Past Events

EGR Past events

Friday, September 18, 2020 - 12:15pm to 1:30pm
Fall 2020 Ethics Grand Rounds: Headshot of Jerome Singh, BA, LLB, LLM, MHSc, PhD
The COVID-19 pandemic is the most serious public health threat the world has faced in the last century. As rich and powerful countries dedicate significant resources to producing efficacious vaccines and treatments for their citizens, billions of people in low and middle income countries risk getting left behind. As COVID-19 is a global pandemic, our response to the pandemic should account for social and economic disparities at national, regional and global levels. Nationalism and exceptionalism will only amplify global health inequities and should be resisted. For this talk, Jerome Singh, BA, LLB, LLM, MHSc, PhD, a professor of clinical public health, will discuss the global health equity issues connected to COVID-19.

Speaker: Jerome Singh, BA, LLB, LLM, MHSc, PhD, Adjunct Professor of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Canada | Professor Singh is also the Director of the Ethical, Legal, and Social Issues (ELSI) Advisory Services on Global Health Research and Development and serves as an ad hoc Consultant to several UN entities, including the WHO, UNAIDS, UNICEF, the Special Programme for Research and Training in Tropical Diseases (WHO-TDR), and the United Nations Interregional Crime and Justice Research Institute (UNICRI). He is the Co-Chairperson of the NIH-sponsored HIV Prevention Trial Network’s (HPTN) Ethics Working Group, and a member of the NIH-sponsored HIV Vaccine Trial Network’s (HVTN) Efficacy Trial Working Group. He currently serves on several oversight bodies, including the International Ethics Review Board of Médecins Sans Frontières (MSF) and the World Health Organisation’s Ad Hoc Research Ethics Review Committee for COVID-19. 

This is an event of the Office of Academic Clinical Affairs (OACA) hosted by the Center for Bioethics and created in partnership by the following University of Minnesota units: the School of Nursing, the School of Public Health, and the Center for Global Health & Social Responsibility.

Logos: Center for Bioethics; School of Nursing; School of Public Health; Center for Global Health & Social Responsibility; Office of Academic Clinical Affairs

Headshot of Dr. Jon Tilburt
Friday, March 20, 2020 - 12:15pm to 1:30pm

COVID 19 may overwhelm our healthcare system. But healthcare professionals aren’t just stretched during a pandemic. The way healthcare is structured means everyday they are torn, advocating for individual patients while juggling competing demands of a group of patients.They are responsible for healthcare systems and populations, not just individual patients. The way we talk about professional responsibility doesn’t always account for the anguishing challenges many healthcare professionals routinely face. In this Ethics Grand Rounds we addressed this urgent public health crisis and discussed whether the ways we think and talk about professional responsibility reflect these complex challenges not just during a public health crisis but in everyday patient care. 

A traditional ethic of medicine asserts that physicians have special obligations to individual patients with whom they have a clinical relationship. Professionalism requires that physicians uphold the best interests of patients while simultaneously insuring just use of health care resources. Yet contemporary trends in US healthcare financing like bundled payments seem to threaten traditional conceptions of special obligations of individual physicians to individual patients; their population-based focus sets a tone emphasizing responsibilities of physicians working within organizations to groups of patients served by those organizations. Likewise, while, population health has the potential to improve patient care and health outcomes for individual patients, specific population health activities may not be in every patient's best interest in every circumstance. This can create ethical tensions for individual physicians and other health care professionals practicing within health systems with population health strategies.

Dr. Tilburt shared his remarks from the perspective of a practicing physician and engage the audience on the potential implications of the issues he raises for other healthcare professionals and interprofessional teams. This was an event of the Office of Academic Clinical Affairs (OACA) hosted by the Center for Bioethics.

Speaker: Dr. Tilburt is a professor of medicine and biomedical ethics at Mayo Clinic where he has been on staff since 2007. He trained in philosophy, internal medicine, and health services research. He studies and writes about ethics and professionalism while conducting grant-funded research on communication and decision making in healthcare delivery. He’s inspired by a desire to recover and reinvent human connection in industrialized healthcare, striving to insure care is meaningful and fitting. 

Friday, February 7, 2020 - 12:15pm
Headshot of Prof. Sarah Gollust, PhD Watch 

Most American women are not aware that routine mammograms can lead to overdiagnosis and overtreatment of breast cancer. Dr. Gollust presents findings from a 2019 survey assessing women's attitudes about breast cancer screening and their response to various messages about the potential for overdiagnosis. She discusses the ethical, political, and communication challenges related to balancing competing evidence-based recommendations amid a complex, politically-charged information environment.

This is an event of the Office of Academic Clinical Affairs (OACA) hosted by the Center for Bioethics and created in partnership by the following University of Minnesota units: the Masonic Cancer Center, the Division of Health Policy & Management in the School of Public Health, the Hubbard School of Journalism & Mass Communication, and the Women's Health Research Program

Speaker: Sarah Gollust, PhD, Associate Professor of Health Policy & Management at the University of Minnesota's School of Public Health, Affiliate Faculty, Center for Bioethics
 
 
Friday, November 22, 2019 - 12:15pm to 1:30pm
Headshot of Thaddeus Pope

Each year, 44,000 Minnesotans die. Nearly one-fourth die from cancer. Many of these patients want to control the timing and manner of their death. Today, terminally ill patients have several “exit options” in Minnesota. But they generally do not have access to medical aid in dying (MAID). This may be changing. Across the country, access to MAID has been in a rapid state of flux. Ten years ago, MAID was available in only two U.S. jurisdictions. Today, it is available in ten. This presentation reviews the history, status, and prevalence of MAID in the United States. It also summarizes ten new points of ethical debate over whether traditional eligibility requirements and safeguards are too permissive or too restrictive.

Speaker: Thaddeus Pope, JD, PhD, Director, Health Law Institute, Mitchell - Hamline School of Law; Affiliate Faculty Member, Center for Bioethics, University of Minnesota. Learn more about Professor Pope here.

 

Image with the words: Center for Bioethics, University of Minnesota Ethics Grand Rounds with a black icon three people and a healthcare plus sign above them
Friday, October 11, 2019 - 12:00pm to 1:15pm
 
When delivery of an extremely premature baby is anticipated at 22 to 24 weeks of gestation, the standard of care is for a specialist in Neonatology to consult with families to determine family-centered goals of care to best determine whether to provide intensive resuscitation or comfort measures only for the baby at time of birth.  Research demonstrates highly variable apporaches to counseling practices across institutions.  This talk will highlight existing knowledge regarding shared decision-making in this setting.  Further, it will describe a qualitative study aimed at understanding the mechanics and substance of these consultations in order to develop more effective strategies for individualized and family-centered decision-making. 

Speaker: Chris Collura, MD, MA, Neonatology, Pediatric Palliative Care, Bioethics, Mayo Clinic Children’s Center

 

Image with the words: Center for Bioethics, University of Minnesota Ethics Grand Rounds with a black icon of the vitruvian man
Tuesday, September 17, 2019 - 12:15pm to 1:30pm

Researcher, ethicist, and public health advocate Amos Laar, PhD connects the dots between HIV and the social, cultural, ethical and human rights issues systemically integrated with the disease in Ghana. For his MA, Laar's completed a masters' thesis in 2014 on ethically appropriate responses to HIV in Ghana. Laar was recently featured in the Lancet's Diabetes and Endocrinology journal for his nutrition work on regulating unhealthy foods in Ghana. This talk brings a social public health perspective to Ghana’s national response to HIV with a focus on how these variables contribute to HIV transmission as well as disease and implementation outcomes. Laar is a native of Ghana with academic training in Nutrition, Public Health as well as an MA in Bioethics from the University of Minnesota.  This event was co-sponsored by the Center for Global Health and Social Responsibility and the School of Public Health

Speaker: Amos Laar, MA, Senior Lecturer, University of Ghana 
 
 
Ethics Grand Rounds header with fuzzy background
Friday, April 19, 2019 - 12:15pm

Advance care planning supports patient-centered decision-making by discussing goals, values, and preferences for future medical care.  This process involves three key stakeholders: the patient, their surrogate decision-maker, and their clinicians. How do the stakeholder roles change when the patient is an adolescent who has the capacity but not the legal right to make medical decisions?  Dr. Jennifer Needle, a Pediatric Intensive Care physician from the University of Minnesota Masonic Children's Hospital and faculty member in the Center for Bioethics, addresses this question from the perspectives of these stakeholders in the context of adolescent advance care planning. She reviews the literature on the benefits and barriers to effective advance care planning, discusses clinician, patient, and surrogate perspectives on medical decision-making in adolescent patients, and discusses future areas of research to support adolescent patients and their families in making informed medical decisions. This event was co-sponsored by the Department of Pediatrics in the University of Minnesota's Medical School. 

Speaker: Jennifer Needle, MD, MPH | Assistant Professor, Center for Bioethics, University of Minnesota

 

Friday, March 8, 2019 - 12:15pm to 1:30pm

In this talk, Dr. Benya discussed the recent National Academies report that examines the effect of sexual harassment on women in scientific, technical, and medical fields in academia. Dr. Benya shared strategies and practices that can be used to prevent and address this discriminatory behavior, and discussed the research that supports these approaches. This event was co-sponsored by the University of Minnesota School of NursingThe Center for Women in Medicine and Science, and the History of Science, Technology, and Medicine department.

Speaker: Frazier Benya, MA, PhD, Senior Program Officer, Committee on Women in Science, Engineering, and Medicine, Policy and Global Affairs Division, The National Academies of Sciences, Engineering, and Medicine
 
 
Ethics Grand Rounds header with fuzzy background
Friday, March 1, 2019 - 12:15pm to 1:30pm

Informed consent requires that research participants understand the study under consideration and appreciate its implications for their interests. Therapeutic misconception – which occurs when individuals confuse the purposes of clinical research with standard clinical care – compromises informed consent. Dr. Bryan A. Sisk expands the discussions beyond therapeutic misconception in clinical trials by explaining multiple ways in which understanding and appreciation of information about a clinical trial can be undermined. He offers a framework of therapeutic misperceptions to assist researchers in managing challenges to the informed consent process. This activity was designed for physicians and other healthcare professionals. By the end of this talk, attendees are able to do the following: 

1. Identify two components of decisional capacity
2. Discuss challenges of therapeutic misperceptions in the clinic-research setting 
3. Explore a framework of therapeutic misperceptions  

Speaker: Bryan A. Sisk, MD, MSCI, Clinical Fellow, Hematology and Onocology, Department of Pediatrics, Washington University School of Medicine in St. Louis
 
Friday, April 6, 2018 - 12:15pm to 1:30pm

3-100 Mayo, U of M East Bank Campus

The background to justice in bioethics revolves around fair access to costly health care resources. Meanwhile, social movements emphasize economic, racial, and identity inequalities within the United States. The demands of climate change add conceptions of justice: environmental justice, intra-specific justice, global inequality, differential responsibility for climate change, and generational justice. How are we to sort out these different emphases? Meanwhile, the rate of climate change is accelerating, and 27 years of negotiations has yielded no actual reduction in global greenhouse gas emissions. While we argue, inevitable misery is mounting up unjustly for young people and future generations.

Speaker:  Andrew Jameton, PhD, Affiliate Faculty, Center for Bioethics, UMN; Professor Emeritus, College of Public Health University of Nebraska Medical Center

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