Social media is characterized by online spaces of rapid communication, advertising, professional development, and advocacy, and these platforms have revolutionized the way we interact with people and our culture. In surgery, platforms like Facebook, Snapchat, and Instagram are especially attractive for practice promotion and instantaneous connection with potential patients. However, considerable risks and ethical dilemmas lie in wait for the surgeon who attempts to use patient photographs and videos for advertising. It is critical for surgeons to facilitate fully informed consent, consider both context and the patient-physician power differential, and put patients’ interests ahead of their own.
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Expectant parents all hope for an uneventful pregnancy and a healthy baby, but a wide variety of maternal conditions and fetal problems necessitate comprehensive and complex care before birth. This session will offer a review of the nature and outcomes of these conditions, and describe the role of pediatricians in perinatal anticipatory guidance and decision-making, with an exploration of the commonly encountered bioethical issues. The session will include a review of decision making at the margin of gestational viability, common complex genetic disorders, and technology intense interventions available before, during, and after birth.
CBSSM Seminar: Scott Stonington, MD, PhD
Title: Phenomenology as blind spot: reaching outside of Western bioethics to fix the U.S. pain-opiate conundrum
Short Abstract: The doctor-patient relationship has become increasingly fraught in the U.S. around issues of pain management due to the contemporary epidemic of opiate overdose and subsequent "pharmacovigilance" on the part of clinicians. In this talk, I explore how this fraught relationship may be due in part to blind spots coming from the philosophical origins of Western bioethics, and use cases both from the U.S. and Thailand to suggest an alternative for individual practice and for national policy.
Maryn joined CBSSM in June 2018. She works with Dr. Susan Goold and community partners to evaluate impacts of Michigan's expanded Medicaid program. She also uses deliberative methods to engage community members in setting priorities for community health.
Maryn received her BA in Russian Literature and Women's Studies from Beloit College and her MPH in Health Behavior and Health Education from the University of Michigan. Prior to joining CBSSM, she worked as a qualitative Research Associate for various projects across the university.
CBSSM faculty, Andrew Shuman (PI), Susan Goold, Janice Firn, and Reshma Jagsi (Co-Is) recently received a BCBSM Foundation Investigator Initiated Research Grant. Their proposed research aims to examine how hospitals in Michigan currently handle drug shortages, to find and describe best practices, and to propose a resource for real-time communication and collaboration across statewide institutions in order to most effectively provide care when resources are strained.
Tom Valley was recently awarded an NIH/NHLBI K23 Career Development Award. Dr. Valley’s award seeks to prevent avoidable deaths from pneumonia by improving the use of the ICU. Each year, 10,000 Americans die from pneumonia, yet might not if they had received care in the ICU. With this award, Dr. Valley will receive training to become a decision scientist aiming to improve clinical decision-making in the ICU. His mentors for this award are Jack Iwashyna, Angie Fagerlin, and Colin Cooke.
Dr. Montas is a Clinical Lecturer in the Department of Emergency Medicine. Dr. Montas holds a law and medical degrees from the University of Michigan and a Master of Bioethics from the University of Pennsylvania. He has been a member of the University of Michigan Adult Ethics Committee since 2009. His research interest is in the intersection of Law and Medicine, and Bioethics, with a focus on the influence of the legal system and legal norms on patient-physician communication and decision making.
Helping Patients in High-Deductible Health Plans Get the Care They Need at a Price They Can Afford
Presenter: Jeffrey T. Kullgren, M.D., M.S., M.P.H., Assistant Professor of Internal Medicine
This presentation will review challenges faced by the growing number of Americans who are enrolled in high-deductible health plans (HDHPs) and identify new opportunities to help HDHP enrollees be more discerning health care consumers.
CMEs available. Networking reception to immediately follow.
Patient Experience Learning Forum
“Ethics and the Patient Experience”
Katie Feder, MS MD Candidate, University of Michigan Medical School
Sally Salari, MS MD Candidate, University of Michigan Medical School Pre-doctoral Clinical Ethics Fellow, UM Center of Bioethics and Social Science in Medicine
Janice Firn, PhD, LMSW Clinical Ethicist, Michigan Medicine Clinical Assistant Professor, Department of Learning Health Sciences, UM Medical School
Join us for an engaging presentation and discussion about the role of ethics consultation and services to improve patient care and patient experience at Michigan Medicine.
CONTINUING EDUCATION CREDITS AVAILABLE: SOCIAL WORK & NURSING