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Bioethics Grand Rounds

Wed, September 28, 2016, 12:00pm
Location: 
UH Ford Amphitheater & Lobby

Carl Schneider, JD -- “Can Informed-Consent Laws Work? Evaluating Compelled Disclosure as a Method of Regulation”

Abstract: The law of informed consent is an example of a form of legal regulation called mandated disclosure.  In such regulation, one party to a transaction is required to give the other party to the transaction information to use in making decisions about the parties’ relationship.  There are hundreds of examples of such legal rules besides medical informed consent. This talk asks how well these rules have worked outside medicine. It concludes that there is little evidence that those rules ever work, explores some of the reasons for this surprising failure, and asks what the failure of mandated disclosure outside medicine tells us about the success of informed-consent laws in medicine.

Bioethics Grand Rounds: Paul Lichter, MD

Wed, November 30, 2016, 12:00pm
Location: 
UH Ford Amphitheater & Lobby

Paul Lichter, MD

The Medical-Industrial Complex is alive and well and has been that way for decades.  The Complex depends on strong cooperation from physicians.  Not only do physicians help industry to develop drugs and devices, they then take part in selling them to their fellow physicians.  The physician-as-drug-rep is driven by money and by the culture of reciprocity in our society.  This talk will review the foundations of the Medical-Industrial Complex and the reasons why it is able to control a great deal of medical practice in our country.  Physicians rarely if ever believe they are biased and Industry works hard to enforce that belief.  Money provided by Industry to physicians in essence creates a contract, however subtle, whereby physicians will sell drugs and devices for Industry.  We will discuss the ethical issues surrounding physician-industry relationships as part of the Medical-Industrial Complex.

Bioethics Grand Rounds: “Examining the Ethics of Victors Care”

Wed, February 28, 2018, 12:00pm
Location: 
Univerisity Hospital Ford Auditorium

Michigan Medicine has launched Victors Care, a concierge medical care model designed to deliver increased access, convenience and individually-tailored support within a primary care practice for patients who pay for membership. Like all concierge care programs, Victors Care raises ethical issues relating to justice, fairness, access, and consistency with the mission of Michigan Medicine. This Bioethics Grand Rounds will address the ethical issues of concierge care in a panel format with institutional leaders. The panel will address your questions directly. Questions will be solicited during the session, and can be submitted in advance via: https://umichumhs.qualtrics.com/jfe/form/SV_b4nJWM70ahHQtjD.

Panelists
Marschall S. Runge, M.D., Ph.D., EVPMA and Dean
Reshma Jagsi, M.D., D.Phil, Director, Center for Bioethics and Social Sciences in Medicine
David J. Brown, M.D., Associate Vice President and Associate Dean for Health Equity and Inclusion

Facilitators
Andrew Shuman, M.D., F.A.C.S & Christian J. Vercler, M.D, M.A, F.A.C.S – Service Chiefs, Clinical Ethics Service, Center for Bioethics and Social Sciences in Medicine

The University of Michigan School of Public Health has received federal funding to launch an integrated, interdisciplinary fellowship program that will provide training in the ethical, legal, and social implications (ELSI) of genomic science.

Led by Scott Roberts, professor of health behavior and health education at Michigan Public Health, the ELSI Research Training Program is funded by a T32 training grant from the National Institutes of Health’s National Human Genome Research Institute and will launch in fall 2018. Raymond De Vries, Wendy Uhlmann, Brian Zikmund-Fisher, Jodyn Platt, Kayte Spector-Bagdady are among the faculty who will serve as faculty mentors.

More information can be found here.

Research Topics: 

Bioethics Grand Rounds "Clinical Innovations Near the Boundary of Viability- The Artificial Placenta"

Wed, September 26, 2018, 12:00pm
Location: 
Univerisity Hospital Ford Auditorium

Ryan Antiel, MD, MSME, Department of General Surgery, Biomedical Ethics Program, Mayo Clinic

Extreme prematurity is the leading cause of infant death and morbidity.  The urgent need for a better way to support the extremely premature infant led to the development of an extrauterine system to better bridge the transition from fetal to postnatal life.  The goal of this “artificial womb” is to maintain prenatal physiology in the extremely premature neonate to support normal development and reduce the complications associated with prematurity.  In this presentation, we will discuss the development and applications of the artificial womb, as well as the limitations of this technology.  We will focus on three current ethical challenges: ectogenesis, the boundary of viability, and the difference between physiological and clinical success.  
 

Bioethics Grand Rounds -Alexander Langerman, MD

Wed, December 19, 2018, 12:00pm
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Location: 
Univerisity Hospital Ford Auditorium

"Transparency in Surgery"

 

The operating room shifted over the last century from a historically open "theatre" to a sequestered space, and the proceedings of surgery became a mystery to those outside the surgical profession. The more recent and increasing societal interest in transparency suggests  professions such as surgery must develop new strategies to engender trust and inform the public and patients about what happens behind closed doors. Simultaneously, video and sensor technology has evolved to enable ubiquitous recording and analysis of surgical activities, creating a new source of data and the potential to reinstate a virtual surgical theatre. Such openness of a previously hidden space has implications for patients and surgical teams. This presentation will discuss the important ethical, technological, and regulatory considerations and challenges of a transition to greater transparency in surgery.

 

 

Tue, January 03, 2017

Reshma Jagsi was recently interviewed for a Marketplace (NPR) piece on the JAMA Internal Medicine study, "Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians" which found that elderly patients cared for by female doctors fare better than those treated by men.

Scott Roberts and co-authors found that customers who receive direct-to-consumer genetic health data were not alarmed by results, but generally found the information useful. CBSSM faculty Wendy Uhlmann and Michele Gornick were co-authors on the study.

Click here to read more.

 

 

Research Topics: 
Wed, March 01, 2017

Interim co-director, Brian Zikmund-Fisher, as well as former co-director, Angela Fagerlin, were recently featured in the Wall Street Journal article, "How to Get Patients to Take More Control of Their Medical Decisions."

CBSSM's Co-Director Raymond De Vries' article, "Giving (Bits of) Your Self to Medicine" was published in Medicine at Michigan. In this article, Dr. De Vries discusses biobank consent and moral concerns related to biobank research.

Click here for the full article.

Research Topics: 

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