BACKGROUND According to the Accreditation Council on Graduate Medical Education and the Ambulatory Pediatrics Association, pediatricians need to be instructed in caring for terminally ill children as a part of residency training. However, a systematic approach to education in end-of-life care is lacking in most residency programs. OBJECTIVES To assess pediatricians' self-perception of their c...

The study evaluated the psychosocial functioning levels of a group of chronically ill (diabetic, asthmatic, cystic fibrotic, and hearing-impaired) children across a battery of standardized personality instruments. The assessments were performed to provide a rigorous test of the popular hypothesis that chronically ill children are especially vulnerable to psychopatholgy. In contrast to this ster...

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The use of classroom debates can be helpful in teaching ethical content that is often nebulous and difficult for students to comprehend and apply. Debates enhance critical thinking skills through researching issues and developing a stance that can be supported in scientific literature. The authors describe a student debate project involving ethical issues with chronically ill clients. Many stud...

Until recently, American Indian tribes lacked procedures for the commitment of mentally ill reservation residents. The Red Dog decision (White v. Califano) highlighted the difficult issues inherent in this situation. This article reports the experiences of IHS and tribal service providers who struggle with these issues and describes the commitment procedures developed by five different reservat...