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Papers by Jeremy Rosenbaum Simon

Research paper thumbnail of COVID-19 and the problem of clinical knowledge

History and Philosophy of the Life Sciences

COVID-19 presents many challenges, both clinical and philosophical. In this paper we discuss a ma... more COVID-19 presents many challenges, both clinical and philosophical. In this paper we discuss a major lacuna that COVID-19 revealed in our philosophy and understanding of medicine. Whereas we have some understanding of how physicianscientists interrogate the world to learn more about medicine, we do not understand the epistemological costs and benefits of the various ways clinicians acquire new knowledge in their fields. We will also identify reasons this topic is important both when the world is facing a pandemic and when it is not. Keywords Clinical knowledge • COVID-19 • Epistemology As an attending physician in the emergency department of a major academic medical center in New York City, I spent the spring of 2020 combatting one of the most severe of the early outbreaks of COVID-19. Clinically, this was grueling, but bit by bit, by trial and error, we began to solve the clinical questions facing us. However, COVID-19 did not just present clinicians with a therapeutic and epidemiological challenge. It also presented an epistemological challenge. What was the most reliable and efficient way for those caring for patients to learn about COVID-19, in particular the trials and errors of those outside a practitioner's direct circle? There should have been a clear answer. There wasn't. This lack of clarity presented a This note belongs to the Topical Collection "Seeing Clearly Through COVID-19: Current and future questions for the history and philosophy of the life sciences", edited by G. Boniolo and L. Onaga.

Research paper thumbnail of Society for Academic Emergency Medicine Position Statement on Teacher-Learner Relationships

Academic Emergency Medicine, 2011

Research paper thumbnail of Philosophy of medicine in 2021

Theoretical Medicine and Bioethics, 2022

Research paper thumbnail of Philosophy of medicine in 2021

Theoretical Medicine and Bioethics, 2022

Research paper thumbnail of Donation After Cardiac Death and the Emergency Department: Ethical Issues

Academic Emergency Medicine, 2014

Research paper thumbnail of The Routledge Companion to Philosophy of Medicine

Listening is a rare happening among human beings ... [it] is a primitive act of love, in which a ... more Listening is a rare happening among human beings ... [it] is a primitive act of love, in which a person gives self to another's word, making self accessible and vulnerable to that word.

Research paper thumbnail of What is an Emergency Ethics Consultation?

AMA journal of ethics, 2016

The people and events in this case are fictional. Resemblance to real events or to names of peopl... more The people and events in this case are fictional. Resemblance to real events or to names of people, living or dead, is entirely coincidental. The viewpoints expressed in this article are those of the author(s) and do not necessarily reflect the views and policies of the AMA.

Research paper thumbnail of Disease, Illness, and Sickness

Research paper thumbnail of Saving Grandpa?

Legal and Ethical Issues in Emergency Medicine

This chapter discusses the appropriate response of emergency physicians to requests by patients o... more This chapter discusses the appropriate response of emergency physicians to requests by patients or family to provide treatment that the physician considers futile. The term’s meaning and its scope of application in the emergency department are discussed as well.

Research paper thumbnail of Benjamin Smart: Concepts and causes in the philosophy of disease

Theoretical Medicine and Bioethics

Research paper thumbnail of Conceptualizing diseases

Canadian Medical Association Journal

Research paper thumbnail of Understanding disease and illness

Theoretical Medicine and Bioethics

We are pleased and greatly honored to present to the readers of Theoretical Medicine and Bioethic... more We are pleased and greatly honored to present to the readers of Theoretical Medicine and Bioethics a selection of the wonderful papers presented at the 6th Philosophy of Medicine Roundtable, held in Bristol in August 2015. As at the prior Roundtables, held in Birmingham (Alabama), Rotterdam, San Sebastian, and New York, a wide variety of papers from around the world were presented, including a keynote presentation by Rachel Cooper of Lancaster University. As always, in keeping with the Roundtable name and mission, the conference focused on philosophical aspects of medicine beyond bioethics, thus providing the only regular gathering devoted to this large and growing field of philosophy. And it is indeed growing. In the two years since papers from the last Roundtable appeared in this journal, there have been no fewer than nine books published in the field, with volumes written by Havi Carel [1], Benjamin Smart [2], and Mark Sullivan [3], collections edited by Robyn Bluhm [4], Giovanni Boniolo and Virginia Sanchini [5], Boniolo and Marco Nathan [6], and Elodie Giroux [7], and textbooks edited by Miriam Solomon, Jeremy Simon, and Harold Kincaid [8], James Marcum [9], and Thomas Schramme and Steven Edwards [10]. The recent release of three textbooks almost simultaneously (all parts of larger series) following on only one previously [11] is especially significant. It speaks to a growing recognition of philosophy of medicine as an essential part of philosophy more generally as well as, one hopes, to a growing demand for texts at the student level. The papers presented at the conference included, not for the first time, several focused on psychiatric conditions and practice, including Prof. Cooper's keynote. This is notable because the Roundtable was originally conceived, at least in part, as a complement to already existing forums for philosophy of psychiatry. However, these

Research paper thumbnail of Futile Care"-An Emergency Medicine Approach: Ethical and Legal Considerations

Annals of emergency medicine, Jan 26, 2017

Futility often serves as a proposed reason for withholding or withdrawing medical treatment, even... more Futility often serves as a proposed reason for withholding or withdrawing medical treatment, even in the face of patient and family requests. Although there is substantial literature describing the meaning and use of futility, little of it is specific to emergency medicine. Furthermore, the literature does not provide a widely accepted definition of futility, and thus is difficult if not impossible to apply. Some argue that even a clear concept of futility would be inappropriate to use. This article will review the origins of and meanings suggested for futility, specific challenges such cases create in the emergency department (ED), and the relevant legal background. It will then propose an approach to cases of perceived futility that is applicable in the ED and does not rely on unilateral decisions to withhold treatment, but rather on avoiding and resolving the conflicts that lead to physicians' believing that patients are asking them to provide "futile" care.

Research paper thumbnail of The Concept of Disease

Philosophical Papers, 2007

Research paper thumbnail of A Return to Virtue. Authors' reply. Commentary

Academic Emergency Medicine, 2009

Research paper thumbnail of Against Medical Advice, Refusal of Care, and Informed Consent

Ethical Dilemmas in Emergency Medicine, 2015

Research paper thumbnail of Using Physicians as Agents of the State

A Discussion-Based Review, 2012

Research paper thumbnail of The difficult patient

Emergency medicine clinics of North America, 1999

The term difficult patient refers to a group of patients with whom a physician may have trouble f... more The term difficult patient refers to a group of patients with whom a physician may have trouble forming a normal therapeutic relationship. The care of these patients can present many ethical dilemmas, ranging from issues of patient autonomy to questions of appropriate use of resources, which the emergency physician must be prepared to handle. Encounters with these patients also challenge physicians to explore and cultivate many of the character traits and virtues necessary to being a humane, caring, and ethical practitioner.

Research paper thumbnail of If a man needs a gynecologist, will he be able to find one?

Annals of internal medicine, Jan 15, 2014

Research paper thumbnail of Case study. "Doctor, will you turn off my LVAD?" Commentary

The Hastings Center report

Research paper thumbnail of COVID-19 and the problem of clinical knowledge

History and Philosophy of the Life Sciences

COVID-19 presents many challenges, both clinical and philosophical. In this paper we discuss a ma... more COVID-19 presents many challenges, both clinical and philosophical. In this paper we discuss a major lacuna that COVID-19 revealed in our philosophy and understanding of medicine. Whereas we have some understanding of how physicianscientists interrogate the world to learn more about medicine, we do not understand the epistemological costs and benefits of the various ways clinicians acquire new knowledge in their fields. We will also identify reasons this topic is important both when the world is facing a pandemic and when it is not. Keywords Clinical knowledge • COVID-19 • Epistemology As an attending physician in the emergency department of a major academic medical center in New York City, I spent the spring of 2020 combatting one of the most severe of the early outbreaks of COVID-19. Clinically, this was grueling, but bit by bit, by trial and error, we began to solve the clinical questions facing us. However, COVID-19 did not just present clinicians with a therapeutic and epidemiological challenge. It also presented an epistemological challenge. What was the most reliable and efficient way for those caring for patients to learn about COVID-19, in particular the trials and errors of those outside a practitioner's direct circle? There should have been a clear answer. There wasn't. This lack of clarity presented a This note belongs to the Topical Collection "Seeing Clearly Through COVID-19: Current and future questions for the history and philosophy of the life sciences", edited by G. Boniolo and L. Onaga.

Research paper thumbnail of Society for Academic Emergency Medicine Position Statement on Teacher-Learner Relationships

Academic Emergency Medicine, 2011

Research paper thumbnail of Philosophy of medicine in 2021

Theoretical Medicine and Bioethics, 2022

Research paper thumbnail of Philosophy of medicine in 2021

Theoretical Medicine and Bioethics, 2022

Research paper thumbnail of Donation After Cardiac Death and the Emergency Department: Ethical Issues

Academic Emergency Medicine, 2014

Research paper thumbnail of The Routledge Companion to Philosophy of Medicine

Listening is a rare happening among human beings ... [it] is a primitive act of love, in which a ... more Listening is a rare happening among human beings ... [it] is a primitive act of love, in which a person gives self to another's word, making self accessible and vulnerable to that word.

Research paper thumbnail of What is an Emergency Ethics Consultation?

AMA journal of ethics, 2016

The people and events in this case are fictional. Resemblance to real events or to names of peopl... more The people and events in this case are fictional. Resemblance to real events or to names of people, living or dead, is entirely coincidental. The viewpoints expressed in this article are those of the author(s) and do not necessarily reflect the views and policies of the AMA.

Research paper thumbnail of Disease, Illness, and Sickness

Research paper thumbnail of Saving Grandpa?

Legal and Ethical Issues in Emergency Medicine

This chapter discusses the appropriate response of emergency physicians to requests by patients o... more This chapter discusses the appropriate response of emergency physicians to requests by patients or family to provide treatment that the physician considers futile. The term’s meaning and its scope of application in the emergency department are discussed as well.

Research paper thumbnail of Benjamin Smart: Concepts and causes in the philosophy of disease

Theoretical Medicine and Bioethics

Research paper thumbnail of Conceptualizing diseases

Canadian Medical Association Journal

Research paper thumbnail of Understanding disease and illness

Theoretical Medicine and Bioethics

We are pleased and greatly honored to present to the readers of Theoretical Medicine and Bioethic... more We are pleased and greatly honored to present to the readers of Theoretical Medicine and Bioethics a selection of the wonderful papers presented at the 6th Philosophy of Medicine Roundtable, held in Bristol in August 2015. As at the prior Roundtables, held in Birmingham (Alabama), Rotterdam, San Sebastian, and New York, a wide variety of papers from around the world were presented, including a keynote presentation by Rachel Cooper of Lancaster University. As always, in keeping with the Roundtable name and mission, the conference focused on philosophical aspects of medicine beyond bioethics, thus providing the only regular gathering devoted to this large and growing field of philosophy. And it is indeed growing. In the two years since papers from the last Roundtable appeared in this journal, there have been no fewer than nine books published in the field, with volumes written by Havi Carel [1], Benjamin Smart [2], and Mark Sullivan [3], collections edited by Robyn Bluhm [4], Giovanni Boniolo and Virginia Sanchini [5], Boniolo and Marco Nathan [6], and Elodie Giroux [7], and textbooks edited by Miriam Solomon, Jeremy Simon, and Harold Kincaid [8], James Marcum [9], and Thomas Schramme and Steven Edwards [10]. The recent release of three textbooks almost simultaneously (all parts of larger series) following on only one previously [11] is especially significant. It speaks to a growing recognition of philosophy of medicine as an essential part of philosophy more generally as well as, one hopes, to a growing demand for texts at the student level. The papers presented at the conference included, not for the first time, several focused on psychiatric conditions and practice, including Prof. Cooper's keynote. This is notable because the Roundtable was originally conceived, at least in part, as a complement to already existing forums for philosophy of psychiatry. However, these

Research paper thumbnail of Futile Care"-An Emergency Medicine Approach: Ethical and Legal Considerations

Annals of emergency medicine, Jan 26, 2017

Futility often serves as a proposed reason for withholding or withdrawing medical treatment, even... more Futility often serves as a proposed reason for withholding or withdrawing medical treatment, even in the face of patient and family requests. Although there is substantial literature describing the meaning and use of futility, little of it is specific to emergency medicine. Furthermore, the literature does not provide a widely accepted definition of futility, and thus is difficult if not impossible to apply. Some argue that even a clear concept of futility would be inappropriate to use. This article will review the origins of and meanings suggested for futility, specific challenges such cases create in the emergency department (ED), and the relevant legal background. It will then propose an approach to cases of perceived futility that is applicable in the ED and does not rely on unilateral decisions to withhold treatment, but rather on avoiding and resolving the conflicts that lead to physicians' believing that patients are asking them to provide "futile" care.

Research paper thumbnail of The Concept of Disease

Philosophical Papers, 2007

Research paper thumbnail of A Return to Virtue. Authors' reply. Commentary

Academic Emergency Medicine, 2009

Research paper thumbnail of Against Medical Advice, Refusal of Care, and Informed Consent

Ethical Dilemmas in Emergency Medicine, 2015

Research paper thumbnail of Using Physicians as Agents of the State

A Discussion-Based Review, 2012

Research paper thumbnail of The difficult patient

Emergency medicine clinics of North America, 1999

The term difficult patient refers to a group of patients with whom a physician may have trouble f... more The term difficult patient refers to a group of patients with whom a physician may have trouble forming a normal therapeutic relationship. The care of these patients can present many ethical dilemmas, ranging from issues of patient autonomy to questions of appropriate use of resources, which the emergency physician must be prepared to handle. Encounters with these patients also challenge physicians to explore and cultivate many of the character traits and virtues necessary to being a humane, caring, and ethical practitioner.

Research paper thumbnail of If a man needs a gynecologist, will he be able to find one?

Annals of internal medicine, Jan 15, 2014

Research paper thumbnail of Case study. "Doctor, will you turn off my LVAD?" Commentary

The Hastings Center report