Educating Resident and Fellow Physicians on the Ethics of Mechanical Circulatory Support.

Journal Article (Journal Article)

Mechanical circulatory support (MCS) such as extracorporeal membrane oxygenation, left ventricular assist devices and total artificial hearts have altered the natural history of heart failure, and specialists in the fields of cardiology and cardiothoracic surgery are faced with more complex ethical considerations than ever before. Residency and fellowship training programs, however, do not have formal curricula in medical ethics as it applies to MCS. In response, this article proposes that ethics be integrated into graduate medical education with a focus on the following 6 constructs: patient best interest, respect for autonomy, informed consent, shared decision making, surrogate decision making, and end-of-life care. Curricula should offer learning experiences that help physicians navigate common ethical challenges encountered in practice.

Full Text

Duke Authors

Cited Authors

  • Sonntag, EA; Shah, KB; Katz, JN

Published Date

  • May 1, 2019

Published In

Volume / Issue

  • 21 / 5

Start / End Page

  • E407 - E415

PubMed ID

  • 31127920

Electronic International Standard Serial Number (EISSN)

  • 2376-6980

Digital Object Identifier (DOI)

  • 10.1001/amajethics.2019.407


  • eng

Conference Location

  • United States