Document Detail


How certain are you, doctor?
MedLine Citation:
PMID:  20495506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To argue that pediatric intensive care physicians have difficulties in responding to parental questions about prognostic certainty, and that this constitutes a failure in their professional responsibility to parents.
CONCLUSIONS: These difficulties arise from three sources: 1) the structure and organization of contemporary intensive care, 2) the neglect of prognostication, and 3) the failure to distinguish scientific certainty from practical certainty. It is proposed that an understanding of these issues will enable physicians to respond to the parental question "How certain are you, doctor?" with more authenticity and sincerity.
Authors:
Jonathan Gillis; Bernadette Tobin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies     Volume:  12     ISSN:  1529-7535     ISO Abbreviation:  Pediatr Crit Care Med     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-06     Completed Date:  2011-06-02     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  100954653     Medline TA:  Pediatr Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  71-2     Citation Subset:  IM    
Affiliation:
Pediatric Intensive Care Unit, The Children's Hospital at Westmead, Sydney, New South Wales, Australia. jonathan.gillis@sesiahs.health.nsw.gov.au
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MeSH Terms
Descriptor/Qualifier:
Child
Communication
Female
Humans
Intensive Care Units, Pediatric / organization & administration*
Male
Parents / psychology*
Physician's Role
Professional-Family Relations*
Prognosis
Truth Disclosure*
Comments/Corrections
Comment In:
Pediatr Crit Care Med. 2011 Sep;12(5):607-8; author reply 608   [PMID:  21897171 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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