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36 HEC F. 1 (2024)

handle is hein.journals/hecforum36 and id is 1 raw text is: HEC Forum (2024) 36:1-29 https://doi.org/10.1007/s10730-022-09473-z Building Effective Mentoring Relationships During Clinical Ethics Fellowships: Pedagogy, Programs, and People Trevor M. Bibler - Ryan H. Nelson' • Bryanna Moore2 - Janet Malek' • Mary A. Majumderl Accepted: 8 February 2022 / Published online: 26 February 2022 ©The Author(s), under exclusive licence to Springer Nature B.V. 2022 Abstract How should clinical ethicists be trained? Scholars have stated that clinical ethics fel- lowships create well-trained, competent ethicists. While this appears intuitive, few features of fellowship programs have been publicly discussed, let alone debated. In this paper, we examine how fellowships can foster effective mentoring relationships. These relationships provide the foundation for the fellow's transition from novice to competent professional. In this essay, we begin by discussing our pedagogical com- mitments. Next, we describe the structures our program has created to assist our fellows in becoming competent ethicists. We then outline the kinds of knowledge, skills, and professional attributes mentors should possess. Following this, we focus on the knowledge, skills, and professional attributes that fellows develop as they co- create effective mentoring relationships. We will not prescribe a single approach to fellowship training; instead, our perspective will, we hope, become a catalyst for fur- ther conversation on training and mentoring clinical ethics fellows. Keywords Clinical ethics - Medical education - Professionalization Introduction As the field of clinical ethics becomes a profession, questions about standards for competency persist. What should be the standards for competent clinical ethics consultation (CEC)? Who should determine them? How can the field avoid homo- geneity and hegemony while promoting consistency? What training must clinical ethicists undergo to earn the label competent? Recent debates surrounding the E Trevor M. Bibler bibler@bcm.edu Center for Medical Ethics and Health Policy, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA 2 Institute for Bioethics and Health Humanities, University of Texas Medical Branch, Galveston, TX, USA I_) Springer