5 Clinical ethics is a practical discipline that provides a structured approach to assist physicians in identifying, analyzing and resolving ethical issues in clinical medicine. Clinical ethics is both about the ethical features that are present in every clinical encounter and about the ethical problems that occasionally arise in those encounters. Clinical ethics relies upon the conviction that, even when perplexity is great and emotions run high, physicians and nurses, patients and families can work constructively to identify, analyze and resolve many of the ethical problems that arise in clinical medicine. University of Washington School of Medicine (2014) Institutional Ethics provides a multidisciplinary forum for the analysis and discussion of ethical standards effecting patient care, professional education and community interests. Ethics committees are established by professional societies, health facilities, or other institutions to consider decisions that have bioethical implications. The role of these committees may include consultation, education, mediation, and/or review of policies and practices. Committees that consider the ethical dimensions of patient care. Institute for Medical Humanities. (2014), Analogical Dictionary of Institutional Ethics (n/d) Provide an example of conflict between clinical ethics and institutional ethics