TY - JOUR
T1 - Paediatric physician-researchers
T2 - coping with tensions in dual accountability
AU - Boydell, Katherine
AU - Shaul, Randi Z.lotnik
AU - D'Agincourt-Canning, Lori
AU - Da Silva, Michael
AU - Simpson, Christy
AU - Czoli, Christine D.
AU - Rashkovan, Natalie
AU - Kim, Celine C.
AU - Levin, Alex V.
AU - Schneider, Rayfel
PY - 2012/12/1
Y1 - 2012/12/1
N2 - Potential conflicts between the roles of physicians and researchers have been described at the theoretical level in the bioethics literature (Czoli, et al., 2011). Physicians and researchers are generally in mutually distinct roles, responsible for patients and participants respectively. With increasing emphasis on integration of research into clinical settings, however, the role divide is sometimes unclear. Consequently, physician-researchers must consider and negotiate salient ethical differences between clinical- and research-based obligations (Miller et al, 1998). This paper explores the subjective experiences and perspectives of 30 physician-researchers working in three Canadian paediatric settings. Drawing on qualitative interviews, it identifies ethical challenges and strategies used by physician-researchers in managing dual roles. It considers whether competing obligations could have both positive and adverse consequences for both physician-researchers and patients. Finally, we discuss how empirical work, which explores the perspectives of those engaged in research and clinical practice, can lead the way to understanding and promoting best practice.
AB - Potential conflicts between the roles of physicians and researchers have been described at the theoretical level in the bioethics literature (Czoli, et al., 2011). Physicians and researchers are generally in mutually distinct roles, responsible for patients and participants respectively. With increasing emphasis on integration of research into clinical settings, however, the role divide is sometimes unclear. Consequently, physician-researchers must consider and negotiate salient ethical differences between clinical- and research-based obligations (Miller et al, 1998). This paper explores the subjective experiences and perspectives of 30 physician-researchers working in three Canadian paediatric settings. Drawing on qualitative interviews, it identifies ethical challenges and strategies used by physician-researchers in managing dual roles. It considers whether competing obligations could have both positive and adverse consequences for both physician-researchers and patients. Finally, we discuss how empirical work, which explores the perspectives of those engaged in research and clinical practice, can lead the way to understanding and promoting best practice.
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U2 - 10.1353/nib.2012.0060
DO - 10.1353/nib.2012.0060
M3 - Article
C2 - 24406890
AN - SCOPUS:84944447119
SN - 2157-1732
VL - 2
SP - 213
EP - 221
JO - Narrative inquiry in bioethics
JF - Narrative inquiry in bioethics
IS - 3
ER -