Edited
I'm a healthcare ethics consultant for the medical center, one of only two (and I don't know of another pharmacist in the VA that serves as an HEC, it's certainly rare). I am pursuing certification as an HEC and was thinking about making ethics my gig when I retire. However, the administration has gutted the ethics hierarchy. While they haven't eliminated the pathway to certification, they've definitely made it uncertain - if I take the certification exam and pass I don't know if the VA will now recognize the certification or if they will reimburse me for it (as they do most certifications). There has been no strategic initiative that has been communicated to anyone, no one has given us a reason why ethics has been gutted, though I have my suspicions. To say that I am discouraged is to put it mildly. I've thought about quitting that part of my job, I do not get paid extra to serve as an HEC, it is service to the medical center. But, in the end, the ethical thing for me to do is to keep doing it. Stopping helping other healthcare professionals work through their ethical conflicts would do more harm than good.