Jeff DeWitt completed a PhD in Social Psychology in 2017 while working in Dr. Gretchen Chapman's Medical Decision Making Lab at Rutgers University. Broadly, Jeff's research is focused on the interplay between social cognition and behavioral decision making with an emphasis on healthcare applications. In particular, he has investigated how our representations and predictions of others' beliefs and goals can influence our own in altruistic medical contexts such as whether to donate blood or receive a flu shot.
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In videos for The Trust Project, bioethicist and sociologist Raymond De Vries explores trust in medicine from a sociological perspective.
In How Trust Shapes the Medical Field: A Sociologist's Perspective, De Vries offers a historical perspective on trust in medicine:
- What role did industrialization play in changing interpersonal trust?
- What can we learn about trusting relationships from past societies?
In The Rise of Bioethics in Response to Medical Distrust: Key Findings, De Vries discusses some key research in the field of trust and bioethics:
- How did the erosion of trust in medicine lead to the rise in the study of bioethics?
- Does the bureaucracy that comes with research ethics committees enhance or undermine trust?
An another video, Evolution of Trust in Bioethics medical research ethics.
The Trust Project at Northwestern University features scholars and executives exploring Trust in videos that cover theory, research and practice. By combining multiple and diverse perspectives, The Trust Project aspires to illuminate new insights for research and management.
Jodyn Platt, MPH, PhD, Assistant Professor of Learning Health Sciences, has been named a University of Chicago MacLean Fellow.
As part of the one year Cancer Genomics and Ethics Big Data Science Fellowship she will receive clinical training in the Medical Ethics Summer Intensive Program and conduct a research project with Olufunmilayo Olopade, MD, FACP, Director of the Center for Clinical Cancer Genetics at University of Chicago Medicine.
Platt explains how her work as a fellow will begin: "I would like to systematically observe and interview individuals involved in shaping how data evolves and moves from the patient encounter to the big data enterprise and back to clinical care." Looking forward to expanding her network over the course of the year, she plans "to engage in, and lead, interdisciplinary scholarship that will ensure the revolution in healthcare delivery brought on by big data and cancer genomics is an ethical one."
Platt is also the organizer of the upcoming ELSI-LHS symposium on November 15th at U-M which explores the “Ethical, Legal and Social Implications of Learning Health Systems”.
Jennifer joined CBSSM in August 2017. She works with Dr. Susan Goold and community partners on grant funded research projects related to evaluating Medicaid expansion and its impact on beneficiaries through the Healthy Michigan Plan and ways in which to engage minority and underserved communities in setting priorities for community health.
Roi Livne, PhD
Assistant Professor, Sociology
Title: “The New Economy of Dying: Palliative Care, Morality, and Finance in the Age of Excess”
Abstract: This talk argues that over the past 40 years, a new economy has emerged around end-of-life care: one seeking to control, cap, and limit both spending and treatment near the end of life. Built around the expertise of Hospice and Palliative Care, this economy draws on the moral conviction that near the end of life, less treatment (and consequently, less spending) is better. Based on a historical analysis and ethnographic fieldwork in three California hospitals, Livne examines the interactive work that palliative care clinicians do with severely ill patients and their families, trying to facilitate their voluntary consent to pursue less life-sustaining and life-prolonging treatments.
Joseph joined CBSSM as a Research Area Specialist in November 2017. As a project manager, he coordinates the daily operations of Dr. Jeffrey Kullgren’s project “Provider, Patient, and Health System Effects of Provider Commitments to Choose Wisely,” a grant funded research project using novel approaches to reduce the overuse of low-value services in healthcare.
The Woll Family Speaker Series on Health, Spirituality and Religion
We are excited to be hosting a debate on Conscience Protection on Friday March 9th from 12-1 as part of the UMMS Program on Health, Spirituality and Religion. Please save the date! CME Credit provided (see below).
Point: Healthcare professionals are "obligated to provide, perform, and refer patients for interventions according to the standards of the profession.” NEJM, 2017
Counterpoint: Healthcare professionals have the right to opt out of performing or referring for procedures they view as objectionable in accord with their religious or personal values.
Join Dr. Naomi Laventhal and Dr. Ashley Fernandes in this academic discussion as part of the University of Michigan Program on Health, Spirituality and Religion.
Professionalism, Ethical Obligations, and the Moral Imperative of Self-Care
Healthcare providers are inevitably called to participate in and bear witness to emotionally challenging cases. Combined with time constraints, competing responsibilities, the urgent nature of these cases, healthcare providers risk burnout. The consequences of burnout have been shown to be increased staff turnover, substandard patient outcomes and increased likelihood for errors. As part of competent clinical practice, healthcare providers must not only attend to the needs of the patient and family but also themselves. However, a tension exists between making enough time for patients and taking enough time for oneself. But, engaging in self-care activities can help address clinician distress; this practice is essential for remaining compassionate, providing competent patient care services, and avoiding harm. Healthcare providers, therefore, have an ethical duty to engage in personal self-care. This presentation makes a case for why self-care is a key component of competent clinical practice. Several ways in which a lack of self-care can undermine professional competence, thus risking burnout and poor patient outcomes, are discussed. Strategies for recognizing and addressing burnout are also reviewed.
Funded by Foundation for Informed Medical Decision Making
Funding Years: 2007 -2008
The National Survey of Medical Decisions (the DECISIONS study), co-led by CBDSM investigators Mick Couper (PI) and Brian Zikmund-Fisher (co-I), is a unique effort to collect nationally representative data about when and how middle-aged and older adults manage the medical decisions they face.
The DECISIONS study consisted of a random digit dial telephone survey of 3,010 adults over the age of 40 in the United States conducted between November 2006 and May 2007. Participants were asked a series of screening questions to identify which of 10 common medical decisions they may have discussed with their health care providers in the previous two years and then completed 2-3 question modules regarding specific decisions that were relevant to each individual.
Its initial screening module gathered highly generalizeable data regarding the prevalence of different types of common medical decisions in the experience of older Americans. Its dynamically-administered modules then requested detailed information regarding how and when patients discuss key medical decisions with their health care providers and whether variations in decision-making processes may have influenced patients’ medical care.
Funded by the Foundation for Informed Medical Decision Making (FIMDM), the DECISIONS project has been a highly collaborative project that has included investigators from Institute for Social Research and FIMDM, as well as CBDSM. In addition, FIMDM-affiliated researchers from around the country are analyzing DECISIONS data to inform their research. While the initial papers from the DECISIONS dataset will be by core investigators, the study team intends to make the dataset publicly available for more widespread use sometime in 2009.
Mick Couper (PI)