EGR Past events
- Identify the ways that stigma serves as a barrier to accessing care for individuals with substance use and mental health conditions.
- List the ways that the topic of stigma has emerged in evaluated community-engaged partnerships and research.
- Describe how stigma varies depending on the source and the individual experiencing it.
- Compare interventions with potential to reduce substance use and mental health stigma.
Katharine Dooley, MPH Candidate, is an Epidemiology MPH student at the University of Minnesota School of Public Health. Katharine received a B.A. in biology from Bard College in 2013. Prior to graduate school, Katharine worked as a Postbaccalaureate Intramural Research Training Fellow at the National Institutes of Health and was a Health Education Peace Corps Volunteer in Togo, West Africa. Katharine is currently a student worker on Minnesota Department of Health’s "Team Diarrhea", where she assists with foodborne illness surveillance and outbreak investigations.
Elizabeth Wrigley-Field, PhD, Assistant Professor, Sociology; Faculty member, Minnesota Population Center, University of Minnesota | Elizabeth Wrigley-Field, Ph.D., specializes in racial inequality in mortality and historical infectious disease and co-leads (with J.P. Leider) an ongoing project on COVID-19 mortality in Minnesota. She is also a quantitative methodologist, developing models designed to clarify relationships between micro and macro perspectives on demographic relationships.
This is an event of the Office of Academic Clinical Affairs (OACA) hosted by the Center for Bioethics and is co-sponsored by the Program in Health Disparities Research, the Office of Public Engagement, the Clinical and Translational Sciences Institute, the School of Public Health, the School of Nursing, and the School of Medicine.
Dr. Lyerly presents ethics guidance developed by the project, describing:
- The process of guidance development
- An ethical framework grounding research with pregnant women
- 12 concrete recommendations aimed at securing better evidence on safely & effectively treating women living with or at risk for HIV/co-infections
- Lessons learned for ethically advancing research with pregnant women in the range of disease contexts
- Understand the Trust Doctrine and United States government obligation to provide health care to Native Americans
- Understand the history and structure of the Indian Health Service
- Recognize the long-term effects of chronic underfunding on the Indian Health Service
- Recognize the impact of COVID 19 on Native American populations nationally and locally
Speaker: Dr. Mary Owen, Director of the Center of American Indian & Minority Health; Assistant Professor, Dept. of Family Medicine & Behavioral Health at the University of Minnesota Medical School, Duluth. Dr. Owen is a member of the Tlingit nation. She graduated from the University of Minnesota Medical School and North Memorial Family Practice Residency Program before returning home to work for her tribal community in Juneau, Alaska. After eleven years of full-scope family medicine, she returned to the University of Minnesota Medical School, Duluth in 2014 , as the Director of the Center of American Indian and Minority Health (CAIMH). Her work includes: developing and managing programs to increase the numbers of American Indian and Alaska Native (AIAN) students entering medical careers, outreaching to local and national Native leaders to ensure that CAIMH and the University of Minnesota Medical School remain in tune with AIAN health care and education needs, developing an AIAN track for all students interested in providing healthcare to AIAN communities and developing research efforts to address AIAN health disparities. She continues to provide clinical care at the Center of American Indian Resources in Duluth and is the current President of the Association of American Indian Physicians.
This was 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 Medical School, the School of Public Health, the School of Nursing, and the Program in Health Disparities Research.
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 was 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.
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.
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.
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.