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Clinical Ethics Fellowship Programs in the U.S. and Canada: A Descriptive Study of Program Characteristics and Practices.

To address the current lack of knowledge about clinical ethics fellowship programs (CEFPs), we surveyed all 36 programs in the U.S. and Canada. The number of CEFPs has grown exponentially over the last 40 years and far exceeds previous estimates. Commonalities among CEFPs include: 88.8% require an a...

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Published in:American Journal of Bioethics Vol. 25; no. 10; pp. 51 - 67
Main Authors: Fox, Ellen, Wasserman, Jason Adam
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Oct2025
Online Access:View this record in EBSCOhost
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      dt: Oct2025
      vid: 25
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Clinical Ethics Fellowship Programs in the U.S. and Canada: A Descriptive Study of Program Characteristics and Practices.
      aug:
        au:
          Fox, Ellen
          Wasserman, Jason Adam
        affil: Fox Ethics Consulting
      sug:
        subj:
          Bioethics Education
          Bioethics Education
          Ethicists Education
          Training Support, Financial
          Human
          Descriptive Research
          United States
          Canada
          Clinical Competence
          Accreditation
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          Male
          Nonbinary Persons
          White Persons
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          Native Hawaiians
          Alaska Natives
          Native Americans
          Hispanic Americans
          Descriptive Statistics
          Data Analysis Software
          Content Analysis
          One-Way Analysis of Variance
          Funding Source
          Female
          Male
      ab: To address the current lack of knowledge about clinical ethics fellowship programs (CEFPs), we surveyed all 36 programs in the U.S. and Canada. The number of CEFPs has grown exponentially over the last 40 years and far exceeds previous estimates. Commonalities among CEFPs include: 88.8% require an advanced degree or rarely accept applicants without one; 91.7% of programs do not restrict applicants to a specific background such as medicine or philosophy; and 88.9% of programs compensate fellows. CEFPs vary widely on numbers of fellows trained in the last 3 years (1–111), numbers of consultations performed by each fellow (0–450), and salaries paid ($0-$95,000). Less than half of programs meet CEFP standards established by ABPD. Nonpaying programs and larger programs tend to have lower admission standards and lower expectations for fellows. We hope these data will help inform CEFP standards that promote quality and consistency without stifling desirable diversity and innovation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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