ArticleBMC medical ethics2026
Clinical ethics training needs among pediatricians and pediatric residents in Ethiopia: conference-based cross-sectional survey.
Article in BMC medical ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPediatricians encounter ethically challenging cases in clinical practice throughout the world. In Ethiopia, ethically distressing pediatric cases are heightened by limited resources, lack of ethical frameworks to guide clinical care and withdrawal of supportive therapies, absence of child protection laws, and dearth of trained ethics consultants or institutional ethics committees providing clinical ethics consultation. Ethics training remains limited in undergraduate medical programs and absent in the resident curriculum at most institutions.
methodsA survey of Pediatric Residents and Pediatricians attending the Ethiopian Pediatric Society's 24
resultsA total of 200 participants completed the survey (response rate 92% of conference attendees). Most of the study participants (85.8%) felt their clinical ethics trainings were inadequate to address the ethical challenges they faced frequently. Furthermore, 58% reported no established/formal method to address ethical concern in their respective Hospitals. Most common ethical dilemmas faced by participants included refusal of treatment by patient/family, disagreement between the healthcare team and patient/family, withholding/withdrawing life-prolonging measures (70%, 59.5%, 51.5%). Most participants (89.5%) wanted additional training. The common areas of interest for further training were withholding/withdrawing life-prolonging measures, refusal of treatment by patient/family and legal issues (45%, 46.5%, 40% respectively).
conclusionEthiopian pediatricians and pediatric residents perceive that their training on clinical ethics is inadequate to address the ethical challenges they face in their daily practice. Creation of culturally relevant, pediatric-specific ethics educational programs for Ethiopian pediatricians is much needed.
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