This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017.There were 165 PECs reviewed during the study period. Consultation utilization increased over the study period. Improving Practice of Nurses to Deliver Respectful Adolescent... The secondary objective was to describe the evolution of PECs at our institution. • Although adolescents wish to be involved in health decisions, shared decision-making in adolescents is underexplored • Adolescent shared decision-making is different from pediatric and adult shared decision-making, and is ethically complex due to the adolescent's growing autonomy What is new: • Ad … Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. The most common patient age was less than one year. Given the range of ages as well as medical specialties involved in the care of teens, the ethical dilemmas raised in this month's issue should resonate with nearly every physician in every specialty. The theme editor introduces a special issue focusing on the ethics in adolescent medicine Ethics consultation requests are growing at our institution. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. Ethical Imperatives for Participation in Integrated/Collaborative Care by Peter A. Depergola and Barry Sarvet MD What Is Health Care Frontiers | Barriers And Facilitators In Adolescent Psychotherapy Australia Health Care One Word Or Two