Perfecting Pregnancy via Preimplantation Genetic Screening: The Quest for an Elusive Standard of Care

Introduction ................................................................................................................... 1295 I. Assessing the Clinical Benefits of Optimized PGS-Aneuploidy Screening Techniques ........................................................................................................ 1298 II. Contemporary Legal Doctrines Governing a Physician’s Standard of Care for Emerging Medical Technologies ............................................................ 1302 A. The Demise of Judicial Deference to Custom in Medical Malpractice ............................................................................................... 1303 B. The Physician’s Duty to Stay Abreast .................................................. 1308 C. Clinical Practice Guidelines: An Incomplete Solution to Defining the Standard of Care .............................................................. 1312 D. Informed Consent: The Duty to Inform of Alternative Treatments ................................................................................................ 1314 III. Application of Existing Legal Frameworks to a Physician’s Duty to Offer and Provide Optimized PGS-Aneuploidy Screening Services ..... 1317 A. The Inadequacy of a Custom-Based Standard of Care for PGS ..... 1317 B. A Standard of Care Based Solely on CPGs Is Insufficient .............. 1319 C. The “Reasonable Physician” Standard: The Optimal Framework for Defining a Physician’s Duty to Adopt Emerging PGS Technologies ............................................................................................ 1320 D. Dismissing Objections to the Proposed Standard of Care .............. 1323 Conclusion ...................................................................................................................... 1325