15121 - Ethics of Publishing: Balancing the routine and...

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Ethics of Publishing: Balancing the routine and revolutionary Peter A. Singer, MD, MPH University of Toronto peter.singer@utoronto.ca
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What is the greatest ethical challenge in medical publishing? A) Publishing information from patient- doctor relationship B) Editors’ duty to warn of unethical clinical or research practice C) Conflict of interest D) Open access E) Global health equity
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My point in this talk The greatest ethical challenge in medical publishing is global health equity Develop action plan that goes beyond open access to bi-directional information flow (turning Southern readers into authors ) The routine stuff should be thought of in terms of ethics processes in journals using framework of accountability for reasonableness
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Routine publication ethics Publishing information from patient-doctor relationship, duty to warn, COI, etc How shall we think about these? Knee-jerk reaction is write guidelines Risk of this approach: overlong, overpompous, a bit of a crusade
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A focus on process Think about this as how to institutionalize ethics processes into journal This is in fact what BMJ has done empirically with its ethics committee, first journal to do so and fine model to study Of course this may also result in guidelines but they will be more case-based Ethical framework: Accountability for reasonableness
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Accountability for Reasonableness Daniels BMJ 2000 Relevance: priority setting decisions based on reasons upon which fair minded people can agree in the circumstances Publicity: reasons publicly accessible Appeals: mechanism for challenge and dispute resolution Enforcement: voluntary or public regulation to ensure 3 conditions met
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This note was uploaded on 02/23/2012 for the course PHARM 290 taught by Professor Staff during the Fall '10 term at Rutgers.

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15121 - Ethics of Publishing: Balancing the routine and...

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