As he reviews the curriculum for his surgical residency training program, Dr. A is concerned about how to prepare his residents to gain understanding of biomedical ethics as it relates to the specialty and to use their understanding to improve patient care (Royal College of Physicians and Surgeons of Canada, 2001). Last year, he invited a moral philosopher to give a guest lecture, which focused on theoretical issues with no reference to how these concepts relate to clinical experience. The residents' evaluations were unfavorable: “a waste of our time,” “not relevant to the problems we face.” Recently, the residents and nurses were troubled by a difficult situation on the ward: Mr. B, a 46-year-old patient, was found to have unresectable pancreatic cancer, but his wife insisted that the staff withhold the diagnosis from him because he is prone to depression. Dr. A wonders whether this situation could serve as a learning opportunity for the residents and staff and whether he should try to lead a seminar about this problem. He pages the chief resident.