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Updated: May 9, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A response to Dubler's commentary on "surmounting elusive barriers: the case for bioethics mediation"
1Penn Clinical Ethics Mediation Program, Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, USA. ejb@gear3.net
Abstract:
Dubler's commentary focuses on knowledge of clinical medicine and "institutional savvy" as pieces of the skill set required of bioethics mediators. Here, I describe why, as a practical matter, such requirements are unlikely to be achieved by a meaningful number of aspirants. Simultaneously, I examine the reasons why Dubler's criteria are inherently risk-laden and would be better addressed as a dialogue among experienced practitioners regarding the merits of alternative stylistic approaches, rather than as universal threshold criteria for the practice of bioethics mediation.
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