When Doctors Disagree: A Case-Based Discussion of Pro-Active Ethics

Casey Drubin, C. Corbin Frye, Douglas Brown, Piroska Kopar

Research output: Contribution to journalArticlepeer-review


This article addresses a common yet rarely discussed aspect of hospital care-a pro-active approach to ethical dilemmas. Potential ethical conflicts often present warning signs to clinicians, analogous to the warning lights on a car's dashboard. Using a recent case study, a commonly encountered clinical decision-a conflict about whether to terminally extubate a critically ill patient versus whether to offer a tracheostomy-we describe a pro-active approach to ethical conflicts and outline three learning objectives: (1) the need for a robust understanding of the term "futility," (2) the need for an appreciation the various and often conflicting interpretations of "improved/improving," and (3) the need to understand the challenges of surrogate decision making.

Original languageEnglish
Pages (from-to)61-68
Number of pages8
JournalThe Journal of clinical ethics
Issue number1
StatePublished - Mar 1 2021


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