The research misconduct post hoc inquiry as a measure of institutional integrity (DR).

The terms, institutional and scientific, integrity appeared in the literature 986 times from 2005 to 2015. How has the term integrity, with its dual definition, a) The accuracy, completeness and consistency of data and b) the adherence to a code of moral values, been applied to an institution? The authors suggest that a post hoc inquiry be instituted following the finding of an individual act of research misconduct to determine if the sponsoring institution, actively or passively, played a contributory role and if corrective action was taken. This would serve as one measure of institutional integrity.

Roles of the Ethics Consultant: A Response to Vaughan and Colleagues and De Renzo.

We respond to commentaries on our article, "The Clinician as Clinical Ethics Consultant: An Empirical Method of Study," that appeared in the summer 2019 issue of The Journal of Clinical Ethics.

Research misconduct, NSF v NIH: Its nature and prevalence and the impact of their respective methods of investigation and adjudication.

The National Science Foundation (NSF) and the National Institutes of Health (NIH) have established separate administrative mechanisms for investigation and adjudication of alleged research misconduct. This report compares research misconduct at NSF and NIH and the possible effects of their respective methods of investigation and adjudication. Notable and paradoxical findings were identified: NIH supported four times the number of grants as NSF, yet NSF reviewed 2.

The Clinician as Clinical Ethics Consultant: An Empirical Method of Study.

Some 30 years ago the role of the clinical ethics consultant (CEC) was formalized. At the time, the perception of the role differed between two groups serving in that capacity, clinicians and nonclinicians. Differences in their roles reflected their training and experience.

Perspective: research misconduct: the search for a remedy.

Research misconduct-fabrication, falsification, and plagiarism-is an insidious problem in the scientific community today with the capacity to harm science, scientists, and the public. Federal agencies require that research trainees complete a course designed to deter such behavior, but the author could find no evidence to suggest that this effort has been effective. In fact, research shows that most cases of misconduct continue to go unreported.

Psychiatric evaluation of mental capacity in the general hospital: a significant teaching opportunity.

Background: Requests for evaluation of mental capacity in general hospitals have increased in frequency.

Objective: The authors sought to determine the interventions required to respond adequately and assess the initiating circumstances.

Method: Questionnaires completed by psychiatric consultants were analyzed, and chart reviews were completed.

Consultation-liaison psychiatry: contributions to medical practice.

Consultation-liaison psychiatry has recently been recommended for subspecialty status by the American Board of Psychiatry and Neurology with a name change to "psychosomatic medicine." Final approval by the American Board of Specialties is expected. Therefore, this is a propitious time to review what the author considers the significant contributions of consultation-liaison psychiatry to the practice of medicine, the education of its practitioners, and future opportunities and challenges.

Can we measure out a life in coffee spoons?

Public policy decisions in medicine and other fields necessitate careful weighing of choices and consequences. Cost-benefit analyses have been offered as one way to facilitate such decisions. In "Quantifying the value of human life," L.

Commentary on "Sedation before ventilator withdrawal.

In any important article in the field of clinical ethics, the focus should not be on the specific case example, but rather on the issues it presents for thought and discussion. Barbara Springer Edwards and Winston M. Ueno achieve this end admirably.