppert - 2024 - Journal of Medical Ethics 50 (11):762-765.
    Advance directives are critically important for capable individuals who wish to avoid the burdens of life-prolonging interventions in the advanced stages of dementia. However, this paper will argue that advance directives should have less application to questions about feeding patients during the clinical course of dementia than often has been presumed. The argument will be framed within the debate between Ronald Dworkin and Rebecca Dresser regarding the moral authority of precedent autonomy to determine an individual’s future end-of-life care plan. We (...)
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  9.  38
    Confronting the Hidden Curriculum: A Four-Year Integrated Course in Ethics and Professionalism Grounded in Virtue Ethics.Wayne Shelton & Lisa Campo-Engelstein - 2021 - Journal of Medical Humanities 42 (4):689-703.
    We describe a virtue ethics approach and its application in a four-year, integrated, longitudinal, and required undergraduate medical education course that attempts to address some of the challenges of the hidden curriculum and minimize some of its adverse effects on learners. We discuss how a curriculum grounded in virtue ethics strives to have the practical effect of allowing students to focus on their professional identity as physicians in training rather than merely on knowledge and skills acquisition. This orientation, combined (...)
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  10.  39
    Abortion restrictions: the case for conscientious non-compliance on the part of providers.Pierce Randall & Jacob Mago - 2024 - Journal of Medical Ethics 50 (3):185-189.
    This paper offers a qualified defence of physician non-compliance with antiabortion legislation in the wake of the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization. The paper examines two ethically troubling trends of post-Dobbs legislation: narrow and vague maternal health exemption clauses and mandatory reporting of miscarriages in jurisdictions where patients may criminal prosecution for medically induced abortions. It then examines and defends a professional obligation on the part of physicians to comply with the law. This obligation, however, (...)
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  11. Introduction: Lost Virtue: Professional Character Development and Medical Education.Nuala Kenny & Wayne Shelton - 2006 - Advances in Bioethics 10:xi - xvii.
     
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  12.  50
    Were the “Pioneer” Clinical Ethics Consultants “Outsiders”? For Them, Was “Critical Distance” That Critical?Bruce D. White, Wayne N. Shelton & Cassandra J. Rivais - 2018 - American Journal of Bioethics 18 (6):34-44.
    Abstract“Clinical ethics consultants” have been practicing in the United States for about 50 years. Most of the earliest consultants—the “pioneers”—were “outsiders” when they first appeared at patients' bedsides and in the clinic. However, if they were outsiders initially, they acclimated to the clinical setting and became “insiders” very quickly. Moreover, there was some tension between traditional academics and those doing applied ethics about whether there was sufficient “critical distance” for appropriate reflection about the complex medical ethics dilemmas of the (...)
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  13.  75
    Community as Healing: Pragmatist Ethics in Medical Encounters, by D. Micah Hester. Lanham, MD: Rowman & Littlefield, 2001, 105 pp. $18.95. [REVIEW]Wayne Shelton - 2004 - Cambridge Quarterly of Healthcare Ethics 13 (2):207-210.
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  14. Teachable Moments: Essays on Experiential Education.David Lovejoy, Walt Anderson, Erin Lotz, Randall Amster, Samuel N. Henrie, K. L. Cook, Susan Hericks, Alison Holmes, Wayne Regina, Liz Faller & David Gilligan (eds.) - 2006 - Upa.
    How do educators better reach their students, better capture their attention and imagination without sacrificing scholarship? Teachable Moments: Essays on Experiential Education examines the pedagogy of Prescott College, a school that has embraced experiential education and been finding success with it for over thirty years. These essays—from scholars in fields as wide ranging as religious studies, environmental science, psychology, dance, literature, adventure education, and peace studies—examine the challenges and, ultimately, the rewards of student-centered education.
     
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  15.  13
    Do peer review models affect clinicians’ trust in journals? A survey of junior doctors.Stephanie E. Baldeweg, Stephanie L. Boughton, Mary Pierce & Jigisha Patel - 2017 - Research Integrity and Peer Review 2 (1).
    BackgroundThe aim of this survey was to determine the level of awareness and understanding of peer review and peer review models amongst junior hospital doctors and whether this influences clinical decision-making.MethodsA 30-question online anonymous survey was developed aimed at determining awareness of peer review models and the purpose of peer review, perceived trustworthiness of different peer review models and the role of peer review in clinical decision-making. It was sent to 800 trainee doctors in medical specialties on the University (...)
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  16.  37
    Characteristics of deaths occurring in hospitalised children: changing trends.P. Ramnarayan, F. Craig, A. Petros & C. Pierce - 2007 - Journal of Medical Ethics 33 (5):255-260.
    Background: Despite a gradual shift in the focus of medical care among terminally ill patients to a palliative model, studies suggest that many children with life-limiting chronic illnesses continue to die in hospital after prolonged periods of inpatient admission and mechanical ventilation.Objectives: To examine the characteristics and location of death among hospitalised children, investigate yearwise trends in these characteristics and test the hypothesis that professional ethical guidance from the UK Royal College of Paediatrics and Child Health would lead (...)
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  17.  23
    Randal L. Hall. William Louis Poteat: A Leader of the Progressive‐Era South. x + 262 pp., illus., bibl., index.Lexington: University Press of Kentucky, 2000. $34.95. [REVIEW]Ruth Haug - 2002 - Isis 93 (1):99-100.
    William Louis Poteat , a North Carolina intellectual of the Progressive Era, gained a reputation as a leading liberal in southern higher education. This book, which was recognized by a prestigious National Endowment for the Humanities publication grant, is useful for historians of science because it illustrates how scientific ideas, particularly Darwinism, were diffused into a rural and isolated society.From his student years to the end of his life, Poteat was intimately connected with a Southern Baptist college, Wake Forest. (...)
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  18.  1
    Addressing Risk in Data Centric Research via Community Engagement.Ryan Spellecy Andrew Nencka Medical College of Wisconin - 2025 - American Journal of Bioethics 25 (2):85-87.
    Volume 25, Issue 2, February 2025, Page 85-87.
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  19.  11
    Reproductive Ethics: New Challenges and Conversations.Lisa Campo-Engelstein & Paul Burcher (eds.) - 2017 - Springer.
    This book summarizes the contributions at an April 2016 conference held at Albany Medical College, Reproductive Ethics: New Challenges and Conversations. Reproductive ethics does not suffer from a lack of challenging issues, yet a few "hot button" issues such as abortion and surrogacy seem to attract most of the attention, while other issues and dilemmas remain relatively underdeveloped in bioethics literature. The goal of this book is to explore and expand the range of topics addressed in reproductive (...)
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  20. A Process and Format for Clinical Ethics Consultation.Robert D. Orr & Wayne Shelton - 2009 - Journal of Clinical Ethics 20 (1):79-89.
  21.  87
    Nanotechnology: Considering the complex ethical, legal, and societal issues with the parameters of human performance. [REVIEW]Linda MacDonald Glenn & Jeanann S. Boyce - 2008 - NanoEthics 2 (3):265-275.
    Nanotechnology: Considering the Complex Ethical, Legal, and Societal Issues with the Parameters of Human Performance Content Type Journal Article Pages 265-275 DOI 10.1007/s11569-008-0047-6 Authors Linda MacDonald Glenn, Albany Medical College/Center Alden March Bioethics Institute Albany NY 12208 USA Jeanann S. Boyce, Montgomery College Dept. of Computer Science and Business 7600 Takoma Avenue Takoma Park MD 20912 USA Journal NanoEthics Online ISSN 1871-4765 Print ISSN 1871-4757 Journal Volume Volume 2 Journal Issue Volume 2, Number 3.
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  22.  33
    Reciprocity and the ethics of giving during pandemics.Pierce Randall & Justin Bernstein - 2021 - Journal of Social Philosophy 52 (4):516-535.
    Journal of Social Philosophy, EarlyView.
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  23.  57
    Empirical Bioethics: Present and Future Possibilities.Wayne Shelton - 2009 - American Journal of Bioethics 9 (6-7):74-75.
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  24.  42
    Putting Children at Risk in the Name of Religion.Wayne N. Shelton & Bruce D. White - 2016 - American Journal of Bioethics 16 (1):32-33.
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  25.  49
    The Process to Accredit Clinical Ethics Fellowship Programs Should Start Now.Wayne N. Shelton & Bruce D. White - 2016 - American Journal of Bioethics 16 (3):28-30.
    Fins and colleagues rightly note that “clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems” for which “progress in developing standards for q...
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  26.  65
    Against the Public Goods Conception of Public Health.Justin Bernstein & Pierce Randall - 2020 - Public Health Ethics 13 (3):225-233.
    Public health ethicists face two difficult questions. First, what makes something a matter of public health? While protecting citizens from outbreaks of communicable diseases is clearly a matter of public health, is the same true of policies that aim to reduce obesity, gun violence or political corruption? Second, what should the scope of the government’s authority be in promoting public health? May government enact public health policies some citizens reasonably object to or policies that are paternalistic? Recently, some theorists have (...)
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  27.  19
    Re-stating Statist Theories of Territory.Randall Pierce - forthcoming - Philosophy and Public Issues - Filosofia E Questioni Pubbliche.
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  28.  8
    A Difference in Degree, Not Kind: Moral Stress, Distress, and Injury.Daniel T. Kim, Wayne Shelton & Bharat Ranganathan - 2024 - American Journal of Bioethics 24 (12):57-59.
    Moral distress is complex and has received varied definitions, and its distinctiveness is consequently often unclear when placed alongside related concepts like moral injury or moral stress. Buchbi...
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  29.  14
    A Survey of Healthcare Industry Representatives’ Participation in Surgery: Some New Ethical Concerns.Wayne Shelton, Crystal Dea Moore & Jeffrey Bedard - 2014 - Journal of Clinical Ethics 25 (3):238-244.
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  30.  15
    Do Political Liberals Need the Truth?Pierce Randall - unknown
    In this thesis, I defend John Rawls’s assertion that political liberalism does not use the concept of truth. I respond to objections from Joshua Cohen and David Estlund. I argue that Cohen fails to show that public reason needs a minimalist conception of truth, since individuals with a range of conceptions of moral truth can meet the requirements of public reason. I dispute Estlund’s argument that the liberal principle of legitimacy is merely insular. Estlund assumes that the claim that the (...)
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  31.  44
    Realistic Goals and Expectations for Clinical Ethics Consultations: We Should Not Overstate What We Can Deliver.Wayne N. Shelton & Bruce D. White - 2015 - American Journal of Bioethics 15 (1):54-56.
    The article by Professor Fiester (2015) expresses concern about the long-term moral distress or negative moral emotions, both aspects of moral residue, that linger in some stakeholders’ experiences...
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  32.  25
    The Ethics of Refusing Lifesaving Treatment Following a Failed Suicide Attempt.Wayne Shelton, Jacob Mago & Megan K. Applewhite - 2023 - Journal of Clinical Ethics 34 (3):273-277.
    Injuries from failed suicide attempts account for a large number of patients cared for in the emergency and trauma setting. While a fundamental underpinning of clinical ethics is that patients have a right to refuse treatment, individuals presenting with life-threating injuries resulting from suicide attempts are almost universally treated in this acute care setting. Here we discuss the limitations on physician ability to determine capacity in this setting and the challenges these pose in carrying out patient wishes.
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  33.  23
    The Role of Communication and Interpersonal Skills in Clinical Ethics Consultation: The Need for a Competency in Advanced Ethics Facilitation.Jane Jankowski, Cynthia Geppert & Wayne Shelton - 2016 - Journal of Clinical Ethics 27 (1):28-38.
    Clinical ethics consultants (CECs) often face some of the most difficult communication and interpersonal challenges that occur in hospitals, involving stressed stakeholders who express, with strong emotions, their preferences and concerns in situations of personal crisis and loss. In this article we will give examples of how much of the important work that ethics consultants perform in addressing clinical ethics conflicts is incompletely conceived and explained in the American Society of Bioethics and Humanities Core Competencies for Healthcare Ethics Consultation and (...)
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  34.  1
    Agent-Regret and Moral Distress: Is There Really a Distinction?Daniel T. Kim, Wayne Shelton & Bharat Ranganathan - 2025 - American Journal of Bioethics 25 (2):34-36.
    Enck and Condley (2025) draw welcome attention to clinician experiences of “agent-regret.” They define agent-regret broadly as a person’s regret over their “harmful but not wrongful actions,” that...
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  35.  81
    Respect for donor autonomy and the dead donor rule.Wayne Shelton - 2003 - American Journal of Bioethics 3 (1):20 – 21.
  36.  39
    When a Chronically Ill Patient Disagrees with the Discharge Recommendation: The Limits of Patient Autonomy.Wayne Shelton - 2021 - American Journal of Bioethics 21 (7):83-84.
    This is a patient in the relatively early stages of a serious chronic disease requiring ongoing vigilant management if acute complications are to be minimized. In today's healthcare system, we see...
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  37.  35
    Physicians’ End of Life Discussions with Patients: Is There an Ethical Obligation to Discuss Aid in Dying?Yan Ming Jane Zhou & Wayne Shelton - 2020 - HEC Forum 32 (3):227-238.
    Since Oregon implemented its Death with Dignity Act, many additional states have followed suit demonstrating a growing understanding and acceptance of aid in dying processes. Traditionally, the patient has been the one to request and seek this option out. However, as Death with Dignity acts continue to expand, it will impact the role of physicians and bring up questions over whether physicians have the ethical obligation to facilitate a conversation about AID with patients during end of life discussions. Patients have (...)
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  38.  27
    Respect for Autonomy Requires a Mental Model.Nada Gligorov & Pierce Randall - 2024 - American Journal of Bioethics 24 (7):53-55.
    Making decisions for incapacitated patients has been a perennial problem in bioethics. Surrogate decision-makers are sometimes expected to use substituted judgment to make such decisions. Applying...
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  39.  67
    Difficult hospital inpatient discharge decisions: Ethical, legal and clinical practice issues.Robert N. Swidler, Terese Seastrum & Wayne Shelton - 2007 - American Journal of Bioethics 7 (3):23 – 28.
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  40.  13
    A review of “Caregiving, Carebots, and Contagion”. [REVIEW]Wayne Shelton - 2022 - Monash Bioethics Review 40 (2):231-233.
    AbstractHow far can smart machines, or carebots, go in performing the profoundly intimate human work of patient caregivers? How will mechanization alter how we understand the essential features of the human task of caregiving and the role of the caregiver? It is these complex questions, with real world implications, that this article discusses in reviewing “Caregiving, Carebots, and Contagion” by philosopher and bioethicist Michael Brannagan.
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  41.  63
    Structuring a Written Examination to Assess ASBH Health Care Ethics Consultation Core Knowledge Competencies.Bruce D. White, Jane B. Jankowski & Wayne N. Shelton - 2014 - American Journal of Bioethics 14 (1):5-17.
    As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published core knowledge (...)
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  42.  36
    Pandemic bioethics. Gregory Pence. Broadview press: Peterborough, on, 2021. 256 pp. isbn 978‐1‐55481‐521‐0 €22 (soft cover). [REVIEW]Justin Bernstein & Pierce Randall - 2021 - Bioethics 36 (4):472-473.
    Bioethics, Volume 36, Issue 4, Page 472-473, May 2022.
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  43.  48
    Firearm Violence in the United States: An Issue of the Highest Moral Order.Chisom N. Iwundu, Mary E. Homan, Ami R. Moore, Pierce Randall, Sajeevika S. Daundasekara & Daphne C. Hernandez - 2022 - Public Health Ethics 15 (3):301-315.
    Firearm violence in the United States produces over 36,000 deaths and 74,000 sustained firearm-related injuries yearly. The paper describes the burden of firearm violence with emphasis on the disproportionate burden on children, racial/ethnic minorities, women and the healthcare system. Second, this paper identifies factors that could mitigate the burden of firearm violence by applying a blend of key ethical theories to support population level interventions and recommendations that may restrict individual rights. Such recommendations can further support targeted research to inform (...)
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  44.  53
    In Particular Circumstances Attempting Unproven Interventions Is Permissible and Even Obligatory.Bruce D. White, Luke C. Gelinas & Wayne N. Shelton - 2015 - American Journal of Bioethics 15 (4):53-55.
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  45.  53
    Paths to Reducing Medical Injury: Professional Liability and Discipline vs. Patient Safety — And the Need for a Third Way.Randall R. Bovbjerg, Robert H. Miller & David W. Shapiro - 2001 - Journal of Law, Medicine and Ethics 29 (3-4):369-380.
    Too many patients are injured in the course of care. Clinicians may mistakenly cause new harm to a patient or fail to take established steps to improve the presenting condition. Medical institutions within which they work may lack mechanisms to reduce errors or prevent them from harming patients. Many, perhaps even most, injuries are preventable, probably numbering in the hundreds of thousands a year for hospital care alone. Long ignored by medical practitioners and health-care payers and little appreciated (...)
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  46. The Subordination of Aesthetic Fundamentals in College Art Instruction.Randall Lavender - 2003 - Journal of Aesthetic Education 37 (3):41.
    In lieu of an abstract, here is a brief excerpt of the content:The Journal of Aesthetic Education 37.3 (2003) 41-57 [Access article in PDF] The Subordination of Aesthetic Fundamentals in College Art Instruction Randall Lavender we smile at a hasty philosopher who assures his disciples that art is about to be replaced with philosophy. 1Opportunities for college students of art and design to study fundamentals of visual aesthetics, integrity of form, and principles of composition are limited today (...)
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  47.  42
    The Law Most Beautiful and Best: Medical Argument and Magical Rhetoric in Plato's Laws.Randall Baldwin Clark - 2003 - Lexington Books.
    The Law Most Beautiful and Best is a thoughtful and creative examination of the role irrational rhetoric ought to play in persuading citizens to voluntarily obey laws. Author Randall Baldwin Clark explores the figure of the physician in Plato's Laws to address this question, identifying the subtle ways in which Plato uses the physician's role in healing as a metaphor for the task of governance and arguing that Plato hints that rational discourse may ultimately be inadequate as a persuasive (...)
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  48. In Dialogue: A Response to Estelle R. Jorgensen,?Four Philosophical Models of the Relationship Between Theory and Practice?Randall Everett Allsup - 2005 - Philosophy of Music Education Review 13 (1):104-108.
    In lieu of an abstract, here is a brief excerpt of the content:Philosophy of Music Education Review 13.1 (2005) 104-108 [Access article in PDF] A Response to Estelle R. Jorgensen, "Four Philosophical Models of the Relationship Between Theory and Practice" Randall Everett Allsup Teachers College, Columbia University Each of the four philosophical models that Estelle Jorgensen has put forth contests, adheres to, or adjusts the hierarchical relationships between dualities, specifically the theory and practice of musical learning. The dichotomy (...)
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  49.  36
    A riddle, wrapped in a mystery, inside an enigma: How semantic black boxes and opaque artificial intelligence confuse medical decision‐making.Robin Pierce, Sigrid Sterckx & Wim Van Biesen - 2021 - Bioethics 36 (2):113-120.
    The use of artificial intelligence (AI) in healthcare comes with opportunities but also numerous challenges. A specific challenge that remains underexplored is the lack of clear and distinct definitions of the concepts used in and/or produced by these algorithms, and how their real world meaning is translated into machine language and vice versa, how their output is understood by the end user. This “semantic” black box adds to the “mathematical” black box present in many AI systems in which the underlying (...)
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  50.  37
    Resource depletion does not influence prospective memory in college students.Jill Talley Shelton, Michael J. Cahill, Hillary G. Mullet, Michael K. Scullin, Gilles O. Einstein & Mark A. McDaniel - 2013 - Consciousness and Cognition 22 (4):1223-1230.
    This paper reports an experiment designed to investigate the potential influence of prior acts of self-control on subsequent prospective memory performance. College undergraduates performed either a cognitively depleting initial task or a less resource-consuming version of that task . Subsequently, participants completed a prospective memory task that required attentionally demanding monitoring processes. The results demonstrated that prior acts of self-control do not impair the ability to execute a future intention in college-aged adults. We conceptually replicated these results in (...)
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