Alcoholic liver disease represents a large and growing portion of the liver disease in the US and worldwide, and the most powerful treatment shown to improve outcomes for patients with ALD is complete abstinence from alcohol. Unfortunately, many patients with ALD continue to drink or relapse to alcohol use, even after their diagnosis, worsening liver-related outcomes and mortality. Jessica Mellinger will be speaking about her K award project to improve outcomes for patients with ALD by developing and testing a pilot intervention designed to increase engagement in alcohol use disorder treatment.
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Michael D. Fetters, M.D., M.P.H., M.A.
Professor, University of Michigan
Co-Director, Michigan Mixed Methods Research and Scholarship Program
Director, Japanese Family Health Program
Co-Editor, Journal of Mixed Methods Research
"Mixed methods research approaches for empirical medical ethics”
Abstract: Mixed methods research involves the integration of qualitative and quantitative methodology. The purpose of this presentation is to illustrate potential applications of mixed methods methodology for conducting empirical medical ethics research.
Emily Chen joined CBSSM in February 2016 and works with Drs. Julie Wright and Darin Zahuranec on several grant funded research projects on developing decision aids and family perspectives in decision making. Prior to moving to Michigan, Emily worked on several studies regarding mindfulness and cognitive styles at Harvard University. Emily received her BS in Atmospheric Science and a certificate in Neurobiology and Cognitive Science from National Taiwan University. She went on to receive her MA in Psychology from Boston University.
Reshma Jagsi, MD, PhD
Associate Professor, Radiation Oncology
"Stewardship and Value: Are we choosing wisely in managing breast cancer?"
Abstract: This lecture will begin with a brief discussion of the moral foundations of physicians' obligations to serve society, in addition to the patients they directly serve. It will then consider analogies between financial stewardship and antibiotic stewardship, and it will conclude by focusing on several examples of opportunities for better physician stewardship in breast cancer, including slow uptake of short courses of breast radiation and rapid increases in the use of bilateral mastectomy for unilateral disease.
Kayte Spector-Bagdady, JD, MBioethicsAbstract: In 1966, Dr. Henry Beecher argued that there was no more reliable safeguard for the human research subject than an “intelligent, informed, conscientious, compassionate, responsible investigator.” Considering the current strictures of our human subjects research compliance enterprise, and wide-spread industry hand wringing over the proposed revisions to regulations, we might perhaps long for a simpler time when researchers with “high ethical purposes and completely good morals” were assumed as opposed to compelled. And yet. This presentation will explore the implications and aftermath of the STD experiments conducted by the U.S. Public Health Service in Guatemala in the 1940s.
Timothy Johnson, MD
"Ethical global health engagement: the Michigan Women's Health Model"
Millennial learners are experiencing and want to engage in global issues. As institutions develop opportunities for their students, ethical issues need to be considered. Transnational, transcultural, and translational issues as well as issues of equity, bilateral gain, economic transparency, academic values and sustainability must be factored into academic institutional partnerships between Western and low income countries. The Ghana experience will be used to develop the concept of a “Michigan Model”.
Stephen Molldrem, PhD Candidate, American Culture
Title: Collecting and Managing Sexual Orientation and Gender Identity Data in Health Contexts: Bioethical Dilemmas from a Queer Historical Perspective
Abstract: This talk, drawn from dissertation research, historicizes a number of regulatory changes governing the collection and management of sexual orientation and gender identity data in health contexts in the United States that have taken place since 2009. It focuses on a range of less-considered bioethical dilemmas that stem from the introduction of questions about sexual orientation and gender identity into the battery of demographic information collected in certified Electronic Health Record technologies.
Kunal Bailoor, MD Candidate Class of 2018, Ethics Path of Excellence
"Advance Care Planning: Beyond Durable Power of Attorney (DPOA)"
Abstract: Advance care planning is a crucial part of end of life medical care. It can take many forms, including designation of a surrogate decision maker via a DPOA document. However it can also involve living wills, physicians orders for life sustaining treatment (POLSTs), or even simply clinician patient conversation. The newly revised hospital policy on advance directives reflects this broader approach. The talk will include a brief review of the philosophical and ethical basis of advance care planning before diving into a discussion of the new hospital policy and it's impact on practice.
CBSSM-affiliated faculty and staff recently presented at the Western Michigan University Ethics Center's Conference on Preparing for the Unknown. One of our post-doctoral research fellows, Kayte Spector-Bagdady presented, “The Google of Personalized Healthcare: 23andMe and Enabling the Privatization of Genetic Biobanking”. In addition, Lan Le, Nicole Exe, Natalie Bartnik and Michele Gornick presented a panel on “Examining the Psychosocial and Ethical Issues Arising from the Identification, Disclosure and Communication of Genomic Results to Patients and Clinicians.” This panel was moderated by our co-director, Raymond De Vries.