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Leadership in palliative medicine: moral, ethical and educational
BACKGROUND: Making particular use of Shale’s analysis, this paper discusses the notion of leadership in the context of palliative medicine. Whilst offering a critical perspective, I build on the philosophy of palliative care offered by Randall and Downie and suggest that the normative structure of t...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989463/ https://www.ncbi.nlm.nih.gov/pubmed/29871680 http://dx.doi.org/10.1186/s12910-018-0296-z |
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author | Emmerich, Nathan |
author_facet | Emmerich, Nathan |
author_sort | Emmerich, Nathan |
collection | PubMed |
description | BACKGROUND: Making particular use of Shale’s analysis, this paper discusses the notion of leadership in the context of palliative medicine. Whilst offering a critical perspective, I build on the philosophy of palliative care offered by Randall and Downie and suggest that the normative structure of this medical speciality has certain distinctive features, particularly when compared to that of medicine more generally. I discuss this in terms of palliative medicine’s distinctive morality or ethos, albeit one that should still be seen in terms of medical morality or the ethos of medicine. MAIN TEXT: I argue that, in the context of multi-disciplinary teamwork, the particular ethos of palliative medicine means that healthcare professionals who work within this speciality are presented with distinct opportunities for leadership and the dissemination of the moral and ethical norms that guide their practice. I expand on the nature of this opportunity by further engaging with Shale’s work on leadership in medicine, and by more fully articulating the notion of moral ethos in medicine and its relation to the more formal notion of medical ethics. Finally, and with reference to the idea of medical education as both on going and as an apprenticeship, I suggest that moral and ethical leadership in palliative medicine may have an inherently educational quality and a distinctively pedagogical dimension. CONCLUSIONS: The nature of palliative medicine is such that it often involves caring for patients who are still receiving treatment from other specialists. Whilst this can create tension, it also provides an opportunity for palliative care professionals to disseminate the philosophy that underpins their practice, and to offer leadership with regard to the moral and ethical challenges that arise in the context of End of Life Care. |
format | Online Article Text |
id | pubmed-5989463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59894632018-06-21 Leadership in palliative medicine: moral, ethical and educational Emmerich, Nathan BMC Med Ethics Debate BACKGROUND: Making particular use of Shale’s analysis, this paper discusses the notion of leadership in the context of palliative medicine. Whilst offering a critical perspective, I build on the philosophy of palliative care offered by Randall and Downie and suggest that the normative structure of this medical speciality has certain distinctive features, particularly when compared to that of medicine more generally. I discuss this in terms of palliative medicine’s distinctive morality or ethos, albeit one that should still be seen in terms of medical morality or the ethos of medicine. MAIN TEXT: I argue that, in the context of multi-disciplinary teamwork, the particular ethos of palliative medicine means that healthcare professionals who work within this speciality are presented with distinct opportunities for leadership and the dissemination of the moral and ethical norms that guide their practice. I expand on the nature of this opportunity by further engaging with Shale’s work on leadership in medicine, and by more fully articulating the notion of moral ethos in medicine and its relation to the more formal notion of medical ethics. Finally, and with reference to the idea of medical education as both on going and as an apprenticeship, I suggest that moral and ethical leadership in palliative medicine may have an inherently educational quality and a distinctively pedagogical dimension. CONCLUSIONS: The nature of palliative medicine is such that it often involves caring for patients who are still receiving treatment from other specialists. Whilst this can create tension, it also provides an opportunity for palliative care professionals to disseminate the philosophy that underpins their practice, and to offer leadership with regard to the moral and ethical challenges that arise in the context of End of Life Care. BioMed Central 2018-06-05 /pmc/articles/PMC5989463/ /pubmed/29871680 http://dx.doi.org/10.1186/s12910-018-0296-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Debate Emmerich, Nathan Leadership in palliative medicine: moral, ethical and educational |
title | Leadership in palliative medicine: moral, ethical and educational |
title_full | Leadership in palliative medicine: moral, ethical and educational |
title_fullStr | Leadership in palliative medicine: moral, ethical and educational |
title_full_unstemmed | Leadership in palliative medicine: moral, ethical and educational |
title_short | Leadership in palliative medicine: moral, ethical and educational |
title_sort | leadership in palliative medicine: moral, ethical and educational |
topic | Debate |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989463/ https://www.ncbi.nlm.nih.gov/pubmed/29871680 http://dx.doi.org/10.1186/s12910-018-0296-z |
work_keys_str_mv | AT emmerichnathan leadershipinpalliativemedicinemoralethicalandeducational |