How certain are you, doctor?

Journal article


Gillis, Jonathan and Tobin, Bernadette. (2011). How certain are you, doctor? Pediatric Critical Care Medicine. 12(1), pp. 71 - 72. https://doi.org/10.1097/PCC.0b013e3181e2a4cd
AuthorsGillis, Jonathan and Tobin, Bernadette
Abstract

Objective: To argue that pediatric intensive care physicians have difficulties in responding to parental questions about prognostic certainty, and that this constitutes a failure in their professional responsibility to parents. Conclusions: These difficulties arise from three sources: 1) the structure and organization of contemporary intensive care, 2) the neglect of prognostication, and 3) the failure to distinguish scientific certainty from practical certainty. It is proposed that an understanding of these issues will enable physicians to respond to the parental question “How certain are you, doctor?” with more authenticity and sincerity.

Year2011
JournalPediatric Critical Care Medicine
Journal citation12 (1), pp. 71 - 72
PublisherLippincott Williams & Wilkins
ISSN1529-7535
Digital Object Identifier (DOI)https://doi.org/10.1097/PCC.0b013e3181e2a4cd
Scopus EID2-s2.0-78751646332
Page range71 - 72
Publisher's version
File Access Level
Controlled
Place of publicationUnited States of America
Permalink -

https://acuresearchbank.acu.edu.au/item/894q3/how-certain-are-you-doctor

Restricted files

Publisher's version

  • 103
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Why should HCWs receive priority access to vaccines in a pandemic?
Symons, Xavier, Matthews, Stephen Crawford and Tobin, Bernadette Margaret. (2021). Why should HCWs receive priority access to vaccines in a pandemic? BMC Medical Ethics. 22(1), pp. 79-88. https://doi.org/10.1186/s12910-021-00650-2
‘I hope I believe in God’ : Some Implications for Contemporary Ethics
Tobin, Bernadette Margaret. (2016). ‘I hope I believe in God’ : Some Implications for Contemporary Ethics. In Religion and Culture in Dialogue: East and West Perspectives pp. 17-28 Springer Science and Business Media B.V.. https://doi.org/10.1007/978-3-319-25724-2_2
Use of guidelines when planning home care of a girl with severe congenital myopathy
Gray, Kelly, Isaacs, David, Kilham, Henry, Tobin, Bernadette Margaret and Waters, Karen. (2016). Use of guidelines when planning home care of a girl with severe congenital myopathy. Journal of Paediatrics and Child Health. 52(1), pp. 7 - 10. https://doi.org/10.1111/jpc.13065
Human Vulnerability in Medical Contexts
Matthews, Steve and Tobin, Bernadette. (2016). Human Vulnerability in Medical Contexts. Theoretical Medicine and Bioethics. 37(1), pp. 1 - 7.
Spinal muscular artrophy type I: Do the benefits of ventilation compensate for its burdens?
Gray, Kelly, Isaacs, David, Kilham, Henry and Tobin, Bernadette Margaret. (2013). Spinal muscular artrophy type I: Do the benefits of ventilation compensate for its burdens? Journal of Paediatrics and Child Health. 49(10), pp. 807 - 812. https://doi.org/10.1111/jpc.12386
Religious perspectives on umbilical cord blood banking
Tobin, Bernadette Margaret, Kerridge, Ian, Jordens, Christopher and Keown, Damien. (2012). Religious perspectives on umbilical cord blood banking. Journal of Law and Medicine. 19(3), pp. 497 - 511.
Palivizumab : A debate about funding
Fitzgerald, Dominic, Isaacs, David and Tobin, Bernadette. (2012). Palivizumab : A debate about funding. Journal of Paediatrics and Child Health. 48(5), pp. 373 - 377.
Contemporary moral philosophy and happiness: Some insights from the Judeo-Christian tradition
Tobin, Bernadette. (2011). Contemporary moral philosophy and happiness: Some insights from the Judeo-Christian tradition. In In H. Ramsay (Ed.). Truth and faith in ethics pp. 71 - 84 Imprint Academic.
Managing ethically questionable parental requests: Growth suppression and manipulation of puberty
Isaacs, David, Tobin, Bernadette, Hamblin, Julie, Slaytor, Emma, Donaghue, Kim C., Munns, Craig and Kilham, Henry A.. (2011). Managing ethically questionable parental requests: Growth suppression and manipulation of puberty. Journal of Paediatrics and Child Health. 47(9), pp. 581 - 584. https://doi.org/10.1111/j.1440-1754.2011.02156.x
An introduction
Tobin, Bernadette. (2011). An introduction. Journal of Paediatrics and Child Health. 47(9), pp. 579 - 580. https://doi.org/10.1111/j.1440-1754.2011.02155.x
Religious perspectives on embryo donation
Kerridge, Ian, Jordens, Christopher, Benson, Rod, Clifford, Ross, Ancheny, Rachel, Keown, Damien, Tobin, Bernadette, Bhattacharyya, Swasti, Sachedine, Abdulaziz, Lehmann, Lisa and Edgar, Brian. (2010). Religious perspectives on embryo donation. Clinical Ethics (online version). 5(1), pp. 35 - 45.
Ethical issues in immunisation
Isaacs, David, Kilham, Henry, Leask, Julie and Tobin, Bernadette Margaret. (2009). Ethical issues in immunisation. Vaccine. 27(5), pp. 615 - 618. https://doi.org/10.1016/j.vaccine.2008.11.002
When does severe childhood obesity become a child protection issue?
Alexander, Shirley, Baur, Louise, Magnusson, Roger and Tobin, Bernadette Margaret. (2009). When does severe childhood obesity become a child protection issue? Medical Journal of Australia. 190(3), pp. 136 - 138. https://doi.org/10.5694/j.1326-5377.2009.tb02313.x
Gaining consent for publication in difficult cases involving children
Isaacs, David, Kilham, Henry, Ryan, Monique and Tobin, Bernadette Margaret. (2008). Gaining consent for publication in difficult cases involving children. BMJ.
Piu parole e meno pezzi di carta. I figuciarai :uno instrumento piu valido dei testamenti bioligici per includere nuove
Tobin, Bernadette Margaret. (2007). Piu parole e meno pezzi di carta. I figuciarai :uno instrumento piu valido dei testamenti bioligici per includere nuove. In Ignazio R. Marino, Presidente della Commissione Igiene e sanita del Sanato (Ed.). Advance Care Directives. Italy: Senate of the Italian Republic.
Spinal muscular atrophy type 1: Is long-term mechanical ventilation ethical?
Ryan, Monique, Kilham, Henry, Tobin, Bernadette, Jacobs, Stephen and Isaacs, David. (2007). Spinal muscular atrophy type 1: Is long-term mechanical ventilation ethical? Journal of Paediatrics and Child Health. 43(4), pp. 237 - 242. https://doi.org/10.1111/j.1440-1754.2007.01052.x
Our genetic future
Tobin, Bernadette. (2006). Our genetic future. In In M. Whelan (Ed.). Issues for Church and Society in Australia : The Aquians Academy Jubilee Lectures 2005 pp. 33 - 46 St Pauls Publications.
Withdrawal of neonatal mechanical ventilation against the parents' wishes
Isaacs, David, Kilham, Henry, Gordon, Adrienne, Jeffrey, Heather, Tarnow-Mordi, William, Woolnough, Jodie, Hamblin, Julie and Tobin, Bernadette. (2006). Withdrawal of neonatal mechanical ventilation against the parents' wishes. Journal of Paediatrics and Child Health. 42(9), pp. 311 - 315. https://doi.org/10.1111/j.1440-1754.2006.00861.x
Rebecca's Story
Cooper, Peter, Collins, John, Leveaux, Viviane, Isaacs, David, Kilham, Henry and Tobin, Bernadette. (2005). Rebecca's Story. Journal of Paediatrics and Child Health. 41(8), pp. 453 - 455. https://doi.org/10.1111/j.1440-1754.2005.00669.x
Australian Consequentialism: An Australian Critique
Tobin, Bernadette. (2005). Australian Consequentialism: An Australian Critique. Theoretical Medicine and Bioethics. 26(3), pp. 165 - 173. https://doi.org/10.1007/s11017-005-3974-z
Nutrition in cerebral palsy
Isaacs, David, Kilham, Henry, Somerville, Helen, O'Loughlin, Edward and Tobin, Bernadette. (2004). Nutrition in cerebral palsy. Journal of Paediatrics and Child Health. 40(June), pp. 308 - 310. https://doi.org/10.1111/j.1440-1754.2004.00369.x
Reasoning about embryos, cloning and stem cells
Tobin, Bernadette. (2003). Reasoning about embryos, cloning and stem cells. Monash bioethics review. 22(1), pp. 8 - 21.
Is there a distinctly surgical ethic?
Tobin, Bernadette Margaret. (2003). Is there a distinctly surgical ethic? In In I. Kerridge, C. Jordens and E. Sayers (Ed.). Restoring Humane Values to Medicine pp. 18 - 20 Desert Pea Press.
Response to Malcolm Parker
Tobin, Bernadette. (2003). Response to Malcolm Parker. Monash bioethics review. 22(1), pp. 8 - 21.
Why we should have maintained a prohibition on destructive research on human embryos
Tobin, Bernadette Margaret. (2003). Why we should have maintained a prohibition on destructive research on human embryos. In In W. Wing, H. Iam and I. Barns (Ed.). God Down Under Theology in the Antipodes pp. 207 - 215 Australian Theological Forum Press.
End-of-life issues: Case 2
Glare, Paul and Tobin, Bernadette. (2002). End-of-life issues: Case 2. Medical Journal of Australia. 176(21), pp. 80 - 81. https://doi.org/10.5694/j.1326-5377.2002.tb04292.x
Community versus individual benefit
Tobin, Bernadette, Leeder, Stephen and Somerville, Ernest. (2002). Community versus individual benefit. Medical Journal of Australia. 176, pp. 279 - 280. https://doi.org/10.5694/j.1326-5377.2002.tb04408.x
Guest Editorial
Tobin, Bernadette. (2002). Guest Editorial. Contemporary Nurse. 12(3), pp. 209 - 212. https://doi.org/10.5172/conu.12.3.209