general medicine & ethics 2013

General Medicine and Ethics 2013

www.cambridge.org/generalmedicine2013

Essential Values-Based PracticeClinical Stories Linking Science with People

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K. W. M. (Bill) Fulford, Ed Peile and Heidi Carroll

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“As a primary care physician who has spent over 25 years in the USA caring for patients, teaching and developing curricula, I am continually searching for strategies to help patients, medical students, and physicians get “unstuck” and get on with the business of healing and health. Essential Values-Based Practice: Clinical Stories Linking Science with People provides coherent tools and frameworks that I am eager to use as a provider, a teacher, and a carer. The values-based practice framework outlined in the premise, the process, and the point offers information that can be used to support self-awareness, refl ective practice, and exploration of values – the provider’s and the patient’s.

Alicia D.H. Monroe, MD Vice Dean Educational Affairs, University of South Florida College of Medicine

“Constantly reinforce(s) the reality of value issues in everyday practice.”

Dr Roger Neighbour, Past President Royal College of General Practitioners and author of The Inner Consultation and The Inner Apprentice.

This book will help clinicians acquire and develop the processes and skills of values-based practice. The aim of most patient–clinician consultations is to improve health outcomes. Often they succeed, and patients are satisfi ed and empowered. However, some consultations are unsatisfactory and result in failure to improve health outcomes: dissatisfaction on the part of patients, carers, or clinicians.

When consultations fail to achieve the desired results, the cause is not usually a failure of evidence-based practice. Today’s clinicians are trained in evidence-based medicine, educated, updated, and appraised. The most likely reason why things go wrong is a failure of values-based practice – not ascertaining the relevant values perspectives, and not acting on them in a coherent and purposeful manner.

If you rehearse and practice the elements of values-based practice detailed in this book, you will fi nd your consultations more personally rewarding, and your patients are likely to derive more benefi t.

K. W. M. (Bill) Fulford is Emeritus Professor of Philosophy and Mental Health in the University of Warwick Medical School, Fellow of St. Cross College, and Member of the Faculty of Philosophy, University of Oxford. Between 2005 and 2011, he was Special Advisor for Values-Based Practice for the Department of Health.

Ed Peile is Emeritus Professor of Medical Education in the University of Warwick Medical School. A Fellow of three Medical Royal Colleges, he was awarded the President’s Medal of the Academy of Medical Educators in 2009 for his lifetime contribution to medical education.

Heidi Carroll is a General Practitioner in Aberdeenshire, UK.

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The provision of care within the context of the modern health service environment involves a wide range of professionals. The health care team might include general practitioners, nurses, midwives, hospital doctors, physiotherapists and other allied health professionals, as well as receptionists and practice managers. To optimise delivery of care at both individual and population levels, team members must work collaboratively with colleagues in their own profession and others.

This book, in the Values-Based Practice series, adds the dimension of values to the more usual discussions of teamwork, considering interactions between health care professionals and how these might be affected by differences in professional and personal values. Examples of scenarios based on real-life experience promote learning and refl ection.

Anybody working or training in health care and who aspires to collaborate successfully with their colleagues in other specialties will fi nd this book extremely valuable, as will educators who facilitate learners in teamwork.

Jill E. Thistlethwaite is Professor of Medical Education and Director of the Centre for Medical Education Research and Scholarship, School of Medicine, University of Queensland, Australia. She is a practising general practitioner.

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Values-Based Interprofessional Collaborative PracticeWorking Together in Health Care

Jill E. Thistlethwaite

Other titles of interest:

Essential Values-Based PracticeK. W. M. (Bill) Fulford, Ed Peile and Heidi Carroll (ISBN 9780521530255)

Values-Based Commissioning of Health and Social CareChristopher Heginbotham (ISBN: 9781107603356)

Personal Recovery and Mental IllnessMike Slade (ISBN: 9780521746588)

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Includes new titles from the Values-Based Practice Series

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General Medicine 1Medical law, medical ethics,

forensic medicine 4Epidemiology, public health

and medical statistics 4Also of interest 5Index 7Information on related journals Inside back cover

This catalogue contains a selection of our most recent publishing in this area. Please visit our website for a full and searchable listing of all our titles in print and also an extensive range of news, features and resources. Our online ordering service is secure and easy to use.

Useful contactsBook proposals: Richard Marley ([email protected])

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All other enquiries: telephone +44 (0) 1223 312393 or email [email protected]

Prices and publication dates are correct at the time of going to press but are subject to alteration without notice.

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Highlights

Cover illustration: large group of multi-ethnic people from around the world. © iStockphoto / Robert Churchill.

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evidence for HealthFrom Patient Choice to Global Policy

Anne AndermAnn

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ann 9781107648654 Cover. C M y k

Evidence for Health: From Patient Choice to Global Policy is a practical guide to evidence-informed decision-making. it provides health practitioners and policy-makers with a broad overview of how to improve health and reduce health inequities, as well as the tools needed to make informed decisions that will have a positive influence on health. Chapters address questions such as: What are the major threats to health? What are the causes of poor health? What works to improve health? How do we know that it works? What are the barriers to implementation? What are the measures of success? the book provides an algorithm for arriving at evidence-informed decisions that take into consideration the multiple contextual factors and value judgements involved. Written by a specialist in public health with a wealth of international experience, this user-friendly guide demystifies the decision-making process, from personal

decisions made by individual patients to global policy decisions.

DR Anne AnDeRmAnn is an Associate Professor in the Department of Family medicine, an Associate member in the Department of epidemiology, Biostatistics and Occupational Health, and a Research Associate in Public Health and PrimaryHealth Care at St mary’s Research Centre, mcGill University, montreal, Canada.

“To enable individuals to be in control of their lives, action is needed on the social circum-stances in which people are born, grow, live, work, and age. evidence for Health: From Patient Choice to global Policy is an innovative and timely book that provides important insight on how to make more transparent and informed decisions that will result in healthier individuals and more equitable societies.” Professor Sir michael marmot, director, UCl institute of Health equity, london, Uk, and formerly Chair, WHo Commission on the Social determinants of Health

“Evidence for health seems self-evident, however, Andermann in her thought-provoking book, points not only to the value of evidence, but also to the imperative to learn how to integrate it more systematically in all decisions related to health from local to global. Progress on this front would certainly contribute to better decisions and better health.” Dr. Timothy evans, dean, BRaC School of Public Health, dhaka, Bangladesh, and formerly assistant director general of the World Health organization, geneva, Switzerland

“Decision-making is a complex process, particularly in medicine and public health. It frequently implies the simultaneous display of technical abilities, political appraisals, and moral judgements. Anne Andermann´s book, evidence for Health: From Patient Choice to global Policy, makes this process accessible to all. I have no doubt that it will become an invaluable tool for health professionals working in clinical, management, and public health settings.” Dr. Julio Frenk, dean of the Faculty, Harvard School of Public Health, Boston, USa and former Minister of Health of Mexico

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Ordinarily, responsible conduct of research (RCR) “training” consists of lectures accompanied by generic exercises on “core” topics. Research Ethics takes a novel, philosophical approach to the RCR and the teaching of moral decision-making. Part A introduces egoism and explains that it is in the individual’s own interest to avoid misconduct, fabrication of data, plagiarism, and bias. Part B takes up contractualism and covers issues of authorship, peer review, and responsible use of statistics. Part C introduces moral rights as the basis of informed consent, the use of humans in research, mentoring, intellectual property, and confl icts of interests. Part D uses two-level utilitarianism to explore the possibilities and limits of the experimental use of animals, duties to the environment and future generations, and the social responsibilities of researchers.

This book presents a fresh approach to research ethics and will engage the moral imaginations of graduate students in all disciplines.

Gary Comstock is Professor of Philosophy at the Department of Philosophy and Religious Studies, North Carolina State University, North Carolina, USA.


Informed ConsentDeborah Bowman, John Spicer and Rehana Iqbal (ISBN 9781107688063)

Essential Values-Based PracticeK W M Fulford, Edward Peile and Heidi Carroll (ISBN 9780521530255)

Clinical Ethics in PediatricsEdited by Douglas S. Diekema , Mark R. Mercurio and Mary B. Adam (ISBN 9780521173612)

Public Health EthicsEdited by Angus Dawson (ISBN 9780521689366)

RESEARCH ETHICSA philosophical guide to the responsible conduct of research

GARY COMSTOCK

Cover illustration (front): blue fl ame fractal © 123RF.

Cover designed by Zoe Naylor.

Constock 9780521187084 Cover. C M Y K

► See page 4► See page 1

► See page 2

► See page 3

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Every accredited American hospital is required to have a mechanism for handling ethical concerns; most hospitals satisfy this requirement by constituting an institutional Healthcare Ethics Committee (HEC), a pattern which is repeated in most western countries. This text provides defi nitive, comprehensive education in ethics consultation, policy development and implementation, and education to guide members of healthcare ethics committees in their work.

Each chapter includes learning objectives, clinical case studies, and questions to stimulate discussion among committee members. Particular emphasis is given to consultation, as this often presents the greatest challenges to committee members. Each chapter stands alone as a teaching module, as well as forming part of a comprehensive volume.

Written and edited by nationally and internationally recognized experts in bioethics, this is essential reading for every member of a healthcare ethics committee.


Complex Ethics Consultations: Cases that Haunt Us Edited by Paul J. Ford and Denise M. Dudzinski (ISBN 9780521697156)

The Cambridge Textbook of BioethicsEdited by Peter A. Singer and A. M. Viens (ISBN 9780521694438)

Cover designed by Zoe Naylor

Guidance for Healthcare Ethics CommitteesEDITED BY D. Micah Hester and Toby Schonfeld

D. Micah Hester is Chief of the Division of Medical Humanities and Associate Professor of Medical Humanities/Pediatrics, University of Arkansas for Medical Sciences, and Clinical Ethicist, Arkansas Children’s Hospital, Little Rock, AR, USA.

Toby Schonfeld is Associate Professor of Medicine at Emory University, and Director of the Master of Arts in Bioethics Program, Center for Ethics, Emory University, Atlanta, GA, USA.

HESTER: GUIDANCE FOR HEALTHCARE ETHICS COMMITTEES CVR CMYBLK


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General medicine 1

eBooks available at www.cambridge.org/ebookstore

General medicine

Evidence for HealthFrom Patient Choice to Global PolicyAnne AndermannMcGill University, Montréal

This practical guide to evidence-informed decision-making provides health practitioners and policy-makers with an overview of how to improve health and reduce health inequities, as well as the tools needed to make better informed decisions from the individual clinical level to global policy decisions.

‘To enable individuals to be in control of their lives, action is needed on the social circumstances in which people are born, grow, live, work and age. Evidence for Health: From Patient Choice to Global Policy is an innovative and timely book that provides important insight on how to make more transparent and informed decisions that will result in healthier individuals and more equitable societies.’Professor Sir Michael Marmot, Director, UCL Institute of Health Equity and former Chair, WHO Commission on the Social Determinants of Health

2012 234 x 156 mm 240pp 48 b/w illus. 978-1-107-64865-4 Paperback US$48.00www.cambridge.org/9781107648654

Principles of Medicine in AfricaFourth editionEdited by David MabeyLondon School of Hygiene and Tropical Medicine

Geoff GillUniversity of Liverpool

Chris WhittyLondon School of Hygiene and Tropical Medicine

and Martin WeberWorld Health Organization, Jakarta

Consultant Editor Eldryd ParryTropical Health Education Trust

This volume combines classical clinical medicine with a rich understanding of the major environmental and cultural infl uences on health and disease in Africa, providing comprehensive guidance for anyone practising, or intending to practise, medicine in Africa. This edition has been thoroughly updated to incorporate new research fi ndings and management guidelines.

‘This is a big book, physically and intellectually, and must rank among the very best on health care anywhere.’The Lancet

2012 276 x 219 mm 928pp 296 b/w illus. 440 colour illus. 978-1-107-00251-7 Hardback US$240.00www.cambridge.org/9781107002517

Comprehensive Care for Complex PatientsThe Medical-Psychiatric Coordinating Physician ModelSteven A. FrankelUniversity of California, San Francisco

James A. BourgeoisUniversity of California, San Francisco

and Philip ErdbergUniversity of California, San Francisco

‘Complex patients’ are a growing population who require disproportionate attention and resources for their management, creating a crisis in healthcare delivery. This book presents an innovative model and new set of clinical tools to address this problem, enabling physicians, especially psychiatrists, to signifi cantly improve their clinical success whilst containing costs.2012 234 x 156 mm 201pp978-1-107-02515-8 Hardback US$85.00

eBook availablewww.cambridge.org/9781107025158

NEW IN PAPERBACK

Artifi cial Nutrition and Support in Clinical PracticeSecond editionJason Payne-JamesGeorge K. Grimbleand David B. A. Silk

Any healthcare professional with, or developing an interest in, clinical nutrition will be able to use this textbook, fi rst published in 2001, as a source of information for the formation of a clinical nutrition support service of excellence.2012 246 x 189 mm 818pp978-1-107-60965-5 Paperback US$86.99www.cambridge.org/9781107609655

NEW IN PAPERBACK

The Academic Health CenterLeadership and PerformanceEdited by Don DetmerUniversity of Virginia

and Elaine SteenUniversity of Virginia

The leadership and management of academic health centers present complex challenges, with their integrated mission of education, research and service. This 2005 book addresses these issues, and proposes solutions for leaders of clinical and basic science departments in academic health centers, and for those involved in health systems management studies.2012 244 x 170 mm 334pp978-1-107-40507-3 Paperback US$63.00Also available978-0-521-82718-8 Hardback US$172.00


Informed ConsentA Primer for Clinical PracticeDeborah BowmanSt George’s Hospital, London

John SpicerUniversity of London

and Rehana IqbalSt George’s Hospital, London

A case-based approach to the principles of informed consent and their application in clinical practice.2011 234 x 156 mm 104pp 15 b/w illus. 10 tables 978-1-107-68806-3 Paperback US$24.99


Management Essentials for DoctorsRory ShawNorth West London NHS Trust

Vino RamachandraNorthwick Park Hospital

Nuala LucasNorthwick Park Hospital

and Neville RobinsonNorthwick Park Hospital

The only available compendium of management topics, written by practising doctors for doctors of all grades and all specialties.2011 234 x 156 mm 208pp 6 tables 978-0-521-17679-8 Paperback US$37.50


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2 General medicine

Best Practices in Medical TeachingStephen M. StahlUniversity of California, San Diego

and Richard L. DavisArbor Scientia

Explains and illustrates the principles of effective medical presentation for a general medical audience.2011 234 x 156 mm 192pp 98 b/w illus. 35 tables 978-0-521-15176-4 Paperback US$51.00


Research in MedicinePlanning a Project – Writing a ThesisThird editionJuliet Usher-SmithUniversity of Cambridge

George MurrellUniversity of New South Wales, Sydney

Harold EllisUniversity of London

and Christopher HuangUniversity of Cambridge

Provides practical and accessible guidance on all steps from choosing a research project to preparing and submitting a thesis.2010 216 x 138 mm 144pp 14 b/w illus. 978-0-521-13228-2 Paperback US$36.99


Working with Deaf PeopleA Handbook for Healthcare ProfessionalsEdited by Anna MiddletonCardiff University

A general reference manual offering practical advice on how to prepare for a consultation with a deaf or deafblind client.2009 186 x 123 mm 230pp 4 b/w illus. 1 table 978-0-521-69085-0 Paperback US$48.00


Mastering Communication with Seriously Ill PatientsBalancing Honesty with Empathy and HopeAnthony BackUniversity of Washington

Robert ArnoldUniversity of Pittsburgh

and James TulskyDuke University, North Carolina

This book guides the physician through the daunting communication challenges of explaining life-threatening illness to patients and families.2009 228 x 152 mm 170pp 19 tables 978-0-521-70618-6 Paperback US$50.00


A.D.A.M. Student Atlas of AnatomySecond editionTodd R. OlsonAlbert Einstein College of Medicine, New York

and Wojciech PawlinaMayo Clinic

This book features an innovative visual approach to understanding the human body.2008 279 x 215 mm 512pp 25 b/w illus. 750 colour illus. 40 tables 978-0-521-71005-3 Paperback US$87.00www.cambridge.org/9780521710053

Learning MedicineHow to Become and Remain a Good DoctorEighteenth editionPeter RichardsUniversity of Cambridge

Simon StockillLeeds NHS Primary Care Trust

Rosalind FosterBarrister at Law

and Elizabeth IngallMedical Student

A defi nitive careers guide giving true insight into the meaning and process of becoming a doctor.2007 247 x 174 mm 256pp 40 b/w illus. 5 tables 978-0-521-70967-5 Paperback US$45.00


Medical WritingA Prescription for ClarityThird editionNeville W. GoodmanSouthmead Hospital, North Bristol NHS Trust

and Martin B. EdwardsIllustrated by Andy Black

Clear, simple and precise, and illustrated with apt cartoons, this is an invaluable guide to medical writing.2006 234 x 156 mm 266pp 14 b/w illus. 978-0-521-85857-1 Paperback US$72.00


Psychiatry in Primary CareFourth editionPatricia R. CaseyUniversity College Dublin

and Richard ByngPlymouth Teaching Primary Care Trust

An accessible book that covers the psychiatric disorders seen by general practitioners in a practical, clinically applied way.Cambridge Clinical Guides

2011 234 x 156 mm 420pp 16 b/w illus. 978-0-521-75982-3 Mixed media productUS$69.00www.cambridge.org/9780521759823

Essential Evidence-based MedicineSecond editionDan MayerAlbany Medical College, New York

Teaches the principles of research study methodology and design, and the better critical analysis of scientifi c and clinical studies.Essential Medical Texts for Students and Trainees

2009 246 x 189 mm 440pp 45 tables 978-0-521-71241-5 Mixed media productUS$68.00www.cambridge.org/9780521712415


General medicine 3

For regular email alerts visit www.cambridge.org/alerts

Values-Based Interprofessional Collaborative PracticeWorking Together in Health CareJill E. ThistlethwaiteUniversity of Queensland

This title in the Values-Based Medicine series is aimed at practising and trainee health professionals aspiring to work collaboratively. It adds the dimension of values to more usual discussions of teamwork, considering how the interactions between health care professionals might be affected by differences in professional and personal values.Contents: Preface; Part I. Introduction and Theory: 1. Values-based practice in health care: setting the scene; 2. Teamwork and collaborative practice in modern health care; 3. Communication within teams and between professionals; Part II. Primary Care and the Primary Health Care Team: 4. A patient complaint: team meetings, policy and practice values – raising awareness in the team; 5. A well person health check, health promotion and disease prevention: different lifestyles, different values; 6. A patient with medically unexplained symptoms: applying evidence and values; 7. A request for strong analgesia: honesty and truth; 8. Asylum seekers and refugees: working across cultures; 9. A request for a home birth and other pregnancy related consultations; 10. Community-based care and the wider health care team; 11. Ageing and end of life decisions; 12. Referrals and the interface between primary and secondary care: looking after ‘our’ patients; 13. Living with visible difference and valuing appearance; 14. Collaboration with other professionals: in and outside health care; 15. Learning in and about teams; Afterword; Index.Values-Based Practice

2012 234 x 156 mm 190pp 3 b/w illus. 978-1-107-63616-3 Paperback US$49.99


Values-Based Commissioning of Health and Social CareChristopher HeginbothamWarwick University Medical School

The book, illustrated with case examples, identifi es and makes explicit the often diverse values of those involved in healthcare commissioning, whether as commissioners, providers or users of services. It provides a skills base and other support processes for working with differences in values held by those engaged in making decisions.Contents: Foreword; Acknowledgements; Preface; 1. Values-based practice in health and social care; 2. Policy and practice; 3. Health and social care reforms in England; 4. Evidence and outcomes; 5. Patient and public involvement; 6. Values-based commissioning and public health; 7. Integrative commissioning of health and social care; 8. Values in priority setting and resource allocation; 9. Values and outcomes; 10. Market stimulation; 11. Management and leadership; Endnote; References and bibliography; Index.Values-Based Practice



Essential Values-Based PracticeClinical Stories Linking Science with PeopleK. W. M. FulfordUniversity of Warwick

Ed PeileUniversity of Warwick

and Heidi Carroll

The most likely reason for unsatisfactory clinical consultations is a failure of values-based practice – not ascertaining the relevant values perspectives and acting on them in an appropriate manner. This book will help clinicians acquire and develop the processes and skills of values-based practice, improving outcomes for patients, carers and clinicians.

‘… truly brilliant … The coherence with which the authors unpick complex and usually intangible, as well as explicit, situations is extraordinary … I was fascinated by the different scenarios, which echoed some of my own experiences with patients and made the text come alive and easy to read … This book is a hugely welcome clarion call back to the essential values in medicine … a very impressive book …’Julia Samuel, Founder Patron and Trustee, The Child Bereavement Charity, from the Foreword

Contents: Preface; Foreword – from a patient perspective; Foreword – from a clinician perspective; A bold claim to start this book; Prologue: linking science with people; Part I. Values, Individuals and an Overview of Values-based Practice: Introduction to Part I; 1. ‘It’s my back, Doctor!’ (Episode 1): values in clinical decision making; 2. ‘It’s my back, Doctor!’ (Episode 2): applying the tools already in the clinical toolbox for working with values to individuals; 3. An outline of values-based practice: its point, premise and ten-part process; Part II. The Clinical Skills for Values-based Practice: Introduction to Part II; 4. Recovery in schizophrenia: a values wake-up call; 5. Teenage acne: widening our values horizons; 6. A smoking enigma: getting (and not getting) the knowledge; 7. Diabetic control and controllers: nothing without communication; Part III. Relationships in Values-based Practice: Introduction to Part III; 8. ‘Best’ in breast cancer: clinician values and person-centred care; 9. Risks in safeguarding children: team values as well as skills; Part IV. Science and Values-based Practice: Introduction to Part IV; 10. The reluctant hypertensive: think evidence, think values too!; 11. Unexplainable abdominal pain: think values, think evidence too!; 12. Elective fertility: think high-tech, think evidence and values!; Part V. Bringing It All Together: Introduction to Part V; 13. A good (enough) death: dissensus in end of life care; 14. ‘It’s my back, Doctor!’ (Episode 3); Postscript: the small change of care; A bold claim to end this book; VBP glossary; VBP index; Index.Values-Based Practice




4 Medical law, medical ethics, forensic medicine / Epidemiology, public health and medical statistics

Medical law, medical ethics, forensic medicine

Research EthicsA Philosophical Guide to the Responsible Conduct of ResearchGary ComstockDepartment of Philosophy and Religious Studies, North Carolina State University, Raleigh

Comprehensive in its coverage and systematic in its approach, this book will intrigue researchers philosophically while helping them to succeed in their everyday work. It will reward those wishing to explore the principles of responsible conduct of research and repay those looking for practical guidance in everyday lab decisions.2012 234 x 156 mm 312pp 13 b/w illus. 7 tables 978-0-521-18708-4 Paperback US$45.00www.cambridge.org/9780521187084

Guidance for Healthcare Ethics CommitteesEdited by D. Micah HesterDivision of Medical Humanities, University of Arkansas

and Toby SchonfeldEmory University, Atlanta

Every accredited American hospital is required to have a mechanism for handling ethical concerns; most hospitals satisfy this requirement by constituting an institutional healthcare ethics committee, a pattern repeated in most western countries. This text provides defi nitive, comprehensive guidance for members of healthcare ethics committees confronted with ethically challenging situations.2012 234 x 156 mm 196pp 1 b/w illus. 6 tables 978-0-521-27987-1 Paperback US$60.00


BioethicsAn IntroductionMarianne TalbotUniversity of Oxford

This accessible introduction clearly explains bioethical issues and their philosophical foundations to science students, providing them with the confi dence needed to debate important issues in the ethics of biotechnology. Written informally, including over 200 activities, detailed case studies and

explanatory podcasts, it encourages students to formulate and evaluate their own arguments.

‘This book is an excellent, unique and comprehensive resource for either an undergraduate or a graduate course. With its wonderful introduction into ethical theory and a multifaceted approach, it is an incomparable resource for the successful teaching of bioethics. The author’s eloquent writing … carefully examines practically every aspect of [this] exciting interdisciplinary [fi eld] … a valuable reading of interest for both students and scholar[s], alike.’Mirjana Brockett, Georgia Institute of Technology, Atlanta

2012 246 x 189 mm 478pp 54 b/w illus. 1 table 233 exercises 978-0-521-88833-2 Hardback US$95.00978-0-521-71459-4 Paperback US$45.00


Moral Leadership in MedicineBuilding Ethical Healthcare OrganizationsSuzanne ShaleUniversity of Oxford

Insightful analysis of how senior doctors manage the diffi cult moral problems they confront in leadership roles.2011 234 x 156 mm 310pp 1 b/w illus. 978-1-107-00615-7 Hardback US$99.00


Good Medical PracticeProfessionalism, Ethics and LawKerry J. BreenNational Health and Medical Research Council

Stephen M. CordnerMonash University, Victoria

Colin J. H. ThomsonUniversity of Wollongong, New South Wales

and Vernon D. PlueckhahnMonash University, Victoria

Good Medical Practice: Professionalism, Ethics and Law encompasses the professional, ethical and legal requirements of being a doctor.2010 240 x 165 mm 462pp978-0-521-18341-3 Paperback US$78.00


Professionalism in MedicineA Case-Based Guide for Medical StudentsEdited by John SpandorferJefferson Medical College, Philadelphia

Charles A. PohlJefferson Medical College, Philadelphia

Susan L. RattnerJefferson Medical College, Philadelphia

and Thomas J. NascaJefferson Medical College, Philadelphia

Intended as a text for medical students, this book highlights concepts of professionalism in medicine such as ethical issues and both clinical and non-clinical challenges in patient care.2009 253 x 215 mm 480pp 3 b/w illus. 3 tables 978-0-521-87932-3 Hardback US$87.00978-0-521-70492-2 Paperback US$40.00


Bioscience EthicsIrina PollardMacquarie University, Sydney

Discusses the new ways of communicating bioscience ethics, a new but internationally recognised term coined by the author in 1994.2009 247 x 174 mm 332pp 15 b/w illus. 978-0-521-76828-3 Hardback US$140.00978-0-521-74527-7 Paperback US$51.00


Epidemiology, public health and medical statistics

Essential Public HealthTheory and PracticeSecond editionEdited by Stephen GillamUniversity of Cambridge

Jan YatesEast of England Strategic Health Authority

and Padmanabhan BadrinathUniversity of Cambridge

This second edition has been fully updated with contemporary examples and includes new chapters on sustainability and change, management and leadership. An internet companion includes supplementary information and interactive, self-assessment questions.


Epidemiology, public health and medical statistics / Also of interest 5

Visit our website at www.cambridge.org/knowledge

Essential reading for trainees in health care, social care and related disciplines.2012 246 x 189 mm 352pp 24 b/w illus. 46 colour illus. 978-1-107-60176-5 Paperback US$59.99


Multivariable AnalysisA Practical Guide for Clinicians and Public Health ResearchersThird editionMitchell H. KatzUniversity of California, San Francisco

The third edition of this highly successful text enables clinical researchers to set up, perform and interpret multivariable models.2011 246 x 189 mm 250pp 30 b/w illus. 40 tables 978-0-521-76098-0 Hardback US$114.00978-0-521-14107-9 Paperback US$66.00


International Health and Aid PoliciesThe Need for AlternativesJean-Pierre UngerInstitute of Tropical Medicine Antwerp

Pierre De PaepeInstitute of Tropical Medicine Antwerp

Kasturi SenInstitute of Tropical Medicine Antwerp

and Werner SoorsInstitute of Tropical Medicine Antwerp

Using international case studies to critique recent health and aid policies, this book presents strategies to create fairer health services.2010 234 x 156 mm 314pp 5 b/w illus. 20 tables 978-0-521-17426-8 Paperback US$55.00


Evaluating Clinical and Public Health InterventionsA Practical Guide to Study Design and StatisticsMitchell H. KatzUniversity of California, San Francisco

This book teaches researchers how to evaluate health interventions and simplifi es the process of analyzing data.2010 246 x 189 mm 176pp 29 b/w illus. 56 tables 978-0-521-51488-0 Hardback US$116.00978-0-521-73559-9 Paperback US$55.00


Study Design and Statistical AnalysisA Practical Guide for CliniciansMitchell KatzUniversity of California, San Francisco

A nuts-and-bolts guide to research by asking and answering the most basic questions about doing research studies.2006 246 x 189 mm 198pp 23 b/w illus. 978-0-521-53407-9 Paperback US$69.00www.cambridge.org/9780521534079

Applied Multilevel AnalysisA Practical Guide for Medical ResearchersJos W. R. TwiskVU Medical Center, Amsterdam

This is a practical introduction to multilevel analysis, written for non-mathematicians.Practical Guides to Biostatistics and Epidemiology

2006 247 x 174 mm 196pp 23 b/w illus. 20 tables 978-0-521-61498-6 Paperback US$72.00


Also of interest

How to Write and Publish a Scientifi c PaperSeventh editionRobert DayUniversity of Delaware

and Barbara GastelTexas A & M University

An essential guide for succeeding in today’s competitive environment, this book provides beginning scientists and experienced researchers alike with practical advice on writing about their work and getting published. This new, updated edition guides readers through the processes involved in publishing for scientifi c journals.2012 228 x 152 mm 324pp 27 b/w illus. 978-1-107-67074-7 Paperback c. US$37.99www.cambridge.org/9781107670747

Statistics ExplainedAn Introductory Guide for Life ScientistsSecond editionSteve McKillupCentral Queensland University

Straightforward conceptual explanations of statistical methods for the life sciences, especially designed for students lacking a strong mathematical background.2011 228 x 152 mm 420pp 199 b/w illus. 102 tables 51 exercises 978-1-107-00551-8 Hardback US$85.00978-0-521-18328-4 Paperback US$45.00


Beating Your Eating DisorderA Cognitive-Behavioral Self-Help Guide for Adult Sufferers and their CarersGlenn WallerInstitute of Psychiatry, London

Victoria MountfordEating Disorders Service, South London and Maudsley NHS Trust

Rachel LawsonCanterbury District Health Board

Emma GrayThe British CBT & Counselling Service

Helen CorderySt George’s Eating Disorders Service

and Hendrik HinrichsenSutton & Merton Psychological Therapies in Primary Care

Helps sufferers and carers to beat eating disorders, using tried and proven methods from clinical settings.2010 234 x 156 mm 214pp978-0-521-73904-7 Paperback US$22.00


The Treatment of Drinking ProblemsA Guide to the Helping ProfessionsFifth editionE. Jane MarshallInstitute of Psychiatry, London

Keith HumphreysStanford University School of Medicine, California

and David M. BallInstitute of Psychiatry, London

Preface by Griffi th EdwardsAddiction Research Unit

A highly readable and practical guide for anyone treating or caring for someone with an alcohol problem.2010 234 x 156 mm 276pp 11 b/w illus. 29 tables 978-0-521-13237-4 Paperback US$82.00



6 Also of interest

Communicating ScienceProfessional, Popular, LiteraryNicholas RussellDepartment of Humanities, Imperial College London

Ideal for students and practitioners in science, engineering and medicine, this 2009 book gives an insight into science’s place in society.2009 228 x 152 mm 350pp978-0-521-11383-0 Hardback US$119.00978-0-521-13172-8 Paperback US$37.99


The Art of Being a ScientistA Guide for Graduate Students and their MentorsRoel SniederColorado School of Mines

and Ken LarnerColorado School of Mines

A hands-on guide for graduate students, junior researchers and mentors for perfecting the practical skills needed for a successful research career.2009 228 x 152 mm 296pp 6 b/w illus. 978-0-521-74352-5 Paperback US$34.99www.cambridge.org/9780521743525

How to Write and Illustrate a Scientifi c PaperSecond editionBjorn GustaviiUniversity Hospital, Lund, Sweden

Broadened second edition of this informative guide that helps fi rst-time and experienced writers present their results effectively.2008 228 x 152 mm 180pp978-0-521-87890-6 Hardback US$90.00978-0-521-70393-2 Paperback US$29.00


The Art of LecturingA Practical Guide to Successful University Lectures and Business PresentationsParham AarabiUniversity of Toronto

An accessible, example-based guide to effective strategies for successful academic and business lectures. 2007 228 x 152 mm 166pp978-0-521-70352-9 Paperback US$29.99


Building a Successful Career in Scientifi c ResearchA Guide for PhD Students and PostdocsPhil Dee

Entertaining and practical guide to getting your science PhD and working as a post-doc.2006 228 x 152 mm 140pp 3 b/w illus. 978-0-521-85191-6 Hardback US$96.00978-0-521-61740-6 Paperback US$31.00www.cambridge.org/9780521851916

Professional English in Use MedicineEric Glendinningand Ron Howard

Professional English in Use Medicine contains 60 units covering a wide variety of medical vocabulary.2007 246 x 156 mm 175pp978-0-521-68201-5 Paperback US$26.00www.cambridge.org/9780521682015


Index 7

eBooks available at www.cambridge.org/ebookstore

A A.D.A.M. Student Atlas of Anatomy .........2Aarabi, Parham .......................................6Academic Health Center, The ...................1Andermann, Anne ...................................1Applied Multilevel Analysis ......................5Arnold, Robert.........................................2Art of Being a Scientist, The .....................6Art of Lecturing, The ................................6Artifi cial Nutrition and Support in

Clinical Practice ....................................1

B Back, Anthony .........................................2Badrinath, Padmanabhan ........................4Ball, David M. ..........................................5Beating Your Eating Disorder ...................5Best Practices in Medical Teaching ...........2Bioethics .................................................4Bioscience Ethics .....................................4Black, Andy .............................................2Bourgeois, James A. .................................1Bowman, Deborah...................................1Breen, Kerry J. .........................................4Building a Successful Career in Scientifi c

Research ..............................................6Byng, Richard ..........................................2

C Carroll, Heidi ...........................................3Casey, Patricia R. .....................................2Communicating Science...........................6Comprehensive Care for Complex

Patients ................................................1Comstock, Gary .......................................4Cordery, Helen.........................................5Cordner, Stephen M. ................................4

D Davis, Richard L. ......................................2Day, Robert .............................................5De Paepe, Pierre ......................................5Dee, Phil .................................................6Detmer, Don ............................................1

E Edwards, Griffi th .....................................5Edwards, Martin B. ..................................2Ellis, Harold .............................................2Erdberg, Philip .........................................1Essential Evidence-based Medicine ..........2Essential Public Health ............................4Essential Values-Based Practice ................3Evaluating Clinical and Public Health

Interventions ........................................5Evidence for Health .................................1

F Foster, Rosalind .......................................2Frankel, Steven A. ....................................1Fulford, K. W. M. ......................................3

G Gastel, Barbara .......................................5

Gill, Geoff ...............................................1Gillam, Stephen .......................................4Glendinning, Eric .....................................6Good Medical Practice .............................4Goodman, Neville W. ...............................2Gray, Emma.............................................5Grimble, George K. ..................................1Guidance for Healthcare Ethics

Committees ..........................................4Gustavii, Bjorn.........................................6

H Heginbotham, Christopher .......................3Hester, D. Micah ......................................4Hinrichsen, Hendrik .................................5How to Write and Illustrate a Scientifi c

Paper ...................................................6How to Write and Publish a Scientifi c

Paper ...................................................5Howard, Ron ...........................................6Huang, Christopher .................................2Humphreys, Keith ....................................5

I Informed Consent....................................1Ingall, Elizabeth .......................................2International Health and Aid Policies ........5Iqbal, Rehana ..........................................1

K Katz, Mitchell ..........................................5Katz, Mitchell H. ......................................5

L Larner, Ken ..............................................6Lawson, Rachel .......................................5Learning Medicine ...................................2Lucas, Nuala ...........................................1

M Mabey, David ..........................................1Management Essentials for Doctors .........1Marshall, E. Jane .....................................5Mastering Communication with

Seriously Ill Patients ..............................2Mayer, Dan ..............................................2McKillup, Steve ........................................5Medical Writing .......................................2Middleton, Anna .....................................2Moral Leadership in Medicine ..................4Mountford, Victoria .................................5Multivariable Analysis ..............................5Murrell, George .......................................2

N Nasca, Thomas J. .....................................4

O Olson, Todd R. .........................................2

P Parry, Eldryd ............................................1Pawlina, Wojciech....................................2

Payne-James, Jason .................................1Peile, Ed ..................................................3Plueckhahn, Vernon D. .............................4Pohl, Charles A. .......................................4Pollard, Irina ............................................4Principles of Medicine in Africa ................1Professional English in Use Medicine .......6Professionalism in Medicine .....................4Psychiatry in Primary Care .......................2

R Ramachandra, Vino .................................1Rattner, Susan L. ......................................4Research Ethics .......................................4Research in Medicine ..............................2Richards, Peter ........................................2Robinson, Neville ....................................1Russell, Nicholas .....................................6

S Schonfeld, Toby .......................................4Sen, Kasturi .............................................5Shale, Suzanne ........................................4Shaw, Rory ..............................................1Silk, David B. A. .......................................1Snieder, Roel ...........................................6Soors, Werner ..........................................5Spandorfer, John......................................4Spicer, John .............................................1Stahl, Stephen M. ....................................2Statistics Explained ..................................5Steen, Elaine ...........................................1Stockill, Simon .........................................2Study Design and Statistical Analysis ........5

T Talbot, Marianne .....................................4Thistlethwaite, Jill E. ................................3Thomson, Colin J. H. ................................4Treatment of Drinking Problems, The ........5Tulsky, James ...........................................2Twisk, Jos W. R. .......................................5

U Unger, Jean-Pierre ...................................5Usher-Smith, Juliet ...................................2

V Values-Based Commissioning of Health

and Social Care ....................................3Values-Based Interprofessional

Collaborative Practice ...........................3

W Waller, Glenn ...........................................5Weber, Martin .........................................1Whitty, Chris ...........................................1Working with Deaf People .......................2

Y Yates, Jan ................................................4


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Cambridge Alerts

General Medicine 1Medical law, medical ethics,

forensic medicine 4Epidemiology, public health

and medical statistics 4Also of interest 5Index 7Information on related journals Inside back cover

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Highlights

Cover illustration: large group of multi-ethnic people from around the world. © iStockphoto / Robert Churchill.

An

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evidence for Health

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evidence for HealthFrom Patient Choice to Global Policy

Anne AndermAnn

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Evidence for Health: From Patient Choice to Global Policy is a practical guide to evidence-informed decision-making. it provides health practitioners and policy-makers with a broad overview of how to improve health and reduce health inequities, as well as the tools needed to make informed decisions that will have a positive influence on health. Chapters address questions such as: What are the major threats to health? What are the causes of poor health? What works to improve health? How do we know that it works? What are the barriers to implementation? What are the measures of success? the book provides an algorithm for arriving at evidence-informed decisions that take into consideration the multiple contextual factors and value judgements involved. Written by a specialist in public health with a wealth of international experience, this user-friendly guide demystifies the decision-making process, from personal

decisions made by individual patients to global policy decisions.

DR Anne AnDeRmAnn is an Associate Professor in the Department of Family medicine, an Associate member in the Department of epidemiology, Biostatistics and Occupational Health, and a Research Associate in Public Health and PrimaryHealth Care at St mary’s Research Centre, mcGill University, montreal, Canada.

“To enable individuals to be in control of their lives, action is needed on the social circum-stances in which people are born, grow, live, work, and age. evidence for Health: From Patient Choice to global Policy is an innovative and timely book that provides important insight on how to make more transparent and informed decisions that will result in healthier individuals and more equitable societies.” Professor Sir michael marmot, director, UCl institute of Health equity, london, Uk, and formerly Chair, WHo Commission on the Social determinants of Health

“Evidence for health seems self-evident, however, Andermann in her thought-provoking book, points not only to the value of evidence, but also to the imperative to learn how to integrate it more systematically in all decisions related to health from local to global. Progress on this front would certainly contribute to better decisions and better health.” Dr. Timothy evans, dean, BRaC School of Public Health, dhaka, Bangladesh, and formerly assistant director general of the World Health organization, geneva, Switzerland

“Decision-making is a complex process, particularly in medicine and public health. It frequently implies the simultaneous display of technical abilities, political appraisals, and moral judgements. Anne Andermann´s book, evidence for Health: From Patient Choice to global Policy, makes this process accessible to all. I have no doubt that it will become an invaluable tool for health professionals working in clinical, management, and public health settings.” Dr. Julio Frenk, dean of the Faculty, Harvard School of Public Health, Boston, USa and former Minister of Health of Mexico

► See page 4

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Ordinarily, responsible conduct of research (RCR) “training” consists of lectures accompanied by generic exercises on “core” topics. Research Ethics takes a novel, philosophical approach to the RCR and the teaching of moral decision-making. Part A introduces egoism and explains that it is in the individual’s own interest to avoid misconduct, fabrication of data, plagiarism, and bias. Part B takes up contractualism and covers issues of authorship, peer review, and responsible use of statistics. Part C introduces moral rights as the basis of informed consent, the use of humans in research, mentoring, intellectual property, and confl icts of interests. Part D uses two-level utilitarianism to explore the possibilities and limits of the experimental use of animals, duties to the environment and future generations, and the social responsibilities of researchers.

This book presents a fresh approach to research ethics and will engage the moral imaginations of graduate students in all disciplines.

Gary Comstock is Professor of Philosophy at the Department of Philosophy and Religious Studies, North Carolina State University, North Carolina, USA.


Informed ConsentDeborah Bowman, John Spicer and Rehana Iqbal (ISBN 9781107688063)

Essential Values-Based PracticeK W M Fulford, Edward Peile and Heidi Carroll (ISBN 9780521530255)

Clinical Ethics in PediatricsEdited by Douglas S. Diekema , Mark R. Mercurio and Mary B. Adam (ISBN 9780521173612)

Public Health EthicsEdited by Angus Dawson (ISBN 9780521689366)

RESEARCH ETHICSA philosophical guide to the responsible conduct of research

GARY COMSTOCK

Cover illustration (front): blue fl ame fractal © 123RF.

Cover designed by Zoe Naylor.

Constock 9780521187084 Cover. C M Y K

► See page 4► See page 1

► See page 2

► See page 3

Hester an

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uidance for Healthcare Ethics C

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Every accredited American hospital is required to have a mechanism for handling ethical concerns; most hospitals satisfy this requirement by constituting an institutional Healthcare Ethics Committee (HEC), a pattern which is repeated in most western countries. This text provides defi nitive, comprehensive education in ethics consultation, policy development and implementation, and education to guide members of healthcare ethics committees in their work.

Each chapter includes learning objectives, clinical case studies, and questions to stimulate discussion among committee members. Particular emphasis is given to consultation, as this often presents the greatest challenges to committee members. Each chapter stands alone as a teaching module, as well as forming part of a comprehensive volume.

Written and edited by nationally and internationally recognized experts in bioethics, this is essential reading for every member of a healthcare ethics committee.


Complex Ethics Consultations: Cases that Haunt Us Edited by Paul J. Ford and Denise M. Dudzinski (ISBN 9780521697156)

The Cambridge Textbook of BioethicsEdited by Peter A. Singer and A. M. Viens (ISBN 9780521694438)

Cover designed by Zoe Naylor

Guidance for Healthcare Ethics CommitteesEDITED BY D. Micah Hester and Toby Schonfeld

D. Micah Hester is Chief of the Division of Medical Humanities and Associate Professor of Medical Humanities/Pediatrics, University of Arkansas for Medical Sciences, and Clinical Ethicist, Arkansas Children’s Hospital, Little Rock, AR, USA.

Toby Schonfeld is Associate Professor of Medicine at Emory University, and Director of the Master of Arts in Bioethics Program, Center for Ethics, Emory University, Atlanta, GA, USA.

HESTER: GUIDANCE FOR HEALTHCARE ETHICS COMMITTEES CVR CMYBLK


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