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Semin Med Pract 
2007 ;10:30-36
But doctor, you have to do everything! Managing end-of-life ethical dilemmas in the hospital
Alfandre D, Schumann J

Although ethical practice is a core competency of clinical training, there is no well-established pathway to developing the skills needed to address these issues with confidence. This article is the first in a series using common clinical scenarios to illustrate how to apply a systematic approach to managing ethical dilemmas. The authors present a case of an elderly hospitalized man who is at the end of his life and whose daughter and son are at odds over his care. Using a stepwise approach, the authors illustrate how the core ethical issue can be broken down into a series of steps or questions that help to order the clinician's thinking and allow for better communication with the family and a better final outcome.

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