Experience with electronic communication in ethics committees at two hospit
als is reviewed and discussed. A listserver of ethics committee members tra
nsmitted a synopsis of the ethics consultation shortly after the consultati
on was initiated Committee comments were sometimes incorporated into the re
commendations. This input preyed to be most useful in unusual cases where a
dditional, diverse inputs were informative. Efforts to ensure confidentiali
ty are vital to this approach. They include not naming the patient in the e
-mail, requiring a password for access to the listserver, and possibly encr
yption. How this electronic communication process alters group interactions
in ethics committees is a fruitful area for future investigation.