T Langer1,2, C L Cummings3, E C Meyer1,4. 1. Institute for Professionalism and Ethical Practice, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. 2. Children's Hospital, Helios Centre Wuppertal, Witten/Herdecke University, Witten, Germany. 3. Division of Newborn Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. 4. Department of Psychiatry, Harvard Medical School, Boston, MA, USA.