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Clinical Ethics Service

Clinical Ethics Service

Background

The Clinical Ethics Service within CBSSM represents an expansion of existing services designed to promote a culture of patient-centered excellence by developing a comprehensive set of ethics-related activities. The aims of this service are to: liaise with and provide support to the adult and pediatrics ethics committees; streamline clinical ethics consultation; assist with ethics-related policy development on a regular and proactive basis; organize and administer structured educational programs in clinical ethics; and coordinate empiric research with relevance to clinical ethics within CBSSM.

Organization

The Clinical Ethics Service is led by the chairs of the adult and pediatric ethics committees and consultation services, Christian J. Vercler, MD, MA and Andrew G. Shuman, MD. A dedicated clinical ethicist manages the service on a daily basis. A cadre of seven faculty ethicists rotate on service throughout the year and work closely with the clinical ethicist. Trainees and students rotate as well. Dedicated administrative support is organized through CBSSM. For an overview of the service, please click here to view an informative slide presentation.

Clinical Ethics Consultation Service

The Clinical Ethics Service offers adult and pediatric ethics consultation services across Michigan Medicine, and are available 24/7/365. More information about the adult and pediatric ethics committees and consultation services can be found on the Adult Ethics Committee and Pediatrics Ethics Committee web pages.

Preventative Ethics

The concept of preventative ethics is critical in anticipating, navigating and mitigating potential conflicts and tensions before they become true ethical dilemmas or crises, and necessitate formal consults. This model facilitates awareness and proactive decision-making on the part of patients, families, trainees and staff, and creates a more visible presence for ethics in the health system. The Clinical Ethics Service offers regular preventative ethics rounds in a variety of care settings across Michigan Medicine.

Educational Program

Medical ethics is an integral component of contemporary education for all clinicians. There is a vibrant program for longitudinal ethics education within the medical school, and a more intensive curriculum as part of its path of excellence program. The Clinical Ethics Service provides a robust program for longitudinal education and awareness of clinical ethics for Michigan Medicine staff and trainees.

People

Service Chiefs:
Clinical Ethicist:
Faculty Ethicists:

Contacts

Service Chiefs of the Clinical Ethics Service: Christian J. Vercler, MD, MA & Andrew G. Shuman, MD
Administrative contact: Amy Lynn – lynnam@med.umich.edu  734-615-8377

Program in Clinical Ethics

The Program in Clinical Ethics within the Center for Bioethics and Social Sciences in Medicine (CBSSM) represents an expansion of existing services designed to promote a culture of patient-centered excellence by developing a comprehensive set of ethics-related activities.  The aims of this program are to: liaise with and provide support to the adult and pediatrics ethics committees; streamline clinical ethics consultation; assist with ethics-related policy development on a regular and proactive basis; organize and administer structured educational programs in clinical ethics; and coordinate empiric research with relevance to clinical ethics within CBSSM.

Background
The Program in Clinical Ethics within CBSSM represents an expansion of existing services designed to promote a culture of patient-centered excellence by developing a comprehensive set of ethics-related activities.  The aims of this program are to: liaise with and provide support to the adult and pediatrics ethics committees; streamline clinical ethics consultation; assist with ethics-related policy development on a regular and proactive basis; organize and administer structured educational programs in clinical ethics; and coordinate empiric research with relevance to clinical ethics within CBSSM.

Program Organization
The Program in Clinical Ethics is co-directed by the chairs of the adult and pediatric ethics committees and consultation services, Christian J. Vercler, MD, MA and Andrew G. Shuman, MD. A dedicated clinician ethicist manages the program on a daily basis.  A cadre of eight faculty ethicists rotate on service throughout the year and work closely with the clinician ethicist.  Trainees and students rotate as well.  Dedicated administrative support will be organized through CBSSM.

Clinical Ethics Consultation Service
The Clinical Ethics Program offers adult and pediatric ethics consultation services across UMHS, and are available 24/7/365.  More information about the adult and pediatric ethics committees and consultation services can be found on the Adult Ethics Committee and Pediatrics Ethics Committee web pages.

Preventative Ethics
The concept of preventative ethics is critical in anticipating, navigating and mitigating potential conflicts and tensions before they become true ethical dilemmas or crises, and necessitate formal consults.   This model facilitates awareness and proactive decision-making on the part of patients, families, trainees and staff, and creates a more visible presence for ethics in the health system.  The Program in Clinical Ethics offers regular preventative ethics rounds in a variety of care settings across UMHS.

Educational Program
Medical ethics is an integral component of contemporary education for all clinicians. There is a vibrant program for longitudinal ethics education within the medical school, and a more intensive curriculum as part of its path of excellence program.  The Program in Clinical Ethics provides a robust program for longitudinal education and awareness of clinical ethics for UMHS staff and trainees. 


People
Christian J. Vercler, MD MA
Andrew G. Shuman, MD
[more to be named soon!]

Contacts
Co-Directors of the Program in Clinical Ethics: Christian J. Vercler, MD, MA & Andrew G. Shuman, MD
Administrative contact: Valerie Kahn – valkahn@med.umich.edu  734-615-5371

Announcement of Position: Clinician Ethicist

Announcement of Position: Clinician Ethicist


Background
The Program in Clinical Ethics within the Center for Bioethics and Social Sciences in Medicine (CBSSM) represents an expansion of existing services designed to promote a culture of patient-centered excellence by developing a comprehensive set of ethics-related activities. The aims of this program are to: liaise with and provide support to the adult and pediatrics ethics committees; streamline clinical ethics consultation; assist with ethics-related policy development on a regular and proactive basis; organize and administer structured educational programs in clinical ethics; and coordinate empiric research with relevance to clinical ethics within CBSSM.


Program Organization
The Program in Clinical Ethics is co-directed by the chairs of the adult and pediatric ethics committees and consultation services, Christian J. Vercler, MD MA and Andrew G. Shuman, MD. A dedicated clinician ethicist will manage the program on a daily basis. A cadre of eight faculty ethicists will rotate on service throughout the year and work closely with the clinician ethicist. Trainees and students will rotate as well. Dedicated administrative support will be organized through CBSSM.


Position
One individual will serve as the program’s clinical ethicist. This individual will serve as the “first responder” and contact person for all ethics consults during business hours, ensure continuity with consults, and work in conjunction with faculty ethicists. The role will include arranging team/family meetings, ensuring follow-ups on all consults, and arranging additional consultations as needed for selected cases. He/she will also regularly review relevant institutional policies and attend all ethics committee meetings. Another major component of this role will be to organize and participate in educational efforts and preventative ethics rounds. This position will provide $50,000 of direct salary support annually, to be distributed and allocated in conjunction with their home department. The initial appointment will last two years and is renewable.


Qualifications
Candidates are expected to be employees or faculty at UMHS with a master’s or equivalent terminal degree in their field; any professional background is acceptable. Direct experience with clinical ethics consultation is required. Familiarity with ethics education and related clinical research would be helpful. Excellent organizational and communication skills across multidisciplinary medical fields are required. Candidates are expected to have qualifications that meet the standards outlined by The American Society for Bioethics and Humanities (ASBH) for accreditation for clinical ethics consultants.


Application Process
Candidates will be vetted, interviewed and chosen by a nomination committee. Candidates are asked to submit:

  • Curriculum vitae or resume
  • One page maximum summary of (1) education/training related to ethics consultation; (2) clinical ethics consultation experience; and (3) motivation/interest in the position
  • Letter of support from Department Chair/Division Head/Center Director or equivalent
  • Submit formal application via email to: valkahn@med.umich.edu


Timeline

  • Application is due December 11, 2015 with interviews shortly thereafter
  • Appointment will take effect January 1, 2016


Contacts

  • Co-Directors of the Program in Clinical Ethics: Christian J. Vercler, MD MA & Andrew G. Shuman, MD
  • Administrative contact: Valerie Kahn – valkahn@med.umich.edu 734 615 5371

Announcement of Position: Faculty Ethicist

Announcement of Position: Faculty Ethicist


Background
The Clinical Ethics Service within the Center for Bioethics and Social Sciences in Medicine (CBSSM) promotes a culture of patient-centered excellence by performing a comprehensive set of ethics-related activities. The aims of this service are to: liaise with and provide support to the adult and pediatric ethics committees; provide clinical ethics consultation and engage in preventative ethics endeavors; assist with ethics-related policy development on a regular and proactive basis; organize and administer structured educational programs in clinical ethics; and coordinate empiric research with relevance to clinical ethics within CBSSM.

Program Organization
The Clinical Ethics Service is led by Christian J. Vercler, MD MA and Andrew G. Shuman, MD. A dedicated clinical ethicist will manage the program on a daily basis. A cadre of faculty ethicists will rotate on service throughout the year and work closely with the clinical ethicist. Trainees and students will rotate as well. Dedicated administrative support is organized through CBSSM.


Position
The Clinical Ethics Service employs a roster of faculty ethicists who are responsible for staffing ethics consultations arising from any of the clinical venues (inpatient and outpatient; adult and pediatric) within Michigan Medicine during their time on service. They will supervise and participate in the institutional educational endeavors and preventative ethics rounds in a regular and on-going manner. Faculty ethicists will also develop and provide clinical rotations for medical students and house officers on a cohesive ethics service. Each faculty member will be expected to rotate on service for four to six weeks per year, and attend/participate in committee meetings and other events throughout the academic year (this will not necessarily require suspension of other activities when on-service). Depending on the total number appointed, each faculty ethicist will receive $15,000-$20,000 of direct salary support annually, to be distributed and allocated in conjunction with their home department. The initial appointment will last two and a half years and is renewable. Additional appointments will last two years.


Qualifications
Candidates are expected to have faculty appointments at University of Michigan and be in good academic standing; any professional background is acceptable. Candidates are expected to have qualifications that meet the standards outlined by The American Society for Bioethics and Humanities (ASBH) for accreditation for clinical ethics consultants. Direct experience with clinical ethics consultation is required. Familiarity with ethics education and related clinical research would be helpful. Excellent organizational and communication skills across multidisciplinary medical fields are required.


Application Process
Candidates will be vetted and chosen by a selection committee. Candidates are asked to submit:

  • Curriculum vitae or resume
  • One page maximum summary of (1) education/training related to ethics consultation; (2) clinical ethics consultation experience; and (3) motivation/interest in the position
  • Letter of support from Department Chair/Division Head/Center Director or equivalent
  • Submit formal application via email to: lynnam@med.umich.edu


Timeline

  • Application is due September 25, 2017
  • Appointment will take effect January 1, 2018

Contacts

  • Leaders of the Clinical Ethics Service: Christian J. Vercler, MD MA & Andrew G. Shuman, MD
  • Administrative contact: Valerie Kahn – valkahn@med.umich.edu 734 615 5371

Bioethics Grand Rounds: Janice Firn, MSW; Andrew Shuman, MD; Christian Vercler, MD

Wed, January 27, 2016, 12:00pm
Location: 
UH Ford Amphitheater & Lobby

"Implementation of the Program in Clinical Ethics"

Janice Firn, MSW; Andrew Shuman, MD; Christian Vercler, MD

Abstract: The Program in Clinical Ethics within the Center for Bioethics and Social Sciences in Medicine represents an expansion of existing services designed to promote a culture of patient-centered excellence by developing a comprehensive set of ethics-related activities at UMHS. We will introduce and outline the projects and services available to all members of the UMHS Community.

Andrew Shuman, MD

Faculty

Andrew G. Shuman, MD is an Assistant Professor in the Department of Otolaryngology - Head and Neck Surgery at the University of Michigan Medical School.  He is also the Chief of the ENT Section of the Surgery Service at the VA Ann Arbor Health System.  He is a service chief of the Clinical Ethics Service in the Center for Bioethics and Social Sciences in Medicine (CBSSM).  His current research interests explore ethical issues involved in caring for patients with head and neck cancer, and in managing clinical ethics consultations among patients with cancer.

Research Interests: 
Last Name: 
Shuman

Funded by Accreditation Council for Graduate Medical Education (ACGME)

PI: Andrew Shuman, MD

CBSSM Co-I: Janice Firn, PhD, MSW

CBSSM Working Group Meeting-Andy Shuman, MD & Susan Goold MD

Tue, August 21, 2018, 3:00pm
Location: 
NCRC-10 G065

Andrew Shuman MD, Assistant Professor in the Department of Otolaryngology - Head and Neck Surgery and Susan Goold, MD, Professor of Internal Medicine and Health Management and Policy; will be seeking feedback on a Greenwall submission regarding Drug Shortages: Justice Questions in Everyday Health Care. This study aims to examine how hospitals and health systems handle drug shortages and rationing decisions to identify needs and inefficiencies, as well as best practices, in order to promote justice and facilitate communication across institutions.

A study by Beth Tarini, MD, has found that more than three-quarters of parents would be willing to permit use of their newborn's blood screening sample for research if their permission were obtained in advance. However, more than half of the parents said they would be "very unwilling" to permit this use of blood samples unless they were given a chance to grant or deny permission. For a discussion of this important article, go to http://www2.med.umich.edu/prmc/media/newsroom/details.cfm?ID=1217

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