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Bioethics and the Holocaust: A Comprehensive Study in How the Holocaust Continues to Shape the Ethics of Health, Medicine and Human Rights (The International Library of Bioethics #96)

by Stacy Gallin Ira Bedzow

This open access book offers a framework for understanding how the Holocaust has shaped and continues to shape medical ethics, health policy, and questions related to human rights around the world. The field of bioethics continues to face questions of social and medical controversy that have their roots in the lessons of the Holocaust, such as debates over beginning-of-life and medical genetics, end-of-life matters such as medical aid in dying, the development of ethical codes and regulations to guide human subject research, and human rights abuses in vulnerable populations. As the only example of medically sanctioned genocide in history, and one that used medicine and science to fundamentally undermine human dignity and the moral foundation of society, the Holocaust provides an invaluable framework for exploring current issues in bioethics and society today. This book, therefore, is of great value to all current and future ethicists, medical practitioners and policymakers – as well as laypeople.

Bioethics and Women: Across the Life Span

by Mary Briody Mahowald

All persons, while different from one another, have the same value: this is the author's relatively uncontroversial starting point. Her end point is not uncontroversial: an ideal of justice as human flourishing, based on each person's unique set of capabilities. Because the book's focus is women's health care, gender justice, a necessary component of justice, is central to examination of the issues. Classical pragmatists and feminist standpoint theorists are enlisted in support of a strategy by which gender justice is promoted. Two features of the book are unique: (1) the topics presented cover the entire life span of women, not just those related to reproduction; (2) a range views about moral status are applied not only to fetuses but also to individuals already born. Attention to these features is intended to facilitate ethical consistency or moral integrity and respect for those who hold different moral views. While delineating and defending the book's perspective, the first section provides an overview of bioethics, critiques prevalent approaches to bioethics and models of the physician-patient relationship, and sketches distinguishing aspects of women's health care that are prevalently neglected. Positions about moral status are also presented. The second section identifies topics that are indirectly as well as directly related to women's health, such as domestic violence and caregiving. Brief cases illustrate variables relevant to each topic. Empirical and theoretical considerations follow each set of cases; these are intended to precipitate more expansive and critical examination of the issues raised. The last section is devoted to an egalitarian ideal that may be pursued through an ethic of virtue or supererogation rather than obligation. By embracing this ideal, according to the author, moral agents support a more demanding level of morality than guidelines or laws require.

Bioethics Around the Globe

by Catherine Myser

Contemporary bioethics, now roughly 40 years old as a discipline, originated in the United States with a primarily Anglo-American cultural ethos. It continues to be professionalized and institutionalized as a maturing discipline at the intersections of philosophy, medicine, law, social sciences, and humanities. Increasingly bioethics - along with its foundational values, concepts and principals - has been exported to other countries, not only in the developed West, but also in developing and/or Eastern countries. Bioethics thus continues to undergo intriguing transformations as it is globalized and adapted to local cultures. These processes have occurred rapidly in the last two decades, with relatively little reflection and examination. This volume brings together contributors from a wide variety of disciplines to take a critical, empirical look at bioethics around the globe, examining how it is being transformed - at both local and global levels - in this process of cross-cultural exporting and importing. One concern is to identify sociocultural forces and consequences which may positively or negatively affect ethics and social justice goals. This book thereby offers the first comparative anthropology and sociology of globalizing bioethics in the field, exploring the global dissemination, local adaptations, cultural meanings and social functions of bioethics theories, practices and institutions and comparing developed and developing countries. The volume considers a full range of countries on every inhabited continent, including: Africa, Asia, Australia, Central and South America, Europe, the Middle East, and North America. Topics include government agendas such as nationalism and nation building; agendas of powerful, associated professions (e.g., medicine, law); theological and political agendas such as 'culture wars'; agendas of entrepreneurial economies of profit; and other cultural and ideological agendas consciously or unconsciously advanced or contested by bioethics work in particular countries based on their unique history, politics and culture. This cross-cultural exploration of globalizing bioethics will be of great interest to a field that is increasingly introspective about its underlying sociocultural assumptions and biases. "At last-an unabashedly sociological and anthropological look at the globalization of bioethics, a really fresh approach to a maturing discipline. The chapters speak from the perspective of sophisticated Western-developed exporters of the bioethical paradigm [and equally sophisticated] Eastern-developing and third-world and interdisciplinary critics suspicious of the canonical view. Trained in the dominant school of American, mainstream philosophy, Myser draws on her long-standing commitment to a social and cultural approach to bioethics to take a fresh look at bioethics globally. She grasps the globalization of bioethics and the skepticism about analytical philosophy's Americanized consensus. The book sets the stage for a new era in bioethics theory and practice {debating] whether a universal common morality underlies the rich variation in national and cultural bioethics traditions." - Robert Veatch, Georgetown University "This path-breaking volume is the first to explore the global export of Western bioethics to a variety of non-Western settings. Explicitly critical, the book also points to the liberating potential of bioethics to achieve social justice and improve the lives of patients around the world. The book is a must-read for all medical anthropologists interested in bioethics." - Marcia Inhorn, Yale University "Bioethics Around the Globe should change the way bioethics is conceived and practiced in the U.S. and elsewhere. Its rich and wide-ranging comparative examination opens new possibilities for bioethical reflection. I enthusiastically recommend this wonderful book." - James F. Childress, University of Virginia "The past 40 years have seen a remarkable spread of bioethics to every part of the world. Dr. Myser's collection is a wonderful and rich explora

Bioethics: The Basics (The Basics)

by Alastair V. Campbell

Bioethics: The Basics is an introduction to the foundational principles, theories and issues in the study of medical and biological ethics. Readers are introduced to bioethics from the ground up before being invited to consider some of the most controversial but important questions facing us today. Topics addressed include: the range of moral theories underpinning bioethics arguments for the rights and wrongs of abortion, euthanasia and animal research health care ethics including the nature of the practitioner-patient relationship public policy ethics and the implications of global and public health ‘3 parents’, enhancement, incidental findings and nudge approaches in health care. This thoroughly revised second edition provides a concise, readable and authoritative introduction for anyone interested in the study of bioethics.

Bioethics Beyond Altruism: Donating and Transforming Human Biological Materials

by Rhonda M Shaw

This book departs from conventional bioethics approaches to consider the different moral and political economies involved in the donation and transformation of human organs, gametes, stem cells and breastmilk. Collectively, the authors draw attention to the different values associated with research and therapy on body part and tissue exchange through an examination of altruism, gift and commodity relations. They expertly discuss issues such as the bioethical conundrums around the circulation and use of human biological materials and services as well as their legal and regulatory limits, the economic benefits and health values attributed to various body parts and products, and the matter of immaterial labour and affective relations between donors, recipients and others involved in tissue provision.Based on new empirical research, this interdisciplinary collection of original and timely essays will be of interest to students and researchers in gender and cultural studies, sociology, anthropology, science and technology studies, as well as medical professionals with an interest in health and reproduction.

Bioethics Critically Reconsidered: Having Second Thoughts (Philosophy and Medicine #100)

by H. Tristram Engelhardt

Bioethics developed as an academic and clinical discipline during the later part of the 20th century due to a variety of factors. Crucial to this development was the increased secularization of American culture as well as the dissolution of medicine as a quasi-guild with its own professional ethics. In the context of this moral vacuum, bioethics came into existence. Its raison d’être was opposition to the alleged paternalism of the medical community and traditional moral frameworks, yet at the same time it set itself up as a source of moral authority with respect to biomedical decision making. Bioethics serves as biopolitics in so far as it attempts to make determinations about how individuals ought to make medical decisions and then attempts to codify that in law. Progressivism and secularism are ultimately the ideology of bioethics.

Bioethics for Beginners: 60 Cases and Cautions from the Moral Frontier of Healthcare

by Glenn McGee

How far is too far? 60 cases illustrating modern bioethical dilemmas Bioethics for Beginners maps the giant dilemmas posed by new technologies and medical choices, using 60 cases taken from our headlines, and from the worlds of medicine and science. This eminently readable book takes it one case at a time, shedding light on the social, economic and legal side of 21st century medicine while giving the reader an informed basis on which to answer personal, practical questions. Unlocking the debate behind the headlines, this book combines clear thinking with the very latest in science and medicine, enabling readers to decide for themselves exactly what the scientific future should hold.

Bioethics for Beginners: 60 Cases and Cautions from the Moral Frontier of Healthcare

by Glenn McGee

How far is too far? 60 cases illustrating modern bioethical dilemmas Bioethics for Beginners maps the giant dilemmas posed by new technologies and medical choices, using 60 cases taken from our headlines, and from the worlds of medicine and science. This eminently readable book takes it one case at a time, shedding light on the social, economic and legal side of 21st century medicine while giving the reader an informed basis on which to answer personal, practical questions. Unlocking the debate behind the headlines, this book combines clear thinking with the very latest in science and medicine, enabling readers to decide for themselves exactly what the scientific future should hold.

Bioethics from a Faith Perspective: Ethics in Health Care for the Twenty-First Century

by Jack T Hanford Harold G Koenig

Discover the spiritual community's position on bioethics issues!Bioethics from a Faith Perspective: Ethics in Health Care for the Twenty-First Century offers a meaningful, rational, faith-oriented framework for deciding how to deal with important biomedical health care issues. Organ donation, managed care, the Human Genome Project, and medical technology that keeps people alive beyond their “natural” life span are some of the topics it illuminates through case analysis and resolution. Since almost all textbooks in bioethics omit the religious dimension of life (even though the field was inspired and stimulated by religious scholars at Princeton and Yale), this is an indispensable volume.While most people state their moral positions from the background of their religious traditions, many have not had the opportunity to study the relation between their faith perspectives and the difficult issues that arise in the pursuit of health care. This book shows the relevance, significance, and guidance that a faith perspective can offer for dealing with bioethical issues.This unique and thoughtful book: shows you how to distinguish and describe the relation between technical and ethical aspects of health-related issues provides you with a framework of moral principles, theories, values, and faith viewpoints teaches you the defining characteristics of a moral professional-client relationship related to faith helps you to discern when medical ethics and faith commitments are therapeutic and when they are not gives examples describing a moral problem, a faith perspective, and a justified position on that problemSince bioethics has been an amazing story of growth from the 1950s to the present day and is still expanding, there will be changes. Bioethics from a Faith Perspective stimulates that expansion by including the religious dimension. It is the perfect supplement to the existing literature on the subject.

Bioethics from a Faith Perspective: Ethics in Health Care for the Twenty-First Century

by Jack T Hanford Harold G Koenig

Discover the spiritual community's position on bioethics issues!Bioethics from a Faith Perspective: Ethics in Health Care for the Twenty-First Century offers a meaningful, rational, faith-oriented framework for deciding how to deal with important biomedical health care issues. Organ donation, managed care, the Human Genome Project, and medical technology that keeps people alive beyond their “natural” life span are some of the topics it illuminates through case analysis and resolution. Since almost all textbooks in bioethics omit the religious dimension of life (even though the field was inspired and stimulated by religious scholars at Princeton and Yale), this is an indispensable volume.While most people state their moral positions from the background of their religious traditions, many have not had the opportunity to study the relation between their faith perspectives and the difficult issues that arise in the pursuit of health care. This book shows the relevance, significance, and guidance that a faith perspective can offer for dealing with bioethical issues.This unique and thoughtful book: shows you how to distinguish and describe the relation between technical and ethical aspects of health-related issues provides you with a framework of moral principles, theories, values, and faith viewpoints teaches you the defining characteristics of a moral professional-client relationship related to faith helps you to discern when medical ethics and faith commitments are therapeutic and when they are not gives examples describing a moral problem, a faith perspective, and a justified position on that problemSince bioethics has been an amazing story of growth from the 1950s to the present day and is still expanding, there will be changes. Bioethics from a Faith Perspective stimulates that expansion by including the religious dimension. It is the perfect supplement to the existing literature on the subject.

Bioethics, Genetics and Sport (Ethics and Sport)

by Silvia Camporesi Mike McNamee

Advances in genetics and related biotechnologies are having a profound effect on sport, raising important ethical questions about the limits and possibilities of the human body. Drawing on real case studies and grounded in rigorous scientific evidence, this book offers an ethical critique of current practices and explores the intersection of genetics, ethics and sport. Written by two of the world's leading authorities on the ethics of biotechnology in sport, the book addresses the philosophical implications of the latest scientific developments and technological data. Distinguishing fact from popular myth and science fiction, it covers key topics such as the genetic basis of sport performance and the role of genetic testing in talent identification and development. Its ten chapters discuss current debates surrounding issues such as the shifting relationship between genetics, sports medicine and sports science, gene enhancement, gene transfer technology, doping and disability sport. The first book to be published on this important subject in more than a decade, this is fascinating reading for anyone with an interest in the ethics of sport, bioethics or sport performance.

Bioethics, Genetics and Sport (Ethics and Sport)

by Silvia Camporesi Mike McNamee

Advances in genetics and related biotechnologies are having a profound effect on sport, raising important ethical questions about the limits and possibilities of the human body. Drawing on real case studies and grounded in rigorous scientific evidence, this book offers an ethical critique of current practices and explores the intersection of genetics, ethics and sport. Written by two of the world's leading authorities on the ethics of biotechnology in sport, the book addresses the philosophical implications of the latest scientific developments and technological data. Distinguishing fact from popular myth and science fiction, it covers key topics such as the genetic basis of sport performance and the role of genetic testing in talent identification and development. Its ten chapters discuss current debates surrounding issues such as the shifting relationship between genetics, sports medicine and sports science, gene enhancement, gene transfer technology, doping and disability sport. The first book to be published on this important subject in more than a decade, this is fascinating reading for anyone with an interest in the ethics of sport, bioethics or sport performance.

Bioethics, Healthcare and the Soul (Routledge Advances in the Medical Humanities)

by Henk ten Have Renzo Pegoraro

This thought-provoking book explores the connections between health, ethics, and soul. It analyzes how and why the soul has been lost from scientific discourses, healthcare practices, and ethical discussions, presenting suggestions for change. Arguing that the dominant scientific worldview has eradicated talk about the soul and presents an objective and technical approach to human life and its vulnerabilities, Ten Have and Pegoraro look to rediscover identity, humanity, and meaning in healthcare and bioethics. Taking a mulitidisciplinary approach, they investigate philosophical, scientific, historical, cultural, social, religious, economic, and environmental perspectives as they journey toward a new, global bioethics, emphasizing the role of the moral imagination. Bioethics, Healthcare and the Soul is an important read for students, researchers, and practitioners interested in bioethics and person-centred healthcare.

Bioethics, Healthcare and the Soul (Routledge Advances in the Medical Humanities)

by Henk ten Have Renzo Pegoraro

This thought-provoking book explores the connections between health, ethics, and soul. It analyzes how and why the soul has been lost from scientific discourses, healthcare practices, and ethical discussions, presenting suggestions for change. Arguing that the dominant scientific worldview has eradicated talk about the soul and presents an objective and technical approach to human life and its vulnerabilities, Ten Have and Pegoraro look to rediscover identity, humanity, and meaning in healthcare and bioethics. Taking a mulitidisciplinary approach, they investigate philosophical, scientific, historical, cultural, social, religious, economic, and environmental perspectives as they journey toward a new, global bioethics, emphasizing the role of the moral imagination. Bioethics, Healthcare and the Soul is an important read for students, researchers, and practitioners interested in bioethics and person-centred healthcare.

Bioethics in a European Perspective (International Library of Ethics, Law, and the New Medicine #8)

by H. A. Ten Have Bert Gordijn

This book gives an overview of the most salient themes in present-day bioethics. The book focuses on perspectives typical for the European context. This highlights not only particular bioethical themes such as social justice, choices in health care, and health policy (e.g., in post-communist countries), it also emphasizes specific approaches in ethical theory, in relation to Continental philosophies such as phenomenology and hermeneutics.

Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making

by Thomas May

Issues concerning patients' rights are at the center of bioethics, but the political basis for these rights has rarely been examined. In Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making, Thomas May offers a compelling analysis of how the political context of liberal constitutional democracy shapes the rights and obligations of both patients and health care professionals. May focuses on how a key feature of liberal society—namely, an individual's right to make independent decisions—has an impact on the most important relational facets of health care, such as patients' autonomy and professionals' rights of conscience.Although a liberal political framework protects individual judgments, May asserts that this right is based on the assumption of an individual's competency to make sound decisions. May uses case studies to examine society's approach to medical decision making when, for reasons ranging from age to severe mental disorder, a person lacks sufficient competency to make independent and fully informed choices. To protect the autonomy of these vulnerable patients, May emphasizes the need for health care ethics committees and ethics consultants to help guide the decision-making process in clinical settings. Bioethics in a Liberal Society is essential reading for all those interested in understanding how bioethics is practiced within our society.

Bioethics in America: Origins and Cultural Politics

by M. L. Stevens

In Bioethics in America, Tina Stevens challenges the view that the origins of the bioethics movement can be found in the 1960s, a decade mounting challenges to all variety of authority. Instead, Stevens sees bioethics as one more product of a "centuries-long cultural legacy of American ambivalence toward progress," and she finds its modern roots in the responsible science movement that emerged following detonation of the atomic bomb.Rather than challenging authority, she says, the bioethics movement was an aid to authority, in that it allowed medical doctors and researchers to proceed on course while bioethicists managed public fears about medicine's new technologies. That is, the public was reassured by bioethical oversight of biomedicine; in reality, however, bioethicists belonged to the same mainstream that produced the doctors and researchers whom the bioethicists were guiding.

Bioethics in Cultural Contexts: Reflections on Methods and Finitude (International Library of Ethics, Law, and the New Medicine #28)

by Christoph Rehmann-Sutter Marcus Düwell Dietmar Mieth

CHRISTOPH REHMANN-SUTTER, MARCUS DÜWELL, DIETMAR MIETH When we placed “finitude”, “limits of human existence” as a motto over a round of discussion on biomedicine and bioethics (which led to this collection of essays) we did not know how far this would lead us into methodological quandaries. However, we felt intuitively that an interdisciplinary approach including social and cultural sciences would have an advantage over a solely disciplinary (philosophical or theological) analysis. Bioethics, if it is to have adequate discriminatory power, should include sensitivity to the cultural contexts of biomedicine, and also to the cultural contexts of bioethics itself. Context awareness, of course, is not foreign to philosophical or theological bioethics, for the simple reason that the issues tackled in the debates (as in other fields of ethics) could not be adequately understood outside their contexts. Moral issues are always accompanied by contexts. When we try to unpack them – which is necessary to make them accessible to ethical discussion – we are regularly confronted with the fact that in removing too much of the context we do not clarify an issue, but make it less comprehensible. The context – at least some essential parts of it – is intrinsic to the issue. Unpacking in ethics is therefore a different procedure. It does not mean peeling the context off, but rather identifying which contextual elements are essential for an understanding of the key moral aspects of the issue, and explaining how they establish its particular character.

Bioethics in Law

by Bethany Spielman

This groundbreaking volume is the first to analyze how and to what extent bioethics considerations influence today's judges. Previous books have attended to the law that governs bioethics problems, but this is the first to examine when and how bioethical issues impact judicial reasoning and decision-making. The volume examines the cutting-edge of the relationship of bioethics to law, and explores how law receives, assesses, and uses bioethics.

Bioethics in the Pediatric ICU: Ethical Dilemmas Encountered in the Care of Critically Ill Children (International Library of Ethics, Law, and the New Medicine #77)

by Laura Miller-Smith John D. Lantos Ásdís Finnsdóttir Wagner

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting. Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children. Chapters include case examples with guidance on how to work through similar difficulties and decision-making. While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.

The Bioethics of Pain Management: Beyond Opioids (Routledge Annals of Bioethics)

by Daniel S. Goldberg

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

The Bioethics of Pain Management: Beyond Opioids (Routledge Annals of Bioethics)

by Daniel S. Goldberg

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

The Bioethics of Regenerative Medicine (Philosophy and Medicine #102)

by King-Tak Ip

Regenerative medicine is rich with promethean promises. The use of human embryonic stem cells in research is justified by its advocates in terms of promises to cure a wide range of diseases and disabilities, from Alzheimer’s and Parkinsonism to the results of heart attacks and spinal cord injuries. More broadly, there is the promethean allure of being able to redesign human biological nature in terms of the goals and concerns of humans. Needless to say, these allures and promises have provoked a wide range of not just moral but metaphysical reflections that reveal and reflect deep fault-lines in our cultures. The essays in this volume, directly and indirectly, present the points of controversy as they tease out the character of the moral issues that confront any attempt to develop the human regenerative technologies that might move us from a human to a post-human nature. Although one can appreciate the disputes as independently philosophical, they are surely also a function of the conflict between a Christian and a post-Christian culture, in that Christianity has from its beginning recognized a fundamental prohibition against the taking of early human life. Even the philosophical disputes that frame secular bioethics are often motivated and shaped by these background cultural conflicts. These essays display this circumstance in rich ways.

Bioethics, Public Health, and the Social Sciences for the Medical Professions: An Integrated, Case-Based Approach

by Amy E. Caruso Brown Travis R. Hobart Cynthia B. Morrow

This unique textbook utilizes an integrated, case-based approach to explore how the domains of bioethics, public health and the social sciences impact individual patients and populations. It provides a structured framework suitable for both educators (including course directors and others engaged in curricular design) and for medical and health professions students to use in classroom settings across a range of clinical areas and allied health professions and for independent study.The textbook opens with an introduction, describing the intersection of ethics and public health in clinical practice and the six key themes that inform the book's core learning objectives, followed by a guide to using the book. It then presents 22 case studies that address a broad spectrum of patient populations, clinical settings, and disease pathologies. Each pair of cases shares a core concept in bioethics or public health, from community perspectives and end-of-life care to medical mistakes and stigma and marginalization. They engage learners in rigorous clinical and ethical reasoning by prompting readers to make choices based on available information and then providing additional information to challenge assumptions, simulating clinical decision-making. In addition to providing a unique, detailed clinical scenario, each case is presented in a consistent format, which includes learning objectives, questions and responses for self-directed learning, questions and responses for group discussion, references, and suggested further reading. All cases integrate the six themes of patient- and family-centered care; evidence-based practice; structural competency; biases in decision-making; cultural humility and awareness of the culture of medicine; and justice, social responsibility and advocacy. The final section discusses some challenges to evaluating courses and learning encounters that adopt the cases and includes a model framework for learner assessment.

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