{"id":"https://openalex.org/W2148338856","doi":"https://doi.org/10.1111/j.1365-2923.2009.03449.x","title":"Teaching ethics to paediatrics residents: the centrality of the therapeutic alliance","display_name":"Teaching ethics to paediatrics residents: the centrality of the therapeutic alliance","publication_year":2009,"publication_date":"2009-09-16","ids":{"openalex":"https://openalex.org/W2148338856","doi":"https://doi.org/10.1111/j.1365-2923.2009.03449.x","mag":"2148338856","pmid":"https://pubmed.ncbi.nlm.nih.gov/19769644"},"language":"en","primary_location":{"id":"doi:10.1111/j.1365-2923.2009.03449.x","doi":"https://doi.org/10.1111/j.1365-2923.2009.03449.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1365-2923.2009.03449.x","pdf_url":null,"source":{"id":"https://openalex.org/S54816476","display_name":"Medical Education","issn_l":"0308-0110","issn":["0308-0110","1365-2923"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Education","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074502941","display_name":"Holly A. Taylor","orcid":"https://orcid.org/0000-0001-6811-9356","observed_orcids":["https://orcid.org/0000-0001-6811-9356"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I4210092215","display_name":"Johns Hopkins Berman Institute of Bioethics","ror":"https://ror.org/00gzx6s15","country_code":"US","type":"facility","lineage":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Holly A Taylor","raw_affiliation_strings":["Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA. htaylor@jhsph.edu","Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA. htaylor@jhsph.edu","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]},{"raw_affiliation_string":"Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036148408","display_name":"Erin L. McDonald","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin L McDonald","raw_affiliation_strings":["Department of Health, Behaviour and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health, Behaviour and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111961526","display_name":"Margaret Rusha Moon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210092215","display_name":"Johns Hopkins Berman Institute of Bioethics","ror":"https://ror.org/00gzx6s15","country_code":"US","type":"facility","lineage":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Margaret Moon","raw_affiliation_strings":["Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","Department of Paediatrics, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]},{"raw_affiliation_string":"Department of Paediatrics, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110111693","display_name":"Mark T. Hughes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210092215","display_name":"Johns Hopkins Berman Institute of Bioethics","ror":"https://ror.org/00gzx6s15","country_code":"US","type":"facility","lineage":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark T Hughes","raw_affiliation_strings":["Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]},{"raw_affiliation_string":"Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039596439","display_name":"Joseph A. Carrese","orcid":"https://orcid.org/0000-0002-4917-3100","observed_orcids":["https://orcid.org/0000-0002-4917-3100"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]},{"id":"https://openalex.org/I4210092215","display_name":"Johns Hopkins Berman Institute of Bioethics","ror":"https://ror.org/00gzx6s15","country_code":"US","type":"facility","lineage":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph A Carrese","raw_affiliation_strings":["Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]},{"raw_affiliation_string":"Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5074502941"],"corresponding_institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210092215"],"apc_list":{"value":5250,"currency":"USD","value_usd":5250},"apc_paid":null,"fwci":0.5214,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.76699078,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"43","issue":"10","first_page":"952","last_page":"959"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.7954000234603882,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.7954000234603882,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.10379999876022339,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.04820000007748604,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medical-ethics-education","display_name":"medical ethics education","score":0.8640000224113464},{"id":"https://openalex.org/keywords/therapeutic-relationship","display_name":"therapeutic relationship","score":0.9919999837875366},{"id":"https://openalex.org/keywords/doctor-parent-relationship","display_name":"doctor-parent relationship","score":0.5040000081062317},{"id":"https://openalex.org/keywords/professional-norms","display_name":"professional norms","score":0.777999997138977}],"concepts":[{"id":"https://openalex.org/C2778431023","wikidata":"https://www.wikidata.org/wiki/Q878249","display_name":"Alliance","level":2,"score":0.892155647277832},{"id":"https://openalex.org/C53811970","wikidata":"https://www.wikidata.org/wiki/Q5062194","display_name":"Centrality","level":2,"score":0.8028746843338013},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.43875324726104736},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4359925091266632},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.42949923872947693},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.42772865295410156},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32225099205970764},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1635264754295349},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.061140209436416626},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C114614502","wikidata":"https://www.wikidata.org/wiki/Q76592","display_name":"Combinatorics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004645","descriptor_name":"Empathy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004992","descriptor_name":"Ethics, Medical","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008396","descriptor_name":"Maryland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010372","descriptor_name":"Pediatrics","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013663","descriptor_name":"Teaching","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1365-2923.2009.03449.x","doi":"https://doi.org/10.1111/j.1365-2923.2009.03449.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1365-2923.2009.03449.x","pdf_url":null,"source":{"id":"https://openalex.org/S54816476","display_name":"Medical Education","issn_l":"0308-0110","issn":["0308-0110","1365-2923"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Education","raw_type":"journal-article"},{"id":"pmid:19769644","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19769644","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical education","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Quality education","score":0.6164000034332275,"id":"https://metadata.un.org/sdg/4"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W6472261","https://openalex.org/W70665751","https://openalex.org/W656846036","https://openalex.org/W1602355836","https://openalex.org/W2013928160","https://openalex.org/W2015774986","https://openalex.org/W2018574274","https://openalex.org/W2021375097","https://openalex.org/W2028353785","https://openalex.org/W2045637486","https://openalex.org/W2067924937","https://openalex.org/W2071228023","https://openalex.org/W2080826452","https://openalex.org/W2082823006","https://openalex.org/W2092773464","https://openalex.org/W2104253362","https://openalex.org/W2110534749","https://openalex.org/W2128385118","https://openalex.org/W2135091144","https://openalex.org/W2165699858","https://openalex.org/W2418050739","https://openalex.org/W4205628547","https://openalex.org/W4205796131"],"related_works":["https://openalex.org/W2128385118","https://openalex.org/W2012467748","https://openalex.org/W2763973902","https://openalex.org/W2519886595","https://openalex.org/W124622289","https://openalex.org/W2165404896","https://openalex.org/W4386753416","https://openalex.org/W2132381601","https://openalex.org/W2761634636","https://openalex.org/W2080826452"],"abstract_inverted_index":{"CONTEXT:":[0],"Previous":[1],"research":[2,313],"on":[3],"ethical":[4,39,179],"issues":[5,69,180],"encountered":[6],"by":[7,210],"medical":[8,126,256],"professionals":[9],"in":[10,28,33,55,115,122,183,249,267,308,321],"training":[11],"and":[12,32,50,132,215,250,262,299,317],"practice":[13],"have":[14],"presented":[15],"the":[16,20,26,66,155,184,193,196,207,211,237,241,264,268,276,291,309],"thematic":[17],"content":[18],"of":[19,47,148,154,167,213,243,293],"cases":[21,150,156],"they":[22,35,74],"encounter":[23,38,72,178],"rather":[24],"than":[25],"activities":[27],"which":[29,34],"clinicians":[30],"engage":[31,248],"most":[36,175],"often":[37],"issues.":[40],"We":[41],"conducted":[42],"a":[43,135,140,189],"direct":[44],"observation":[45],"study":[46,98],"paediatrics":[48,59,70,94,102,119,287],"residents":[49,71,103,173,247,288,307],"their":[51,107,233,244,255,272,301],"preceptors":[52,109],"seeing":[53],"patients":[54,105,245],"an":[56,116,123],"out-patient":[57,117,310],"general":[58,118,327],"clinic.":[60],"Our":[61,78],"objectives":[62],"were":[63,151,157,174],"to":[64,82,86,90,93,177,206,235,259,274,286,296],"describe":[65],"everyday":[67],"ethics-related":[68,161],"as":[73,159],"interact":[75],"with":[76,106,192,240,271,283],"patients.":[77],"ultimate":[79],"goal":[80],"is":[81,231],"use":[83],"this":[84,294],"knowledge":[85],"enhance":[87,300],"current":[88],"efforts":[89,234,304],"teach":[91],"ethics":[92,285,302],"residents.":[95],"METHODS:":[96],"The":[97],"team":[99],"directly":[100],"observed":[101],"discussing":[104],"faculty":[108,281],"(19":[110],"half-day":[111],"sessions,":[112],"76":[113],"hours)":[114],"clinic":[120],"located":[121],"urban":[124],"academic":[125],"centre.":[127],"Each":[128],"interaction":[129],"between":[130],"resident":[131],"preceptor":[133],"about":[134],"single":[136],"patient":[137,200],"was":[138],"considered":[139],"case":[141],"for":[142],"further":[143,315],"analysis.":[144],"RESULTS:":[145],"A":[146,163],"total":[147],"247":[149],"recorded.":[152],"Forty-one":[153],"coded":[158],"having":[160],"content.":[162],"constant":[164],"comparative":[165],"method":[166],"qualitative":[168],"data":[169],"analysis":[170],"revealed":[171],"that":[172,229,246],"likely":[176],"when":[181],"engaged":[182],"following":[185],"activities:":[186],"(i)":[187],"maintaining":[188],"therapeutic":[190,238],"alliance":[191,239],"caregiver":[194],"(e.g.":[195,325],"parent);":[197],"(ii)":[198],"prioritising":[199],"or":[201,222],"family":[202],"needs;":[203],"(iii)":[204],"adjusting":[205],"power":[208,265],"embodied":[209],"role":[212,270],"doctors,":[214],"(iv)":[216],"distinguishing":[217],"suboptimal":[218],"care":[219],"from":[220],"abuse":[221],"neglect.":[223],"In":[224],"addition,":[225],"our":[226],"findings":[227,320],"indicate":[228],"it":[230],"through":[232],"maintain":[236],"caregivers":[242],"integrate":[251],"three":[252],"processes:":[253],"developing":[254],"knowledge;":[257],"adhering":[258],"professional":[260],"norms,":[261],"balancing":[263],"inherent":[266],"doctor's":[269],"responsibility":[273],"serve":[275],"patient's":[277],"interests.":[278],"CONCLUSIONS:":[279],"Medical":[280],"tasked":[282],"teaching":[284],"can":[289],"utilise":[290],"results":[292],"project":[295],"better":[297],"target":[298],"education":[303],"directed":[305],"at":[306],"setting.":[311],"Future":[312],"could":[314],"examine":[316],"test":[318],"these":[319],"other":[322],"clinical":[323],"settings":[324],"adult":[326],"medicine).":[328]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":4},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}