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Review
. 2024 Apr;45(4):703-709.
doi: 10.1007/s00246-024-03431-x. Epub 2024 Feb 22.

Fetal Cardiology Bioethics: An Innovative New Curriculum for Cardiology Trainees

Lynne E Nield  1   2   3 , Maya Dahan  3 , Vitor Guerra  1   2 , Sonila Mustafa  1 , Nanette Okun  3 , Lindsay Freud  1   2 , Ra K Han  4 , Roxanne Kirsch  5   6   7
Affiliations
Review

Fetal Cardiology Bioethics: An Innovative New Curriculum for Cardiology Trainees

Lynne E Nield et al. Pediatr Cardiol. 2024 Apr.

Abstract

Decision-making in fetal cardiology is fraught with ethical issues yet education in bioethics for trainees is limited or nonexistent. In this innovation report, we describe the development of a fetal cardiology bioethics curriculum designed to address this gap. The curriculum was developed to supplement the core curriculum for cardiology fellows and fetal cardiology subspecialty trainees. The series combines didactic and interactive teaching modalities and contains 5 key components: (1) introduction to bioethics and its role in fetal cardiology, (2) counseling and pathways for compassionate terminal care, (3) case vignette-based ethical analysis and discussion cases, (4) fetal counseling considerations for shared decision-making and recommendations, (5) facilitated communications role play. The curriculum was refined using session evaluations from end users. This report describes the innovative curriculum as a starting point for further incorporation and study of bioethical education in pediatric cardiology and fetal training programs.

Keywords: Congenital heart disease; Curriculum; Fetal bioethics; Teaching.

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