{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:31Z","timestamp":1753887571266,"version":"3.41.2"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:p>A primary goal of our medical education system is to produce physicians qualified to promote health, prevent and treat disease, and relieve suffering. Although some aspects of the practice of medicine can be learned in classrooms, from textbooks, or with simulators, other aspects can only be learned through the direct provision of patient care. Residency programs therefore offer essential educational experiences that support residents\u2019 acquisition of knowledge, skills, and professional judgment through the assumption of progressive responsibility under an appropriate level of supervision. Yet, ethical questions can arise when medical education is integrated with patient care. How should we balance the educational needs of residents and the social benefits of medical education against obligations to patients and families? In this article, we present the case of a child whose family requests that residents not be allowed to perform any procedures on their child and then ask experts (a pediatric residency program director, a pediatrics resident, and an ethicist) to comment.<\/jats:p>","DOI":"10.1542\/peds.2020-011007","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T13:25:39Z","timestamp":1604582739000},"source":"Crossref","is-referenced-by-count":0,"title":["When a Family Seeks to Exclude Residents From Their Child\u2019s Care"],"prefix":"10.1542","volume":"146","author":[{"given":"Emily A.","family":"Largent","sequence":"first","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Newman","sequence":"additional","affiliation":[{"name":"Children\u2019s Mercy Kansas City, Kansas, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Gaw","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Lantos","sequence":"additional","affiliation":[{"name":"Children\u2019s Mercy Kansas City, Kansas, Missouri; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2020,12,1]]},"reference":[{"author":"Accreditation Council for Graduate Medical Education","key":"2021120907061872500_B1"},{"author":"American Medical Association","key":"2021120907061872500_B2","article-title":"Code of medical ethics overview."},{"key":"2021120907061872500_B3","volume-title":"Principles of Biomedical Ethics","author":"Beauchamp","year":"2009","edition":"6th ed"},{"issue":"7","key":"2021120907061872500_B4","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1097\/ACM.0b013e318067456d","article-title":"Viewpoint: why the clinical ethics we teach fails patients","volume":"82","author":"Fiester","year":"2007","journal-title":"Acad Med"},{"issue":"2","key":"2021120907061872500_B5","doi-asserted-by":"crossref","first-page":"e20161485","DOI":"10.1542\/peds.2016-1485","article-title":"Informed consent in decision-making in pediatric practice","volume":"138","author":"Katz","year":"2016","journal-title":"Pediatrics"},{"issue":"3","key":"2021120907061872500_B6","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1353\/ken.0.0108","article-title":"Ethical considerations surrounding first time procedures: a study and analysis of patient attitudes toward spinal taps by students","volume":"2","author":"Williams","year":"1992","journal-title":"Kennedy Inst Ethics J"},{"issue":"5","key":"2021120907061872500_B7","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1111\/medu.13769","article-title":"When I say\u2026 moral distress as a teaching point","volume":"53","author":"Waldman","year":"2019","journal-title":"Med Educ"},{"issue":"5","key":"2021120907061872500_B8","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s11606-007-0472-1","article-title":"Patients do not know the level of training of their doctors because doctors do not tell them","volume":"23","author":"Santen","year":"2008","journal-title":"J Gen Intern Med"},{"issue":"2","key":"2021120907061872500_B9","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1067\/mob.2003.85","article-title":"Don\u2019t ask, don\u2019t tell: a change in medical student attitudes after obstetrics\/gynecology clerkships toward seeking consent for pelvic examinations on an anesthetized patient","volume":"188","author":"Ubel","year":"2003","journal-title":"Am J Obstet Gynecol"},{"issue":"11","key":"2021120907061872500_B10","first-page":"874","article-title":"AMA code of medical ethics opinion on resident physician training","volume":"11","year":"2009","journal-title":"Virtual Mentor"},{"issue":"2","key":"2021120907061872500_B11","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4300\/JGME-D-16-00232.1","article-title":"Trainee involvement in patient care: a necessity and reality in teaching hospitals","volume":"9","author":"Drolet","year":"2017","journal-title":"J Grad Med Educ"},{"issue":"1","key":"2021120907061872500_B12","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/1472-6963-14-61","article-title":"Speaking up for patient safety by hospital-based health care professionals: a literature review","volume":"14","author":"Okuyama","year":"2014","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"2021120907061872500_B13","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1146\/annurev-publhealth-031912-114439","article-title":"Reducing hospital errors: interventions that build safety culture","volume":"34","author":"Singer","year":"2013","journal-title":"Annu Rev Public Health"},{"issue":"12","key":"2021120907061872500_B14","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1111\/j.1553-2712.2008.00269.x","article-title":"Is consent \u201cinformed\u201d when patients receive care from medical trainees?","volume":"15","author":"Pallin","year":"2008","journal-title":"Acad Emerg Med"},{"issue":"12","key":"2021120907061872500_bib15","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1056\/NEJMp2004237","article-title":"Consent to trainee involvement in pediatric care","volume":"383","author":"Largent","year":"2020","journal-title":"N Eng J Med"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2020-011007\/1081524\/peds_2020011007.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2020-011007\/1081524\/peds_2020011007.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T01:30:45Z","timestamp":1639099845000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/146\/6\/e2020011007\/33560\/When-a-Family-Seeks-to-Exclude-Residents-From"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":15,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,12,1]]},"published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2020-011007","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"type":"print","value":"0031-4005"},{"type":"electronic","value":"1098-4275"}],"subject":[],"published":{"date-parts":[[2020,12,1]]},"article-number":"e2020011007"}}