5 found
  1.  18
    Teaching Practical Wisdom in Medicine Through Clinical Judgement, Goals of Care, and Ethical Reasoning.L. C. Kaldjian - 2010 - Journal of Medical Ethics 36 (9):558-562.
    Clinical decision making is a challenging task that requires practical wisdom—the practised ability to help patients choose wisely among available diagnostic and treatment options. But practical wisdom is not a concept one typically hears mentioned in medical training and practice. Instead, emphasis is placed on clinical judgement. The author draws from Aristotle and Aquinas to describe the virtue of practical wisdom and compare it with clinical judgement. From this comparison, the author suggests that a more complete understanding of clinical judgement (...)
    Direct download (6 more)  
    Export citation  
    Bookmark   6 citations  
  2.  57
    Internists' Attitudes Towards Terminal Sedation in End of Life Care.L. C. Kaldjian - 2004 - Journal of Medical Ethics 30 (5):499.
    Objective: To describe the frequency of support for terminal sedation among internists, determine whether support for terminal sedation is accompanied by support for physician assisted suicide , and explore characteristics of internists who support terminal sedation but not assisted suicide.Design: A statewide, anonymous postal survey.Setting: Connecticut, USA.Participants: 677 Connecticut members of the American College of Physicians.Measurements: Attitudes toward terminal sedation and assisted suicide; experience providing primary care to terminally ill patients; demographic and religious characteristics.Results: 78% of respondents believed that if (...)
    Direct download (8 more)  
    Export citation  
    Bookmark   7 citations  
  3.  55
    Through Students' Eyes: Ethical and Professional Issues Identified by Third-Year Medical Students During Clerkships.L. C. Kaldjian, M. E. Rosenbaum, L. A. Shinkunas, J. C. Woodhead, L. M. Antes, J. A. Rowat & V. L. Forman-Hoffman - 2012 - Journal of Medical Ethics 38 (2):130-132.
    Backround Education in ethics and professionalism should reflect the realities medical students encounter in the hospital and clinic. Method We performed content analyses on Case Observation and Assessments (COAs) written by third-year medical students about ethical and professional issues encountered during their internal medicine and paediatrics clinical clerkships. Results A cohort of 141 third-year medical students wrote 272 COAs. Content analyses identified 35 subcategories of ethical and professional issues within 7 major domains: decisions regarding treatment (31.4%), communication (21.4%), professional duties (...)
    Direct download (7 more)  
    Export citation  
    Bookmark   3 citations  
  4.  51
    Code Status Discussions and Goals of Care Among Hospitalised Adults.L. C. Kaldjian, Z. D. Erekson, T. H. Haberle, A. E. Curtis, L. A. Shinkunas, K. T. Cannon & V. L. Forman-Hoffman - 2009 - Journal of Medical Ethics 35 (6):338-342.
    Background and objective: Code status discussions may fail to address patients’ treatment-related goals and their knowledge of cardiopulmonary resuscitation (CPR). This study aimed to investigate patients’ resuscitation preferences, knowledge of CPR and goals of care. Design, setting, patients and measurements: 135 adults were interviewed within 48 h of admission to a general medical service in an academic medical centre, querying code status preferences, knowledge about CPR and its outcome probabilities and goals of care. Medical records were reviewed for clinical information (...)
    Direct download (5 more)  
    Export citation  
    Bookmark   3 citations  
  5.  39
    Do Faculty and Resident Physicians Discuss Their Medical Errors?L. C. Kaldjian, V. L. Forman-Hoffman, E. W. Jones, B. J. Wu, B. H. Levi & G. E. Rosenthal - 2008 - Journal of Medical Ethics 34 (10):717-722.
    Background: Discussions about medical errors facilitate professional learning for physicians and may provide emotional support after an error, but little is known about physicians’ attitudes and practices regarding error discussions with colleagues.Methods: Survey of faculty and resident physicians in generalist specialties in Midwest, Mid-Atlantic and Northeast regions of the US to investigate attitudes and practices regarding error discussions, likelihood of discussing hypothetical errors, experience role-modelling error discussions and demographic variables.Results: Responses were received from 338 participants . In all, 73% of (...)
    Direct download (3 more)  
    Export citation  
    Bookmark   2 citations