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Emily Sippola, BA

Research Associate

Emily joined CBSSM as a Research Associate in 2018 after a circuitous journey in social science research from academia to industry and back. She has worked with mental health research at the Institute for Social Research, medical education and health disparities at UM Medical School’s Global REACH, and spent more than a decade supporting pharmaceutical quantitative and qualitative survey research. Emily works with Dr.

Last Name: 
Sippola
Tue, April 10, 2018

In light of the #MeToo campaign denouncing sexual assault and harassment, Reshma Jagsi, MD, DPhil has written a perspective piece in the New England Journal of Medicine about sexual harrassment in academic medicine. This perspective piece and a recent survey published in JAMA related to sexual harassment and gender bias in academic medicine has been highlighted in multiple media outlets.

Tue, June 19, 2018

In a study led by Susan Goold, published in the Journal of General Internal Medicine, researchers surveyed 2104 Michigan primary care providers who provide care for patients insured by the Healthy Michigan Plan. According to surveyed providers, extending medical insurance to low-income Michigan residents meant better access to health care, earlier detection of serious illnesses, better care for existing health problems and improved ability to work, attend school and live independently.

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.  
 

Fri, November 09, 2018

Check out the latest episode of "No Easy Answers in Bioethics" hosted by MSU's Center for Ethics and Humanities in the Life Sciences. In the episode, "Plastic Surgeons on Snapchat," guests Dr. Devan Stahl, Assistant Professor in the Center for Ethics and the Department of Pediatrics and Human Development, and CBSSM's Dr. Christian Vercler offer their insight and expertise on the issue, and discuss whether these Snapchat performances are ethical. They also delve into the societal norms and power dynamics at play, and address how to move forward within the profession of plastic surgery in a world where social media seems to be here to stay.

Research Topics: 
Thu, July 26, 2018

A new study published in Cancer by Reshma Jagsi and colleagues found that many patients experience a heavy financial impact from their diagnosis and treatment for breast cancer, and that they feel their doctors’ offices aren’t adequately addressing these concerns. Dr. Jagsi was also interviewed by Michigan Radio about this study. CBSSM faculty Sarah Hawley was also an author on this study.

The Privileged Choices (Jan-08)

What's the difference between opting in and opting out of an activity? Who decides if people will be put automatically into one category or another? Click this interactive decision to learn how default options work.

Scenario 1

Imagine that you're a US Senator and that you serve on the Senate's Committee on Health, Education, Labor, and Pensions. The Infectious Diseases Society of America has come before your committee because they believe that too many health care workers are getting sick with influenza ("flu") each year and infecting others. As a result, your Senate committee is now considering a new bill that would require that all health care workers get annual influenza vaccinations ("flu shots") unless the worker specifically refuses this vaccination in writing.

Do you think you would support this bill for mandatory flu shots for health care workers?

  • Yes
  • No

Scenario 2

Imagine that you're the human resources director at a mid-sized company that's initiating an employee retirement plan. Management is concerned that many employees are not saving enough for retirement. They're considering a policy that would automatically deduct retirement contributions from all employees' wages unless the employee fills out and submits a form requesting exemption from the automatic deductions.

Do you think a policy of automatic retirement deductions is reasonable for your company to follow?

  • Yes 
  • No

Scenario 3

Organ transplants save many lives each year, but there are always too many deserving patients and too few organs available. To try to improve the number of organs available for donation, the state legislature in your state is considering a new policy that all people who die under certain well-defined circumstances will have their organs donated to others. The system would start in three years, after an information campaign. People who do not want to have their organs donated would be given the opportunity to sign a refusal of organ donation when they renewed their drivers' licenses or state ID cards, which expire every three years. Citizens without either of these cards could also sign the refusal at any drivers' license office in the state. This is a policy similar to ones already in place in some European countries.

Does this seem like an appropriate policy to you?

  • Yes 
  • No

How do your answers compare?

For many decisions in life, people encounter default options-that is, events or conditions that will be set in place if they don't actively choose an alternative. Some default options have clear benefits and are relatively straightforward to implement, such as having drug prescriptions default to "generic" unless the physician checks the "brand necessary" box. Others are more controversial, such as the automatic organ donation issue that you made a decision about.

Default options can strongly influence human behavior. For example, employees are much more likely to participate in a retirement plan if they're automatically enrolled (and must ask to be removed, or opt out) than if they must actively opt in to the plan. Researchers have found a number of reasons for this influence of default options, including people's aversion to change.

But default options can seem coercive also. So, an Institute of Medicine committee recently recommended against making organ donation automatic in the US. One reason was the committee's concern that Americans might not fully understand that they could opt out of donation or exactly how they could do so.

The policy scenarios presented to you here have been excerpted from a 2007 article in the New England Journal of Medicine titled "Harnessing the Power of Default Options to Improve Health Care," by Scott D. Halpern, MD, PhD, Peter A. Ubel, MD, and David A. Asch, MD, MBA. Dr. Ubel is the Director of the Center for Behavioral and Decision Sciences in Medicine.

This article provides guidance for policy-makers in setting default options, specifically in health care. Generally, default options in health care are intended to promote the use of interventions that improve care, reduce the use of interventions that put patients at risk, or serve broader societal agendas, such as cost containment.

In this NEJM article, the researchers argue that default options are often unavoidable-otherwise, how would an emergency-room physician decide on care for an uninsured patient? Many default options already exist but are hidden. Without either returning to an era of paternalism in medicine or adopting a laissez-faire approach, the authors present ways to use default options wisely but actively, based on clear findings in the medical literature.

Some examples of default policies that may improve health care quality:

  • routine HIV testing of all patients unless they opt out.
  • removal of urinary catheters in hospital patients after 72 hours unless a nurse or doctor documents why the catheter should be retained.
  • routine ventilation of all newly intubated patients with lung-protective settings unless or until other settings are ordered.

Drs. Halpern, Ubel, and Asch conclude, "Enacting policy changes by manipulating default options carries no more risk than ignoring such options that were previously set passively, and it offers far greater opportunities for benefit."

Read the article:

Harnessing the power of default options to improve health care.
Halpern SD, Ubel PA, Asch DA. New England Journal of Medicine 2007;357:1340-1344.

The Google of Healthcare: Kayte Spector-Bagdady

Wed, March 14, 2018, 2:00pm to 3:30pm
Location: 
Hatcher Graduate Library Gallery (913 S. University Avenue)

The Google of Healthcare: Making Big Data Work for—As Opposed to Against—Our Patients’ Best Interest
Pesenter:  Kayte Spector-Bagdady

Our data are collected at every turn: where we drive, who we email, what we google, what we buy. Perhaps a last bastion of expected privacy protections surrounds our health data—but while some systems (like healthcare providers) have stringent governance, others (like wellness apps) do not. Ready access and linkage of medical information can help us provide better care to our patients, but it can also serve to harm, alienate, and erode trust. This talk will explore how health data are currently being collected and by who, as well as ways we can both serve and protect our patients in the future.

Kayte Spector-Bagdady, JD, MBE, is an Assistant Professor in the Department of Obstetrics and Gynecology at the University of Michigan Medical School and the Service Chief of the Research Ethics Service in the Center for Bioethics and Social Sciences in Medicine (CBSSM). She is a former drug and device attorney and Associate Director of President Obama’s Presidential Commission for the study of Bioethical Issues.

Patient Education ForUM w/Scott Roberts, PhD

Wed, February 28, 2018, 3:30pm to 5:00pm
Location: 
NCRC Building 10

All Michigan Medicine clinicians and staff are invited to attend the next Patient Education ForUM on Wednesday, Feb. 28 from 3:30 p.m. – 5 p.m. The ForUM will be held at the North Campus Research Complex (NCRC) building 10. (Entry via building 18).  

Scott Roberts, Ph.D., will discuss ethical and health communication issues around the disclosure of genetic risk to patients. Stephen Rassi, Ph.D., will also present patient education and health communication needs of transgender people.

1.25 Nursing Contact Hours (CNE) will be provided to attendees.

CME is also available.

Space is limited. Register soon to save your spot! 

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

UMHS Professional Development & Education is an approved provider of continuing nursing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. (OBN-001-91) (OH-423, 3/1/2019)

Emergent Research Series: The Google of Healthcare w/Kayte Spector-Bagdady

Wed, March 14, 2018, 2:00pm to 3:30pm
Location: 
Hatcher Graduate Library Gallery (913 S. University Avenue)

The Google of Healthcare: Making Big Data Work for—As Opposed to Against—Our Patients’ Best Interest

Our data are collected at every turn: where we drive, who we email, what we google, what we buy. Perhaps a last bastion of expected privacy protections surrounds our health data—but while some systems (like healthcare providers) have stringent governance, others (like wellness apps) do not. Ready access and linkage of medical information can help us provide better care to our patients, but it can also serve to harm, alienate, and erode trust. This talk will explore how health data are currently being collected and by who, as well as ways we can both serve and protect our patients in the future.

Kayte Spector-Bagdady, JD, MBE, is an Assistant Professor in the Department of Obstetrics and Gynecology at the University of Michigan Medical School and the Service Chief of the Research Ethics Service in the Center for Bioethics and Social Sciences in Medicine (CBSSM). She is a former drug and device attorney and Associate Director of President Obama’s Presidential Commission for the study of Bioethical Issues.

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