title: Ethical issues in the conduct of research at a multidisciplinary clinic.
abstract: We describe the process our interdisciplinary clinic used to create an institutional policy regarding research participant recruitment from among our client base. We demonstrate how certain elements of the client-clinician relationship can lead to inadvertent ethical quandaries in research recruitment, including implicit coercion and fostering of "therapeutic misconception." Our internal policy deliberations focused on five central dilemmas, each requiring a careful evaluation of ethical principles. Interpersonal and cross-disciplinary differences of opinion required a delicate balance among competing priorities. The final policy represents our attempt to resolve these ethical paradoxes in a way that allows us to support and pursue valuable clinician-researcher partnerships while prioritizing both our clients' clinical care and their rights to autonomy and fully informed consent.
authors.affiliation: Speech-Language Pathology Services, Artz Center for Developmental Health and Audiology, Portland, Oregon, USA. jennyl@artzcenter.org
authors.forename: Jennifer
authors.initials: J
authors.lastname: Larsen
authors.forename: Andy
authors.initials: A
authors.lastname: McMillin
mesh_terms: D026690:Ethics, Clinical; D032984:Ethics, Research; D006801:Humans; D018579:Patient Selection / Q000941:ethics*; D010817:Physician-Patient Relations / Q000941:ethics*; D055990:Therapeutic Misconception / Q000941:ethics