AMA Journal of Ethics^®

This narrative illuminates need for students and clinicians to be well prepared to face ethically and structurally complex realities of identifying and responding to children.

A just culture perspective suggests that punitive responses to those who err should be reserved for those who have willfully and irremediably caused harm.

Two pediatric cases highlight risks of prolonging anesthetic exposure for training purposes and prompt questions about influences of surgical training on outcomes.

Long-term care facilities should assess residents for capacity to consent to sexual activity and be prepared to accommodate sexual intimacy.

PSOs are not required to share their data, which limits the ability to achieve a much-needed national perspective. Regardless, the are a step in the right direction.