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Bioethics Grand Rounds

Wed, March 22, 2017, 12:00pm
Location: 
UH Ford Amphitheater & Lobby

Autumn Fiester, PhD, Division of Medical Ethics, Department of Medical Ethics & Health Policy, Perelman School of Medicine University of Pennsylvania

Title –  The “Difficult” Patient Reconceived: Learning the Skills of Mediators in Managing Challenging Clinical Encounters.

Abstract: Between 15%-60% of patients are considered “difficult” by their treating physicians.  Patient psychiatric pathology is the conventional explanation for why patients are deemed “difficult.” But the prevalence of the problem suggests the possibility of a less pathological cause.  I argue that the phenomenon can be better explained as responses sourced in conflicts related to healthcare delivery and that the solution to the “difficult patient” is to teach better conflict management skills to clinical providers.


Objectives:

1. Apply the mediator's concepts of "positions" and "interests" to patient-provider conflicts
2. Identity the moral emotions and explain their significance in managing the "difficult" patient
3. Learn seven maxims for diffusing conflict in clinical encounters

Available via live stream at: https://connect.umms.med.umich.edu/bioethics_3_22_17

Sun, October 17, 2010

Brian Zikmund-Fisher, PhD, was featured in an interview by the U-M News Service on September 29, 2010.  Dr. Zikmund-Fisher served as the featured guest editor for a special supplement to Medical Decision Making, Sept/Oct 2010, that focused on the DECISIONS study. In the interview, Dr. Zikmund-Fisher highlighted the need for health care providers to do a better job of educating patients about the medical decisions they face.  A video highlights the findings of the study and can be found at: http://ns.umich.edu/htdocs/releases/story.php?id=8008.  CBSSM faculty also involved in the DECISIONS study included Angela Fagerlin, PhD, and Mick Couper, PhD

People

Our People

CBSSM is an interdisciplinary group committed to improving individual and societal health through research, education, and public outreach. Our unit attracts scholars from across departmental and disciplinary boundaries and in so doing, provides fertile ground for new synergies. CBSSM affiliates with scholars from across the University of Michigan and the Ann Arbor VA Health System to collaborate on research projects.

Our team includes:

  • Social and cognitive psychologists
  • Bioethicists
  • Clinicians from many medical specialty areas
  • Public health researchers
  • Decision scientists
  • Behavioral economists
  • Survey methodologists

Darin Zahuranec’s survey study, “Variability in physician prognosis and recommendations after intracerebral hemorrhage” published in Neurology found that physicians vary substantially in ICH prognostic estimates and treatment recommendations. This study suggests that variability could have a profound effect on life and death decision-making and treatment for ICH.


Several CBSSM-affiliated faculty and alumni were co-authors: Angie Fagerlin, Meghan Roney, Andrea Fuhrel-Forbis, and Lewis Morgenstern.


http://ihpi.umich.edu/news/survey-severe-stroke-prognoses-differ-depending-doctor

Mon, April 17, 2017

Brian Zikmund-Fisher is quoted in a recent MarketWatch article, "How doctors are getting patients more involved in their own care." Dr. Zikmund-Fisher points out, "Patients are often overwhelmed by massive amounts of data they now have access to. The easier we make it for them to understand, the more likely it is they will use it and the less time the doctor has to spend explaining it.” The article goes on to cite a web-based application developed by Dr. Zikmund-Fisher and colleagues that allows health-care providers and researchers to create graphics that use icons in arrays that show risk information in ways that make it easier for people to grasp information.

A study by former CBSSM Co-Director, Angela Fagerlin, is also cited in the article.

Funded by the Alzheimer's Association

Active Year(s): 2008-2011

The goal of the MCI Risk Communication Study is to develop and evaluate a risk communication protocol to convey diagnostic and risk information to MCI patients and family members. A multi-step protocol will be created, taking into account principles of health risk communication, patient and provider preferences, and ethical issues involved in working with cognitively impaired populations. The protocol will be delivered by health care professionals with risk communication experience and tested on 10 patient/care-partner dyads recruited from Alzheimer’s Disease Centers at the University of Michigan and Boston University. The results of this pilot study will help inform the fourth trial of REVEAL.

PI: J. Scott Roberts, PhD

The University of Michigan is seeking a nominee to the national competition for the Greenwall Foundation Faculty Scholars Program in Bioethics. The October 1st internal deadline has been extended. Details can be found at: http://orsp.umich.edu/funding/limited_submissions/greenwall.html.

Please consider attending the Health Services Research Group Launch Symposium at the North Campus Research Complex (Building 18) on Thursday, May 26, 7:30am - 5:00 pm.  The purpose is to discuss the HSR Group's goals and future plans, discuss relevant topics in healthcare policy, and network with colleagues.  Even if you are unable to attend, go to the registration page to indicate your interest in health services research and health policy so that you may be contacted again in the future.  Click here to register.


In addition, there is an effort to collect information on all HSR groups on campus for purposes of networking and for junior investigators or newcomers to U-M to find colleagues and collaborators.  Preliminary information will be provided at the Symposium and later a Wiki website will be created.  Please send the main research theme(s) of the group/center; rough idea about the investigators, divisions, departments, schools; website URL, if applicable; seminar information, if applicable; and contact information to Joe Zogaib at jwzogaib@umich.edu.

Janice Firn, PhD, MSW

Faculty

Dr. Firn has a BS from Michigan State University, MSW from the University of Michigan, and PhD from Lancaster University (UK). Janice is a Clinical Assistant Professor in the Department of Learning Health Sciences (DLHS), Division of Professional Education. Before DLHS, Janice worked in oncology and palliative care at Michigan Medicine. She is also part of the Center for Bioethics and Social Sciences in Medicine (CBSSM), and serves as a Clinical Ethicist for the Clinical Ethics Service.

Last Name: 
Firn

Working Group

The Working Group provides a forum for project focused discussions and interdisciplinary collaborations in topics related to bioethics, health communication, decision making and any other topic that fits within the 5 domains of CBSSM.

Working group meetings provide an opportunity for investigators to receive feedback on research proposals, drafts of papers, grant applications, or any other aspects of projects at any stage of development. These sessions are to help move forward a project in any stage of its development. So if your project is in the works, in the planning stages, or perhaps it is still just an idea, you design the session and determine how to best solicit the help and support of your colleagues.
Some examples could be:

  • Outline sketch of specific aims for a grant. (Presenter would provide a one page summary before the session)
  • Outline of a proposed paper or paper in draft stage. (Discussion would be based on one page summary. Presenter would walk the group through the outline or draft, and solicit feedback on significance and coherence of ideas)
  • Determining a paper’s relevance. (Presenter could ask group members to read a paper, in order to discuss/determine if that paper is crucial to the project that the person has in mind-- different from a journal club exercise.)

This meeting is designed as an informal working group not a formal presentation.

The working group usually meets on Tuesdays or Wednesdays at 4pm in NCRC B16-266C. To be added to the email list, please contact Amy Lynn at lynnam@umich.edu OR join our email list.

 

 

 

 

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