National Paediatric Bioethics Conference



  • 17th National Paediatric Bioethics Conference

    We are pleased to announce the 17th National Paediatric Bioethics Conference  

    The ‘best interests’ standard - myth, mandate or moving target? 

    Royal Children's Hospital Melbourne  2nd - 4th September 2026.  

    The ‘best interests’ standard can sometimes present as a mythic ideal; an apparently objective, singular answer to what should be done for a child. The ‘best interests’ standard can also function as a mandate. It is a legal and ethical obligation that requires the wellbeing of the child to be the basis for paediatric decision-making, providing a protective framework and justification for medical decisions in this vulnerable population. In reality, the ‘best interests’ standard is also a moving target, shaped by evolving evidence, shifting social and cultural norms and values, advances in medicine, and the unique circumstances of each child and family. What is considered in a child’s best interests may change over time, vary across disciplines or between individuals with unique values, or differ between communities. 

    The standard position in paediatric practice is to defer to parents as the legally and ethically recognised decision-maker for their child. This sometimes causes tension and conflict where parents and clinicians disagree. This year’s conference will focus on the challenges of deciding what is best for the child in clinical practice. We will explore the complexity of the foundational ethical and legal ‘best interest’ principle, as well as alternative concepts for guiding paediatric decision-making including the ‘Harm Principle’, ‘Constrained Parental Autonomy’, the ‘Reasonable Interest’ standard, and the ‘Zone of Parental Discretion’. While an objective, consensus view on what constitutes any child’s best interests may remain a myth, there is value in pursuing a collective understanding.

    In the conference we will explore the following questions:  

    • What do we mean by 'best interests'? Is there a consensus view?  

    • When understanding differs, whose definition of ‘best’ do we preference? The Parent? Clinician? Judge? Child?  

    • Is ‘best interests’ an ethically useful term? What other concepts might be more useful in paediatric practice?  

    • Does the child know what’s 'best' for them? How do we incorporate the child’s views? 

    Join us, 2-4 September 2026, at The Royal Children's Hospital Melbourne, to examine the 'best interests' standard. 

    Register now for the event via Trybooking.

    Keynote Speakers

     Dr Erica Salter

     Dr James Cameron

     

    Associate Professor of Health Care Ethics

    Associate Professor of Pediatrics

    Chair, Department of Health Care Ethics

    Saint Louis University


    Co-Chair, Ethics Committee

    SSM Health Cardinal Glennon Children's Hospital

    Barrister 


    Honorary Research Fellow

    Melbourne Law School

    University of Melbourne  

    Dr Salter is an Associate Professor of Health Care Ethics and Pediatrics at Saint Louis University's Department of Health Care Ethics and Department of Pediatrics.  She is the chair of the department of Health Care Ethics and the co-chair of the Cardinal Glennon Children's Hospital Ethics Committee.  Dr. Salter publishes widely on topics related to clinical ethics consultation, pediatric ethics and pediatric decision-making.  

    Dr Cameron is currently a barrister at the Victorian Bar, where he primarily practices in public law and health law.


    Before coming to the Bar, James held a number of roles in the Department of Premier and Cabinet and the Department of Health. In these roles, he provided advice on the development of complex legislation, such as the Medical Treatment Planning and Decisions Act 2016 and the Voluntary Assisted Dying Act 2017.


    Dr Cameron is an Honorary Fellow at the Melbourne Law School, having earlier completed a PhD there. James’ written work has been published in Australian and international journals and he has authored a book, Critically Ill Children and the Law (Routledge, 2023). 

    Registration 

    Registration for the event can be done through Trybooking (https://www.trybooking.com/DJXOO). 

    Call for abstracts

    Abstract submission close Sunday May 17th, 2026

    Submit your abstract here (https://forms.office.com/r/c60uFfJpiR).



    Conference queries? Contact the team at bioethics@rch.org.au