{"title":"Neurosurgery ethics: perspectives from the field, circa 2015.","authors":"Jordan P Amadio","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33122368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.ecas3-1501
Nathan R Selden, Michael M Haglund, Nathan R Selden, Michael M Haglund
Approval of requests for exceptions to duty-hour restrictions from the Accreditation Council for Graduate Medical Education (ACGME) may require increasing the complement of midlevel practitioners, implementing innovative resident scheduling, and using social learning techniques to increase efficiency.
{"title":"Duty-hour exceptions for neurosurgery residency programs.","authors":"Nathan R Selden, Michael M Haglund, Nathan R Selden, Michael M Haglund","doi":"10.1001/virtualmentor.2015.17.01.ecas3-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.ecas3-1501","url":null,"abstract":"Approval of requests for exceptions to duty-hour restrictions from the Accreditation Council for Graduate Medical Education (ACGME) may require increasing the complement of midlevel practitioners, implementing innovative resident scheduling, and using social learning techniques to increase efficiency.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.jdsc1-1501
Jonathan Riley, Jessica Emery
The 2013 BRAIN Research Initiative calls for the integration of ethics into medical education and all levels of research, from hypothesis generation to evaluation, which promises to provide an ethical foundation for all future biomedical research.
{"title":"Integrating ethics into science education and research: report of the presidential commission for the study of bioethical issues.","authors":"Jonathan Riley, Jessica Emery","doi":"10.1001/virtualmentor.2015.17.01.jdsc1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.jdsc1-1501","url":null,"abstract":"The 2013 BRAIN Research Initiative calls for the integration of ethics into medical education and all levels of research, from hypothesis generation to evaluation, which promises to provide an ethical foundation for all future biomedical research.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.oped1-1501
John D Banja
The case of Johnson v Kokemoor illuminates the conflict between patients' right to informed consent and clinicians' need to learn through practice, a conflict that possibly could be resolved through greater transparency about clinicians' experience or experience-dependent medical fees.
{"title":"Disclosure of experience as a risk factor in informed consent for neurosurgery: the case of Johnson v. Kokemoor.","authors":"John D Banja","doi":"10.1001/virtualmentor.2015.17.01.oped1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.oped1-1501","url":null,"abstract":"The case of Johnson v Kokemoor illuminates the conflict between patients' right to informed consent and clinicians' need to learn through practice, a conflict that possibly could be resolved through greater transparency about clinicians' experience or experience-dependent medical fees.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.ecas1-1501
Michael L Kelly
Cognitive biases may negatively affect both patients' and physicians' decision making, especially when the stakes are high and the risks uncertain, so honesty in the patient-physician relationship and recognition of biases is critical.
{"title":"Risk perception, bias, and the role of the patient-doctor relationship in decision making about cerebral aneurysm surgery.","authors":"Michael L Kelly","doi":"10.1001/virtualmentor.2015.17.01.ecas1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.ecas1-1501","url":null,"abstract":"Cognitive biases may negatively affect both patients' and physicians' decision making, especially when the stakes are high and the risks uncertain, so honesty in the patient-physician relationship and recognition of biases is critical.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.medu1-1501
Brian D Rothstein, Warren R Selman
With the advancement of simulation technology and more accurate assessment of competency, simulators will prove beneficial for training neurosurgeons.
{"title":"Evaluating simulation as a teaching tool in neurosurgery.","authors":"Brian D Rothstein, Warren R Selman","doi":"10.1001/virtualmentor.2015.17.01.medu1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.medu1-1501","url":null,"abstract":"With the advancement of simulation technology and more accurate assessment of competency, simulators will prove beneficial for training neurosurgeons.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"33-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.pfor1-1501
George M Ibrahim, Mark Bernstein
Four models of international aid in neurosurgery can be categorized by the level of the commitment and the breadth of applications, each giving rise to a different set of ethical problems that may involve challenges to access, sustainability, equity, or informed consent processes in health care.
{"title":"Models of neurosurgery international aid and their potential ethical pitfalls.","authors":"George M Ibrahim, Mark Bernstein","doi":"10.1001/virtualmentor.2015.17.01.pfor1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.pfor1-1501","url":null,"abstract":"Four models of international aid in neurosurgery can be categorized by the level of the commitment and the breadth of applications, each giving rise to a different set of ethical problems that may involve challenges to access, sustainability, equity, or informed consent processes in health care.","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.1001/virtualmentor.2015.17.01.msoc1-1501
James Giordano
Incising the Brain, Mind, and Self The intricate—and still not fully understood—relationship of the structures and functions of the brain to the properties of consciousness, cognition, emotion, and behavior that define what it is to be a human person represents an important philosophical and pragmatic construct of neurosurgery. Of course, any surgical intervention involves possibilities of changing the physical structure of the body to alter some subjective or objective qualities that are regarded to represent “the self” (one need only consider cosmetic surgery, perhaps the most obvious example). And, like all forms of surgery, neurosurgery possesses certain inherent risks (e.g., infection, hemorrhage), which are of concern when balancing benefits, burdens, and harms. Increasingly, neurosurgical intervention is being regarded as a valid, viable, and valuable option for the treatment of a number of neurological disorders and psychiatric conditions [1-4].
{"title":"A preparatory neuroethical approach to assessing developments in neurotechnology.","authors":"James Giordano","doi":"10.1001/virtualmentor.2015.17.01.msoc1-1501","DOIUrl":"https://doi.org/10.1001/virtualmentor.2015.17.01.msoc1-1501","url":null,"abstract":"Incising the Brain, Mind, and Self The intricate—and still not fully understood—relationship of the structures and functions of the brain to the properties of consciousness, cognition, emotion, and behavior that define what it is to be a human person represents an important philosophical and pragmatic construct of neurosurgery. Of course, any surgical intervention involves possibilities of changing the physical structure of the body to alter some subjective or objective qualities that are regarded to represent “the self” (one need only consider cosmetic surgery, perhaps the most obvious example). And, like all forms of surgery, neurosurgery possesses certain inherent risks (e.g., infection, hemorrhage), which are of concern when balancing benefits, burdens, and harms. Increasingly, neurosurgical intervention is being regarded as a valid, viable, and valuable option for the treatment of a number of neurological disorders and psychiatric conditions [1-4].","PeriodicalId":75209,"journal":{"name":"The virtual mentor : VM","volume":"17 1","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32979781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}