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Most medical ethicists are involved in some combination of teaching and research in an academic setting: a medical school, seminary or divinity school, or the department of philosophy and/or religion at a college or university. Some hold academic positions and also have a private practice as ethical consultants for local health care institutions. A small but increasing number of medical ethicists work full time as consultants in private practice. Others are employed as researchers and policy developers by federal, state, and private agencies.