Clinical Ethics in Pediatrics: An International Perspective

John D. Lantos, Sarosh Saleem, Fajar Raza, Janicke Syltern, Erwin J. Khoo, Arpana Iyengar, Priya Pais,

Jagdish Chinnappa, Pablo Lezama-Del Valle, and André Kidszun

The Journal of Clinical Ethics 30, no. 1 (Spring 2019): 35-45.


In this article, we first review the development of clinical ethics in pediatrics in the United States. We report that, over the last 40 years, most children’s hospitals have ethics committees but that those committees are rarely consulted. We speculate that the reasons for the paucity of ethics consults might be because ethical dilemmas are aired in other venues. The role of the ethics consultant, then, might be to shape the institutional climate and create safe spaces for the discussion of difficult and sometimes contentious issues. Finally, we report how pediatric clinical ethics has evolved differently in a number of other countries around the world.



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