Ethics by Committee?

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Abstract
To the Editor: Dr. Bernard Lo's review of ethics committees (July 2 issue)1 paints a promising picture of the committee as a consultant. Unfortunately, this illustration is incomplete.Any medical consultant's peer acceptance is based on clinical credibility and demonstrated subspecialty expertise.2 With their uncertain requirements for membership and their members' various backgrounds, interests, and time commitments, committees cannot guarantee clinical credibility or subspecialty expertise. The question of how likely committees are to gain peer acceptance may be approached by studying what kinds of patients are referred for consultation. A review of cases considered by our ethics consultation service3 showed . . .

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