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Part 1: History and Development of the Formation and Training of Clinical Ethics Consultants -- Chapter 1. A Brief Introduction to the History of Clinical Ethics in the United States (Robert Baker) -- Chapter 2. Clinical Ethics Consultation in the United States: Current Standards in the Field (Anita Tarzian) -- Chapter 3. What Does Competency Have to Do with It? Ethics fellowship training and the experience of a hospital-based program in Canada (Dave Langlois) -- Chapter 4. Models of Training Clinical Ethics Consultants and Approaches to Quality Assessment and Improvement (Katherine Wasson) -- Chapter 5. New Approaches for Advancing Ethics Quality: Assessment of the Ethics Consultation Record (David Alfandre) -- Chapter 6. Historical Development of Clinical Ethics Consultation in Europe (Ralf Jox) -- Chapter 7. Clinical Ethics Consultation in Germany: History, Current Status and Models of Training Europe (Gerald Neitzke) -- Chapter 8. Innovation or Stagnation: The State of Art of Clinical Ethics Support in Switzerland (Rouven Porz) -- Part 2: Emerging and Thorny Clinical Ethical Issues -- Chapter 9. Clinical Ethics Consultation and Marginalized Populations (Marion Danis) -- Chapter 10. Vulnerable populations, the Law of the Dynamics of Inverse Care, and the role of the Clinical Ethics Consultant: Experiences from Switzerland (Tonja Krones) -- Chapter 11. Clinical Ethics Consultations regarding Patients with Opioid Use Disorders (Mark Kuczewski) -- Chapter 12. The Opioid Crisis: An European Perspective (Ralf Jox) -- Chapter 13. Ethical Issues in Complex Discharge Cases (Kayhan Parsi) -- Chapter 14. How Clinical Ethics Consultants Navigate Complex Acute Care Discharge Cases in Ontario (Sally Bean) -- Chapter 15. Thorny Issues in Clinical Ethics Consultation: When Surrogates Refuse Basic Care (Sarah Vittone) -- Chapter 16. Families Who Micromanage (Patricia Mayer) -- Part 3: Persistent and Thorny Ethical Issues -- Chapter 17. Neuroethics in the Clinic: Amplifying patient perspectives through enhanced decision-making frameworks (Sharon L. Feldman) -- Chapter 18. Brain Death/Death by Neurological Criteria in the United States: What Every Clinical Ethics Consultant Should Know (Sok Lee) -- Chapter 19. When patients still hope, but doctors see no more therapeutic options: Ethical debates on futility and potentially inappropriate treatment (Christoph Mandry) -- Chapter 20. Physician Aid in Dying in the United States: A Prescription for Death or Control? (Felicia Cohn) -- Chapter 21. Medical Aid in Dying in Canada: Undertaking Clinical Ethics Consultations in a Rapidly Evolving Regulatory Landscape (Benjamin Zolf) -- Chapter 22. Physician Assisted Suicide and Euthanasia in the European Context (Charlotte Wetterauer) -- Chapter 23. Pediatric Ethical Issues and Clinical Ethics Consultation in the United States (Micah Hester) -- Chapter 24. Ethical Issues and Decision Making for Children: An European Perspective (Helen Turnham) -- Chapter 25. The Adolescent Transplant Candidate: Thorny Issues in Assessment and Allocation from a Canadian Perspective (Aviva Goldberg) -- Chapter 26. Classifying the Contradiction: A Practical Approach When Surrogates Appear to Contradict a Patient's Wishes (Hilary Mabel) -- Chapter 27. Thorny Issues in Clinical Ethics Consultation: A Canadian Perspective on Surrogate Decision Making Concerning Potentially Non-Beneficial Care (Katarina Lee-Ameduri) -- Part 4: Organizational Issues in United States Ethics Consultation -- Chapter 28. Moving Ethics Upstream: Shifting Clinical Ethics Consultation from Volume to Value (Mark Repenshek) -- Chapter 29. The Tension between "Margin and Mission" as an Ethical Issue in Health Care (Patrick McCruden).