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Variation in Clinical Ethics Fellowship Programs: Lessons from the Field.

Bryanna Moore¹, Claire Horner²

¹Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas USA. bryanna.moore@bcm.edu.

The Journal of Clinical Ethics

|September 22, 2020

Summary

Clinical ethics fellowship programs vary widely, raising questions about training quality. Sharing program specifics can improve consistency and acknowledge local differences in clinical ethics training.

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Area of Science:

Bioethics
Medical Education

Background:

The quality and appropriate training for clinical ethics consultation are debated.
Variation exists in clinical ethics fellowship program structures and content.
This variation raises concerns about the consistency and value of fellowship training.

Purpose of the Study:

To summarize lessons learned from discussions on clinical ethics fellowship training.
To propose ways to address variation in fellowship programs and training.
To advocate for greater transparency in fellowship training specifics.

Main Methods:

Discussions between fellows, mentors, and program directors at the 2020 Clinical Ethics UnConference.
Summarizing lessons learned from these discussions.
Outlining potential strategies for advancing conversations on fellowship training variation.

Main Results:

Fellowship program specifics are often internal, making the extent and impact of variation unclear.
Open sharing of training specifics is proposed to break down program silos.
Greater transparency can facilitate reflection, refinement of training practices, and balancing consistency with local variations.

Conclusions:

Addressing variation in clinical ethics fellowship programs is crucial for ensuring consistent, high-quality training.
Increased transparency and open sharing of training details are recommended.
Balancing standardized training with local adaptability is essential for effective clinical ethics consultation.