16 found
Order:
  1. In Loco Parentis Minimal Risk as an Ethical Threshold for Research Upon Children.Benjamin Freedman, Abraham Fuks & Charles Weijer - 1993 - Hastings Center Report 23 (2):13-19.
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   36 citations  
  2.  17
    Engagement and Practical Wisdom in Clinical Practice: A Phenomenological Study.Michael Saraga, Donald Boudreau & Abraham Fuks - 2019 - Medicine, Health Care and Philosophy 22 (1):41-52.
    In order to understand the lived experiences of physicians in clinical practice, we interviewed eleven expert, respected clinicians using a phenomenological interpretative methodology. We identified the essence of clinical practice as engagement. Engagement accounts for the daily routine of clinical work, as well as the necessity for the clinician to sometimes trespass common boundaries or limits. Personally engaged in the clinical situation, the clinician is able to create a space/time bubble within which the clinical encounter can unfold. Engagement provides an (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  3.  19
    The Humanities in Medical Education: Ways of Knowing, Doing and Being.J. Donald Boudreau & Abraham Fuks - 2015 - Journal of Medical Humanities 36 (4):321-336.
    The personhood of the physician is a crucial element in accomplishing the goals of medicine. We review claims made on behalf of the humanities in guiding professional identity formation. We explore the dichotomy that has evolved, since the Renaissance, between the humanities and the natural sciences. The result of this evolution is an historic misconstrual, preoccupying educators and diverting them from the moral development of physicians. We propose a curricular framework based on the recovery of Aristotelian concepts that bridge identity (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  4.  26
    The Foundation of Physicianship.Abraham Fuks, James Brawer & J. Donald Boudreau - 2012 - Perspectives in Biology and Medicine 55 (1):114-126.
    The practice of medicine involves continual change, driven by a constant stream of developments in the understanding of biological structure and function relevant to human diseases, and the parallel improvements in pharmacologic and other technological interventions. This change is also driven by evolving social philosophies, ethical trends, and lifestyles. As products of society, doctors absorb contemporary values and norms. Indeed, it would appear that the ethical norms and standards of medical practice are flexible, and that the characteristics of medical practice (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  5.  32
    George Engel’s Epistemology of Clinical Practice.Michael Saraga, Abraham Fuks & J. Donald Boudreau - 2014 - Perspectives in Biology and Medicine 57 (4):482-494.
    This article is intended to revive, through a critical reinterpretation, the bio-psychosocial model of George Engel. Engel’s first description in 1977, was very broad, encompassing too many aspects of medicine. In his later work, he focused his model as an epistemology for clinical medicine. However, what medicine mostly retained were minor aspects of the 1977 article, namely a multi-factorial approach to the etiology of diseases and a call to complement biomedicine with a psychosocial concern in order to re-humanize medicine. We (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  6.  8
    Reflection in Medical Education: Intellectual Humility, Discovery, and Know-How.Edvin Schei, Abraham Fuks & J. Donald Boudreau - 2019 - Medicine, Health Care and Philosophy 22 (2):167-178.
    Reflection has been proclaimed as a means to help physicians deal with medicine’s inherent complexity and remedy many of the shortcomings of medical education. Yet, there is little agreement on the nature of reflection nor on how it should be taught and practiced. Emerging neuroscientific concepts suggest that human thought processes are largely nonconscious, in part inaccessible to introspection. Our knowledge of the world is fraught with uncertainty, ignorance and indeterminacy, and influenced by emotion, biases and illusions, including the illusion (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  7.  42
    Demarcating Research and Treatment: A Systematic Approach for the Analysis of the Ethics of Clinical Research.Benjamin Freedman, Abraham Fuks & Charles Weijer - unknown
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark   9 citations  
  8.  20
    Monitoring Clinical Research: An Obligation Unfulfilled.Charles Weijer, Stanley Shapiro, Abraham Fuks, Kathleen Cranley Glass & Myriam Skrutkowska - unknown
    The revelation that data obtained for the US-based National Surgical Adjuvant Breast and Bowel Project (NSABP) from subjects enrolled at Hôpital Saint-Luc in Montreal was falsified has eroded public trust in research. Institutions can educate researchers and help prevent unethical research practices by establishing procedures to monitor research involving human subjects. Research monitoring encompasses four categories of activity: annual reviews of continuing research, monitoring of informed consent, monitoring of adherence to approved protocols and monitoring of the integrity of data. The (...)
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark   8 citations  
  9.  12
    The Duty to Exclude: Excluding People at Undue Risk From Research.Charles Weijer & Abraham Fuks - unknown
    The clinical trial is the major investigational tool of clinical medicine. Two recent reports highlight the fact that the most often quoted mechanisms for the protection of research subjects, viz., research ethics board review and eligibility criteria, are insufficient to achieve this end. In this paper, we argue that the prime mechanism for the protection of persons in clinical trials should be the clinical judgement of the physician-investigator. The clinical investigator has a duty to protect subjects from both harm and (...)
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark   4 citations  
  10.  19
    What Difference Does It Make to Be Treated in a Clinical Trial? A Pilot Study.Charles Weijer, Benjamin Freedman, Abraham Fuks, James Robbins, Stanley Shapiro & Myriam Skrutkowska - unknown
    OBJECTIVE: Pilot study to characterize treatment differences between patients treated in clinical trials and those treated in a clinical setting. Previous studies have shown higher survival rates for participants in trials of cancer therapy. This difference is observed even after rates are adjusted for important covariates such as age and stage of disease. DESIGN: Retrospective chart review. SETTING: Oncology outpatient department in a tertiary care hospital. PATIENTS: Ninety women 18 to 70 years of age with early-stage breast cancer who were (...)
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark   2 citations  
  11.  11
    A Study in Contrasts: Eligibility Criteria in a Twenty-Year Sample of NSABP and POG Clinical Trials.Abraham Fuks, Charles Weijer, Benjamin Freedman, Stanley Shapiro, Myriam Skrutkowska & Amina Riaz - unknown
    We studied changes in eligibility criteria--the largest impediment to patient accrual--in two samples of clinical trials. Trials from the NSABP (National Surgical Adjuvant Breast and Bowel Program) and POG (Pediatric Oncology Group) were analyzed. After eliminating duplications, the criteria in each protocol were enumerated and classified according to a novel schema. NSABP trials contained significantly more criteria than POG trials, and added precision criteria (making study populations homogeneous) at a faster rate than POG studies. The difference between NSABP studies (explanatory (...)
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark   1 citation  
  12.  12
    Monitoring Informed Consent in an Oncology Study Posing Serious Risk to Subjects.Myrian Skrutkowski, Charles Weijer, Stan Shapiro, Abraham Fuks, Adrian Langleben & Benjamin Freedman - 1998 - IRB: Ethics & Human Research 20 (6):1-6.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  13.  1
    Joining the Club.Abraham Fuks - 2018 - Perspectives in Biology and Medicine 61 (2):279-293.
    Medical students gather lessons from what they observe and experience in the hospital and the clinic. The daily, generally undocumented events constitute significant formative influences on the developing identities of these nascent physicians. These experiences shape the students' attitudes towards their patients, help form their own identities, and affect their confidence in their chosen profession. And yet, these critical pedagogical forces rarely come to the attention of their teachers, who remain unaware of the powerful formative features of the clinical learning (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  14.  15
    An empirical and philosophical exploration of clinical practice.Michael Saraga, Donald Boudreau & Abraham Fuks - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-11.
    BackgroundPrevious empirical work among physicians has led us to propose that clinical practice is experienced by clinicians as an engagement-in-the-clinical-situation. In this study, we pursue our exploration of clinical practice ‘on its own terms’ by turning to the experience of patients.MethodsPhenomenological analysis of in-depth individual interviews with 8 patients.ResultsWe describe the patient experience as a set of three motifs: the shock on the realization of the illness, the chaos of the health care environment, and the anchor point provided by an (...)
    Direct download (8 more)  
    Translate
     
     
    Export citation  
     
    Bookmark  
  15.  1
    An empirical and philosophical exploration of clinical practice.Michael Saraga, Donald Boudreau & Abraham Fuks - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-11.
    BackgroundPrevious empirical work among physicians has led us to propose that clinical practice is experienced by clinicians as an engagement-in-the-clinical-situation. In this study, we pursue our exploration of clinical practice ‘on its own terms’ by turning to the experience of patients.MethodsPhenomenological analysis of in-depth individual interviews with 8 patients.ResultsWe describe the patient experience as a set of three motifs: the shock on the realization of the illness, the chaos of the health care environment, and the anchor point provided by an (...)
    No categories
    Direct download (7 more)  
    Translate
     
     
    Export citation  
     
    Bookmark  
  16.  15
    Assessing the Interpretation of Criteria for Clinical Trial Eligibility: A Survey of Oncology Investigators.Charles Weijer, Benjamin Freedman, Stanley Shapiro, Abraham Fuks, Myriam Skrutkowska & Maria Sigurjonsdottir - unknown
    OBJECTIVE: To investigate whether eligibility criteria that exclude the elderly, persons with psychiatric disease, and persons with substance abuse problems from participation in randomized controlled trials (RCTs) are subjective and hence a source of variability in enrolment decisions and investigator uncertainty. DESIGN: Survey questionnaire. PARTICIPANTS: Cancer investigators from the United States and Canada. INTERVENTIONS: Investigators were presented with clinical vignettes from 3 patient categories--eligible, ineligible and uncertain--for each of 5 eligibility criteria--3 subjective and 2 objective--and were asked whether they would (...)
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark