Tolu joined CBSSM in September 2012 as a graduate work study student then transitioned into a full-time Research Area Specialist Associate from August 2015 to May 2017. She received her joint Master’s in Social Work and Urban Planning from the University of Michigan. The bulk of her work at CBSSM includes assisting Dr. Susan Goold on an evaluation of the Healthy Michigan Plan (Michigan’s Medicaid Expansion).
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Imagine that you are the parent of a 1-month-old infant. Your infant spits up a lot. Often there is so much spit-up that you are amazed that there is anything left in your infant’s stomach. After spitting-up, your infant cries a lot. The crying and spitting seems especially bad after eating. But sometimes it seems like she is uncomfortable most of the time. It seems like there is nothing that you can do to stop the crying or to soothe your infant. You are worried that an infant who is this uncomfortable, and that spits up this much, might not be healthy. So, you decided to take your infant to the doctor to be checked.
After listening to your story and examining your infant, your doctor says, “You infant has something called GERD, or Gastroesophageal Reflux Disease. GERD happens when infants have a weak valve at the entrance to their stomach and, as a result, food and acid from the stomach can travel back up toward the infant’s mouth. When this happens, the infant may spit-up, and the acid in the spit-up may make her uncomfortable, and cause her to cry. Some doctors prescribe a medication that is often used to treat infants with GERD. Most infants grow out of GERD on their own, but medication is an option if you want it. However, studies have shown that this medicine probably doesn’t do anything to help improve symptoms in babies with GERD. This is the same medication that is taken by adults who have bothersome heartburn. This medication is generally considered safe for infants, and rarely causes serious side effects. I’ll give you this prescription and leave it up to you to decide whether or not you want to give it to your infant.”
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.
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”.
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.
It is our great pleasure to announce that CBSSM Research Fellow Kayte Spector-Bagdady has accepted a faculty position as a Research Investigator in the UMHS Department of Obstetrics and Gynecology, effective November 1, 2016.
In her time as a research fellow at CBSSM Kayte was awarded the 2016 Outstanding Postdoctoral Fellow Award, has been an active and valued member of the Adult and Pediatric Ethics Committees, the IRB advisory board, and has had an active publication and teaching program. Kayte will continue to be a part of CBSSM, leading our Program in Research Ethics.
Carl Schneider, JD -- “Can Informed-Consent Laws Work? Evaluating Compelled Disclosure as a Method of Regulation”
Abstract: The law of informed consent is an example of a form of legal regulation called mandated disclosure. In such regulation, one party to a transaction is required to give the other party to the transaction information to use in making decisions about the parties’ relationship. There are hundreds of examples of such legal rules besides medical informed consent. This talk asks how well these rules have worked outside medicine. It concludes that there is little evidence that those rules ever work, explores some of the reasons for this surprising failure, and asks what the failure of mandated disclosure outside medicine tells us about the success of informed-consent laws in medicine.