Publications by authors named "W Levi Shelton"

Article Synopsis
  • Brain surgeons need standardized rules for handling brain tumors during surgery to improve diagnosis and treatment.*
  • Right now, guidelines mainly exist for one type of brain tumor, but others could also benefit from these rules.*
  • Having experts from different fields work together is important for creating these standardized practices to help patients and research better.*
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Article Synopsis
  • The study aimed to explore medical students' experiences related to professionalism, moral distress, and communication during their surgical clerkships, focusing on their interactions with clinical mentors.* -
  • Researchers analyzed written case vignettes and survey responses from 241 third-year medical students, discovering that a significant percentage of cases raised issues of professionalism such as disrespect and bias.* -
  • Results indicated that students reported high levels of moral distress (58.8%) and were less likely to emulate their mentors or communicate concerns, highlighting the negative impact of unprofessional behavior among supervisors.*
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Purpose: The term 'moral distress' was coined by Andrew Jameton to name the anguish that clinicians feel when they cannot pursue what they judge to be right because of institutional constraints. We argue that moral distress in critical care should also be addressed as a function of the constraints of ethics and propose an evaluative approach to the experience considering its implications for professional identity.

Method: We build on a selective review of the literature and analyze a paradigmatic example of moral distress, namely, clinicians who feel compelled to perform procedures on patients that seem futile.

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