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.

If it is ethically justifiable for clinicians to err by overreporting suspected abuse and neglect, we must fairly distribute benefits and harms among all children and families.

How society and medicine discussed and responded to child abuse changed dramatically in 1962. Since that time, the problem’s fuller scope has been revealed.

Pediatricians have been forced to navigate diagnostic uncertainty, hospital closures, limited staffing, and new infection control guidelines.

Dr Jeremy Weleff joins Ethics Talk to discuss his article, coauthored with Dr Dawn Potter: “Key Updates to Understanding Roles of Childhood Trauma in Overall Health.”

Dr Michael J. Oldani joins Ethics Talk to discuss his article: “Papal Doctrines’ Deep Trauma Legacies in Minoritized Communities.”

Drs Andrea Asnes and Sundes Kazmir join Ethics Talk to discuss medical child abuse, sites of pediatric neglect, and how clinicians can best carry out their responsibilities as mandatory reporters.

Dr Colleen E. Bennett joins Ethics Talk to discuss her article, coauthored with Dr Cindy W. Christian: “How Should Clinicians and Students Cope With Secondary Trauma When Caring for Children Traumatized by Abuse or Neglect?”

Adriana Pero joins Ethics Talk to discuss her article, coauthored with Emily L. Xu: “Is It Reasonable to Expect Students and Trainees to Internalize Equity as a Core Professional Value When Teaching and Learning Occurs in Segregated Settings?”

Dr Lisa Lehmann joins Ethics Talk to discuss “grateful patient programs,” pressures clinicians face to fundraise on behalf of health care organizations for which they work, and whether “VIP” care really is better for patients.