Current guidelines for colorectal cancer screening do not account for several important individual characteristics such as prior screening history and comorbidities, yet these factors can significantly alter the risks and benefits of screening at different ages. Jacob Solomon and Sameer Saini are developing a decision aid and educational tool to help clinicians understand more personalized risks and benefits of screening.
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The primary research interests of CBSSM faculty focus on six overarching themes:
- Research Ethics (led by Raymond De Vries and Kayte Spector-Bagdady)
- Clinical Ethics (led by Andrew Shuman and Christian Vercler)
- Health Communication and Decision Making (led by Brian Zikmund-Fisher)
- Medicine and Society (led by Raymond De Vries)
- Health, Justice, and Community (led by Susan Goold)
- Genomics, Health and Society (led by J. Scott Roberts)
Seeking feedback on writing a scientific commentary on ethics as it pertainsto interventional radiology. Often IR acquires very sick patients forwhich an IR procedure may be the only remaining palliative option, assurgery is out of the question and a decision has to be made on whether performing an aggressive interventional radiology procedure is the right thing for the patient.
The University of Michigan's Center of Excellence in Cancer Communications Research has been renewed for another five years, through August 2013, by the National Institutes of Health. The purpose of the $8.8 million award is to develop an efficient, theory-driven model for generating health behavior interventions that is generalizable across health behaviors and sociodemographic populations. The UM Center for Health Communicaitons Research, under principal investigator Victor Strecher, MPH, PhD, coordinates the core of this Center of Excellence. Former CBSSM Director Peter A. Ubel, MD, and current CBSSM Co-director Angela Fagerlin, PhD, are leading Project 3, in which they will conduct Internet studies to test several movel ways of tailoring a prostate cancer decision aid, with the goal of identifying interventions that increase the perceived salience of patient preferences. After they have determined the best interventions, they will modify the current prostate cancer decision aid and then test it in men with newly diagnosed localized prostate cancer. Co-investigators on Project 3 are John T. Wei, MD, and Brian Zikmund-Fisher, PhD, at the University of Michigan and James Tulsky, MD, and Stewart Alexander, PhD, at Duke University.
The Center for Bioethics and Social Sciences in Medicine is supported by the Dean's Office at University of Michigan Medical School, the Office of Clinical Affairs, and the Department of Internal Medicine.
CBSSM is a collaborating center of the U-M Institute for Healthcare Policy & Innovation (IHPI). IHPI works to enhance the health and well-being of local, national, and global populations through innovative, interdisciplinary health services research that effectively informs public and private efforts to optimize the quality, safety, equity, and affordability of healthcare services.
CBSSM has strong research ties with numerous other units at the University of Michigan, including the Department of Psychology, the School of Public Health, the School of Information, and the Survey Research Center at the Institute for Social Research.
Of particular interest to those in the field of genomics is the ELSI Personal Genomics group at the University of Michigan: Exploring the Ethical, Legal, and Social Implications of Personal Genomics.
In the broader realm of decision making, the Decision Consortium group at the University of Michigan is an excellent resource, offering weekly forums during the academic year.
The Center for Bioethics and Social Sciences in Medicine (CBSSM) Research Colloquium will be held Wednesday, April 17, 2013 at the Founders Room of the Alumni Center, 200 Fletcher Street, Ann Arbor, MI.
More details about the CBSSM Research Colloquium and Bishop Lecture can be found at the Events page.
Reshma Jagsi, MD, PhD, is lead author on an article in the November 8, 2007, New England Journal of Medicine about leaves of absence during graduate medical education, specifically leaves for childbirth and infant care. Physicians in residency programs face limitations on leave time designed to ensure adequate training as well as stability of the care-delivery system. But how can these limitations be reconciled with federal mandates-and reasonable societal expectations-for childbearing leave? Click here to see the article.
Reshma Jagsi, MD, DPhil, is the lead author on a new study showing that breast cancer patients who have had mastectomies and need radiation are less likely to receive these treatments than patients who have had lumpectomies. The article appears in the Journal of Clinical Oncology (online March 29, 2010). Additional authors are Paul Abrahamse, Sarah T. Hawley, Jennifer J. Griggs, Steven J. Katz, Monica Morrow, John J. Graff, and Ann S. Hamilton. Read a press release about the research here.