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CBSSM Seminar: Darin Zahuranec, MD

Wed, January 20, 2016, 3:00pm to 4:00pm
Location: 
NCRC, Building 16, Room 266C

Darin Zahuranec, MD


Assistant Professor, Neurology

Title:  Improving decisions on life-sustaining treatments after stroke

Abstract:  Individuals with acute stroke face the sudden onset of new deficits, along with a need to make many decisions about medical treatments with impact on the potential for survival and long-term disability. This talk will review the challenges in decision-making after acute stroke and discuss possible solutions for the future.

 

The University of Michigan is seeking a nominee to the national competition for the Greenwall Foundation Faculty Scholars Program in Bioethics. The October 1st internal deadline has been extended. Details can be found at: http://orsp.umich.edu/funding/limited_submissions/greenwall.html.

CBSSM Seminar: Julie Wright Nunes, MD, MPH

Wed, May 17, 2017, 3:00pm
Location: 
NCRC, Building 16, Room 266C

Julie Wright Nunes, MD, MPH
Assistant Professor, Internal Medicine

Title: Patient Education and Care: Challenges and Opportunities in Chronic Kidney Disease

Abstract: Twenty million people, or 20% of U.S. adults ages 60 and older, have chronic kidney disease (CKD). CKD is a significant public health threat carrying high risk of morbidity, mortality, and renal failure. Health behavior theory suggests that patient motivation and healthy behavior change require patients to have knowledge of their chronic condition, as well as the self-efficacy and skills to do what is needed to stay healthy. The chronic care model promotes early patient engagement in care. Yet, less than 20% of  patients with CKD are aware of their diagnosis. Even patients who are aware often do not understand the implications of their CKD diagnosis or what they need to do to optimize their health. Dr. Wright Nunes will discuss her research aimed to develop, test, and disseminate sustainable patient-centric education and coaching support interventions to improve quality of care and outcomes in patients who have CKD.

Tue, March 13, 2018

CBSSM's Reshma Jagsi, Sarah Hawley and colleagues found that only half of women who could benefit from genetic testing get it, and often not before they have surgery. Steven Katz was lead author on this study.

Mon, October 08, 2018

Michele Gornick, PhD is lead author on study that finds that a decision support tool "iCanDecide" boosts genetic testing knowledge in breast cancer patients. Co-authors include CBSSM's Reshma Jagsi, MD, DPhil and Sarah Hawley, PhD, MPH.

CBSSM Seminar: Chithra Perumalswami, MD, MSc

Wed, May 23, 2018, 3:00pm
Location: 
NCRC, Building 10, Room G065

Chithra Perumalswami, MD, MSc
CBSSM Postdoctoral Fellow

 

Title:
Defining High Quality Health Care at the End of Life: Obesity in Hospice

Brief abstract:
Little is known about the challenges of providing high quality health care at the end of life for patients with obesity.  We conducted 22 semi-structured telephone interviews with hospice medical directors from each major geographic region of the US to understand physicians’ clinical and administrative perspectives regarding the effects of obesity on quality of hospice care for patients, caregivers, nurses, and other members of the hospice team.

 

CBSSM Seminar: Michael D. Fetters, MD, MPH, MA

Thu, April 14, 2016, 3:00pm to 4:00pm
Location: 
NCRC Building 16, Conference Rm 266C

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.

CBSSM Seminar: Reshma Jagsi, MD, PhD

Wed, May 18, 2016, 3:00pm to 4:00pm
Location: 
NCRC, Building 16, Room 266C

Reshma Jagsi, MD, PhD
Associate Professor, Radiation Oncology

"Stewardship and Value:  Are we choosing wisely in managing breast cancer?"

Abstract: This lecture will begin with a brief discussion of the moral foundations of physicians' obligations to serve society, in addition to the patients they directly serve.  It will then consider analogies between financial stewardship and antibiotic stewardship, and it will conclude by focusing on several examples of opportunities for better physician stewardship in breast cancer, including slow uptake of short courses of breast radiation and rapid increases in the use of bilateral mastectomy for unilateral disease.

CBSSM Seminar: Geoffrey Barnes, MD

Tue, October 30, 2018, 3:00pm
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Location: 
NCRC, Building 16, 266C

Geoffrey Barnes, MD
Assistant Professor, Internal Medicine

Title: Peri-endoscopy Antithrombotic Management: Using Systems Engineering to Improve Clinical Decision-Making

Abstract: Surgical procedures, such as gastrointestinal endoscopy, present management challenges for patients taking chronic antithrombic medications. Following an in depth analysis of current practices, we re-organized care delivery to standardize clinical decision making for these patients using health systems engineering and implementation science methods.

CBSSM Seminar: Jeff Kullgren, MD, MS, MPH

Wed, October 19, 2016, 3:00pm to 4:00pm
Location: 
NCRC Building 16, Conference Rm 266C

Jeff Kullgren, MD, MS, MPH
Assistant Professor, Internal Medicine

Consumer Behaviors among Americans in High-Deductible Health Plans 
More than 1 in 3 Americans with private health insurance now face high out-of-pocket expenditures for their care because they are enrolled in high-deductible health plans (HDHPs), which have annual deductibles of at least $1,300 for an individual or $2,600 for a family before most services are covered.  Though it is well known that HDHPs lead patients to use fewer health services, what is less known is the extent to which Americans who are enrolled in HDHPs are currently using strategies to optimize the value of their out-of-pocket health care spending such as (1) budgeting for necessary care, (2) accessing tools to select providers and facilities based on their prices and quality, (3) engaging clinicians in shared decision making which considers cost of care, and (4) negotiating prices for services.  Such strategies could be particularly helpful for people living with chronic conditions, who are even more likely to delay or forego necessary care when enrolled in an HDHP.  In this seminar we will examine these issues and review preliminary results from a recent national survey of US adults enrolled in HDHPs that aimed to determine how often these strategies are being utilized and how helpful patients have found them to be, which patients choose to use or not use these strategies and why, and identify opportunities for policymakers, health plans, and employers to better support the growing number of Americans enrolled in HDHPs.

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