Evidence map›Paper›PMID 34127526›Full record

ArticleJournal of medical ethics2022

Junior doctors and conscientious objection to voluntary assisted dying: ethical complexity in practice.

Rosalind J McDougall, Ben P White, Danielle Ko, Louise Keogh, Lindy Willmott

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Taking the Right to Die Seriously.Medicine, health care, and philosophy · 2026
    Article
  3. Review
  4. Is Assisted Dying Really a Matter for Medical Regulation?The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Rosalind J McDougallMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia rmcdo@unimelb.edu.au.ORCID 0000-0002-3809-2575
Ben P WhiteAustralian Centre for Health Law Research, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID 0000-0003-3365-939X
Danielle KoDepartment of Palliative Care, Austin Health, Heidelberg, Victoria, Australia.
Louise KeoghMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-2963-6451
Lindy WillmottAustralian Centre for Health Law Research, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID 0000-0002-9750-287X
Queensland University of Technology · AUThe University of Melbourne · AUAustin Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In jurisdictions where voluntary assisted dying (VAD) is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors' involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously object to involvement in the VAD process, including provision of information about VAD. While this protection appears categorical and straightforward, conscientious objection to VAD-related care is ethically complex for junior doctors for reasons that are specific to this group of clinicians. For junior doctors wishing to exercise a conscientious objection to VAD, their dependence on their senior colleagues for career progression creates unique risks and burdens. In a context where senior colleagues are supportive of VAD, the junior doctor's subordinate position in the medical hierarchy exposes them to potential significant harms: compromising their moral integrity by participating, or compromising their career progression by objecting. In jurisdictions intending to provide all health professionals with meaningful conscientious objection protection in relation to VAD, strong specific support for junior doctors is needed through local institutional policies and culture.

Indexed as

ConscienceSuicide, AssistedAustraliaHumansMedical Staff, HospitalMoralsRefusal to Treatconscientious objectioneuthanasia

Identifiers

PMID34127526
PMCPMC9340035
OpenAlexW3170358952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.