Podcasts about clinical ethics

Today, we're speaking to Professor Anne Slowther, Emeritus Professor of Clinical Ethics based at the University of Warwick.Title of paper: Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relativesAvailable at: https://doi.org/10.3399/BJGP.2024.0248The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a specific model of emergency care treatment planning now used in primary care and hospitals, and in many areas of the UK. It has been evaluated in hospital settings, but little is known about how it is understood and operationalised in general practice. Our research found a consensus that ReSPECT could facilitate a person-centred approach to future treatment decision making, but there are specific challenges in implementing ReSPECT in a community setting. A revised approach needs to consider uncertainty of illness trajectories over time and to emphasise patient values to facilitate decision making in an emergency.

In this episode of The Brave Enough Show, Dr. Sasha Shillcutt and Dr. Lindsay Semler discuss:   The difference between Moral Distress versus Moral Injury and what it means to those of us in healthcare  How to process failure in our jobs and our lives  How to speak up even when you don't feel safe to do so.     Quote: “The majority of decisions we make every day in healthcare are ethical, moral decisions. They are the hard ones, and the ones where we must feel we have a voice.” Dr. Lindsay Semler      Guest Bio:  Dr. Lindsay Semler is the Executive Director of Clinical Ethics and Department of Medicine Faculty at Brigham and Women's Hospital, and a Lecturer at Harvard Medical School. She is also the Founder & President of Semler Ethics Consulting, LLC. Her background includes critical care and emergency nursing experience, as well as education, quality improvement, and leadership at UPMC and Penn Medicine. She was also the director of the system-wide Ethics program at INTEGRIS Health. Lindsay obtained her BSN and MSN from the University of Pittsburgh, Doctor of Nursing Practice degree with a focus on moral distress from Johns Hopkins, and the Advanced Training in Healthcare Ethics certificate from the University of Washington. She is certified as a Healthcare Ethics Consultant (HEC-C) and critical care nurse (CCRN). Her bioethical areas of interest focus on organizational and preventive healthcare ethics, addressing moral distress, and teaching future generations of healthcare providers.    Lindsay Semler, DNP, RN, CCRN, HEC-C   Executive Director | Ethics Service, Brigham and Women's Hospital  Co-Chair | Ethics Committee, Brigham and Women's Hospital  Faculty | Department of Medicine, Brigham and Women's Hospital  Lecturer | Harvard Medical School  Member | Center for Bioethics, Harvard Medical School  Founder & President | Semler Ethics Consulting https://semlerethicsconsulting.com           Episode Links:  REVIVE Retreat Brave Ballance   Follow Brave Enough:   WEBSITE | INSTAGRAM | FACEBOOK | TWITTER | LINKEDIN Join The Table, Brave Enough's community. The ONLY professional membership group that meets both the professional and personal needs of high-achieving women.

Welcome back to The Peds NP Acute Care Faculty series! This collaborative series was created and peer-reviewed by national experts and leaders in acute care PNP education. In the push for competency-based education where faculty verify the skills of what a learner can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach in a conversational way so that you can learn the nuances of clinical skills before you reach the bedside.  This episode discusses a standardized approach to delivering bad news, founded in the literature. The SPIKES protocol is the most well recognized approach to create an environment, assess patient and family knowledge and preferences, deliver the news compassionately, and empathize prior to a summary. With examples of phrasing you can offer at each step, you'll gain the skills necessary to deliver bad news.  Authors (alphabetical): Becky Carson, DNP, APRN, CPNP-PC/AC, Ann Felauer, DNP, APRN, CPNP-PC/AC, Belinda Large, DNP, APRN, CPNP-PC/AC, and Robynn Stamm, DNP, APRN, CPNP-PC/AC   References: Brouwer, M. A., Maeckelberghe, E. L. M., van der Heide, A., Hein, I. M., & Verhagen, E. A. A. E. (2021). Breaking bad news: what parents would like you to know. Archives of disease in childhood, 106(3), 276–281. https://doi.org/10.1136/archdischild-2019-318398 Buckman R. (1984). Breaking bad news: why is it still so difficult?. British medical journal (Clinical research ed.), 288(6430), 1597–1599. https://doi.org/10.1136/bmj.288.6430.1597 Buckman R. (2001). Communication skills in palliative care: a practical guide. Neurologic clinics, 19(4), 989–1004. https://doi.org/10.1016/s0733-8619(05)70057-8 Institute of Medicine (US) Committee on Palliative and End-of-Life Care for Children and Their Families, Field, M. J., & Behrman, R. E. (Eds.). (2003). When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families. Chapter 4 communication, goal setting, and care planning. National Academies Press (US).  Kaplan M. (2010). SPIKES: a framework for breaking bad news to patients with cancer. Clinical journal of oncology nursing, 14(4), 514–516. https://doi.org/10.1188/10.CJON.514-516  Ptacek, J. T., & Eberhardt, T. L. (1996). Breaking bad news. A review of the literature. JAMA, 276(6), 496–502. Sisk, B., Frankel, R., Kodish, E., & Harry Isaacson, J. (2016). The Truth about Truth-Telling in American Medicine: A Brief History. The Permanente journal, 20(3), 15–219. https://doi.org/10.7812/TPP/15-219 Varkey B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119  

Welcome to The Peds NP Acute Care Faculty series! This collaborative series was created and peer-reviewed by national experts and leaders in acute care PNP education to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    This episode applies the concepts from the prior episode on “Delivering Bad News” (S11 Ep. 71) to a few examples where HIV status was disclosed to a pediatric patient. After reflection and discussion of a few ethical principles important to consent/assent, it's time to practice delivering bad news in a case study. An unfolding case poses questions to get you thinking about what you might say. Make it interactive by pausing your podcast and answer the question yourself. The case walks you step-by-step through the process of delivering bad news to a child and their family using the SPIKES protocol. There's no perfect answer, but this example helps to prepare you for competency-based learning, so that you're ready to deliver bad news in practice.   Authors (alphabetical): Becky Carson, DNP, APRN, CPNP-PC/AC, Ann Felauer, DNP, APRN, CPNP-PC/AC, Belinda Large, DNP, APRN, CPNP-PC/AC, and Robynn Stamm, DNP, APRN, CPNP-PC/AC   References Brouwer, M. A., Maeckelberghe, E. L. M., van der Heide, A., Hein, I. M., & Verhagen, E. A. A. E. (2021). Breaking bad news: what parents would like you to know. Archives of disease in childhood, 106(3), 276–281. https://doi.org/10.1136/archdischild-2019-318398  Cassim, S., Kidd, J., Keenan, R., Middleton, K., Rolleston, A., Hokowhitu, B., Firth, M., Aitken, D., Wong, J., & Lawrenson, R. (2021). Indigenous perspectives on breaking bad news: ethical considerations for healthcare providers. Journal of medical ethics, medethics-2020-106916. Advance online publication. https://doi.org/10.1136/medethics-2020-106916 Field, M.J. & Behrman, R.E. (2003). When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families. Chapter 4 communication, goal setting, and care   planning. Committee on Palliative and End-of-Life Care for Children and Their Families. Institute of Medicine (US) Holmes, S. N., & Illing, J. (2021). Breaking bad news: tackling cultural dilemmas. BMJ supportive & palliative care, 11(2), 128–132. https://doi.org/10.1136/bmjspcare-2020-002700 Kaplan, M. (2010). SPIKES: A framework for breaking bad news to patients with cancer. Clinical Journal of Oncology Nursing, 14(4), 514-516.                   https://cjon.ons.org/cjon/14/4/spikes-framework-breaking-bad-news-patients-cancer Kumar, V., & Sarkhel, S. (2023). Clinical Practice Guidelines on Breaking Bad News. Indian journal of psychiatry, 65(2), 238–244. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_498_22 Labaf, A., Jahanshir, A., Baradaran, H., & Shahvaraninasab, A. (2015). Is it appropriate to use Western guidelines for breaking bad news in non-Western emergency departments? A patients' perspective. Clinical Ethics, 10(1–2), 13–21. https://doi.org/10.1177/1477750915581797 Monden, K. R., Gentry, L., & Cox, T. R. (2016). Delivering bad news to patients. Proceedings (Baylor University. Medical Center), 29(1), 101–102. https://doi.org/10.1080/08998280.2016.11929380 Mostafavian, Z., Shaye, Z. A., & Farajpour, A. (2018). Mothers' preferences toward breaking bad news about their children cancer. Journal of family medicine and primary care, 7(3), 596–600. https://doi.org/10.4103/jfmpc.jfmpc_342_17

In simple terms, bioethics is the study of ethical, social and legal issues that arise in biomedicine and biomedical research. It provides guidelines for clinical decision-making and is vital to policy change. Despite standards set by medical entities, significant gaps and variabilities exist within bioethics education for pediatric residents. Every resident will face ethical challenges in their career, so it's important that programs prepare learners to navigate these dilemmas. To address these inconsistencies, a chief resident at the University of Colorado School of Medicine has created a new curriculum that could significantly improve our bioethics education. Joining us for this episode is Ella Sorscher, MD, Brian Jackson, MD, and Brady Slater. Dr. Sorscher is a pediatrics chief resident at the University of Colorado School of Medicine and is one of the brains behind this new bioethics curriculum. Dr. Jackson is the Medical Director of Clinical Ethics and specializes in critical care as a pediatric intensivist at Children's Hospital Colorado. He is also an associate professor at the University of Colorado School of Medicine. Dr. Slater is a pediatrics and medical genetics resident at the CU School of Medicine. Some highlights from this episode include:    Details about this curriculum   The significance of bioethics in a physician's career  Information on assessing learners and evaluating the curriculum  Opportunities for other institutions to learn from this model   For more information on Children's Colorado, visit: childrenscolorado.org.    

How to Work Through a Clinical Ethics Problem: One Ethicist's Approach (Grand Rounds Talk for MOC or Ethics Credit!) https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095284 In this new episode of the Ethics Credit Podcast, Host Holly Wayment brings us neonatology veteran Dr. Brian S. Carter.  In this grand rounds talk, he leads a captivating discussion on the nuanced aspects of pediatric bioethics. He explores the challenging scenarios in neonatology, the complex interaction between pediatric autonomy, parental authority, and virtues, and the dynamic role parents play in the decision-making process. Dr. Carter shares practical examples underlining the importance of empathy, shared decision-making, and understanding patients' narratives in ethical healthcare. In addition, he delves into critical challenges in perinatal health care ethics, particularly the debated concept of periviability. The episode highlights the significance of an ethically sound approach in pediatric practice, enlightening listeners about myriad ethical considerations in child health care. FACULTY: Brian S. Carter, MD, Interim Director, Children's Mercy Bioethics Center and Division of Neonatology, Children's Mercy Hospital. He is an academic neonatologist who has been in practice for 40 years.   OVERVIEW: Pediatrics Now Podcast host Holly Wayment presents Brian S. Carter, MD talk regarding how to work through a clinical ethics problem.   DISCLOSURES: Brian S. Carter, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.    The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.   CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.   The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00) Texas Medical Board of Ethics (1.00) MOC 2 credit (1.00)    

Amelia and Kirk have a broad-ranging discussion with Adira Hulkower, the Director of Clinical Ethics at the Montefiore Einstein Center for Bioethics in the Bronx. She shares her experiences as a clinical ethics consultant applying the concept of Dignity of Risk to better understand the ethical implications of discharge planning for patients experiencing homelessness. They discuss healthcare institutional responsibilities related to social determinants of health broadly as well as to individual patients. The importance of intersectionality and patient narratives are explored.

Michael McCarthy, PhD, HEC-C, Associate Professor and Director, Graduate Program in Healthcare Mission Leadership, Neiswanger Institute for Bioethics, Loyola University Chicago CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/0dFRzbXCvU (or copy & paste into your browser) Accreditation Statement:Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure:The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: October 3, 2023End Date: October 3, 2024

Michael McCarthy, PhD, HEC-C, Associate Professor and Director, Graduate Program in Healthcare Mission Leadership, Neiswanger Institute for Bioethics, Loyola University Chicago CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/0dFRzbXCvU (or copy & paste into your browser) Accreditation Statement:Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure:The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: October 3, 2023End Date: October 3, 2024

Episode Topic: Hope, Human Flourishing, and Higher EducationAs part of the Virtues & Vocations webinar series, Conversations on Character and the Common Good, we are pleased to welcome Lydia Dugdale, Jonathan Wilson-Hartgrove, and Brandon Vaidyanathan to discuss Hope, Human Flourishing, and Higher Education. Dugdale is a Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University, Wilson-Hargrove is Assistant Director for Partnerships and Fellowships at Yale University's Center for Public Theology and Public Policy, and Vaidyanathan is Associate Professor and Chair of the Department of Sociology at The Catholic University of America. Through their research, each has developed a unique emphasis on the importance of hope and its role in human flourishing.Featured Speakers: Suzanne Shanahan is Leo and Arlene Hawk Executive Director and Professor of the Practice at Notre Dame's Center for Social Concerns Lydia Dugdale, MD, MAR (ethics), is a Professor of Medicine at Columbia University Vagelos College of Physicians and Surgeons and Director of the Center for Clinical Medical Ethics. She also serves as Associate Director of Clinical Ethics at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center. Jonathan Wilson-Hartgrove is a spiritual writer, preacher, and community-cultivator. He serves as Assistant Director for Partnerships and Fellowships at Yale University's Center for Public Theology and Public Policy. Dr. Brandon Vaidyanathan is Associate Professor and Chair of the Department of Sociology at The Catholic University of America. He holds bachelor's and master's degrees in Business Administration from St. Francis Xavier University in Nova Scotia and HEC Montreal respectively, and a Ph.D. in Sociology from the University of Notre Dame.Read this episode's recap over on the University of Notre Dame's open online learning community platform, ThinkND: go.nd.edu/61a91f.This podcast is a part of the ThinkND Series titled Virtues & Vocations: Conversations on Character and the Common Good.Thanks for listening! The ThinkND Podcast is brought to you by ThinkND, the University of Notre Dame's online learning community. We connect you with videos, podcasts, articles, courses, and other resources to inspire minds and spark conversations on topics that matter to you — everything from faith and politics, to science, technology, and your career. Learn more about ThinkND and register for upcoming live events at think.nd.edu. Join our LinkedIn community for updates, episode clips, and more.

Clinicians encounter many ethical issues in practice of medicine. This lecture first explores ethics from the perspective of seminal studies on normal human nature including incentives, social reciprocity and token effect. The lecture will then focus on the impact of this human nature on every day medical practice, medical education, medical research and medical missions.

"Combating the Opioid Crisis: An Unexpected Collaboration", by Michiko Maruyama, MD, BDes, Cardiac Surgery Perioperative Care Physician, Department of Surgery; Vivian Ip, MBChB, FRCA, Clinical Professor, Department of Anesthesia and Pain Medicine; and Cheryl Mack, MD, FRCPC, Anesthesiologist and Chair of Clinical Ethics, Department of Anesthesiology and Pain Medicine; all of the University of Alberta Hospital, Edmonton, Canada; and "The Chapter of the Doctors Against Tragedies Card Game in Eastern Canada," by Jennifer Szerb, MD, Professor, Department of Anesthesia, Perioperative Medicine and Pain Management, Dalhousie University, Halifax, Canada. From ASRA Pain Medicine News, November 2022. See original article at www.asra.com/nov22news for figures and references. This material is copyrighted.    

UzObi, Inc. is the first health technology company to specialize in providing ethically guided values-based health care decision-making tools to patients through their providers, insurers and hospital systems. UzObi empowers patients to have their identities and voices at the center of all health care decisions from routine, emergency to end of life medical decisions. Bio: Dr. Nneka Sederstrom received her BA in Philosophy from George Washington University in 2001. She began her career at the Center for Ethics at Medstar Washington Hospital Center in Washington DC the same year. She completed her Masters in Philosophy and Public Policy from Howard University in 2003 and proceeded to begin her PhD studies in Medical Sociology and Race, Class, and Gender Inequalities at the same university. After beginning her PhD studies, she was made Director of the Center for Ethics and Director of the Spiritual Care Department. She proceeded to hold these positions until she left to join Children's Minnesota in March 2016 where she served as the Director of the Clinical Ethics Department for almost 5 years. She has recently joined the executive leadership team at Hennepin Healthcare System as the new Chief Health Equity Officer where she will lead efforts in addressing health disparities, equity, and antiracism in the institution and community. Her PhD is in Sociology with concentrations in Medical Sociology and Race, Class, and Gender Inequality, MPH in Global Health Management, and MA in Philosophy. She is a member of several professional societies and holds a leadership position in CHEST Medicine and the Society of Critical Care Medicine. She is a Fellow of the American College of Chest Physicians and a Fellow of the American College of Critical Care Medicine. She is widely published in Equity and Clinical Ethics and speaks regularly at national and international meetings.  uzobiinc.com 

Tyler and Devan interview presenters at the UnConference in Clinical Ethics.Several articles arising from the 2022 Unconference are anticipated to be published in the Winter 2022 issue of The Journal of Clinical Ethics. Articles from prior Unconferences can be found in the Fall 2019 and Fall 2020 issues of The Journal of Clinical Ethics.

Tyler and Devan meet with the planners and originators of the UnConferences in Clinical Ethics and hear about their goals and intentions for the UnConference. We also discuss how the UnConference is unique and valuable.

This podcast will provide the participant with an overview of clinical ethics principles, how to apply those principles and information important in caring for a patient at end of life. We will discuss a clinical ethics model that assists in gathering information so that clinicians can help patients and their family to make fully informed decisions regarding treatment. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com  

In this special, mini-season of Bioethics for the People, we are focusing on the “UnConference” in Clinical Ethics, hosted by Wellstar Health in Atlanta. What is an an UnConference? Stay tuned because we are going deep into the UnConference, its origins and goals, and interview planners and participants. Episodes will be available in August. https://www.wellstar.org/about-us/ethics-program/unconference

In this episode, Joseph Clair talks with Dr. Lydia Dugdale about shifts in cultural perception of the end of life. They discuss the immense medical advances and major historical events of the last century that have profoundly affected people's attitude toward death. Does Christian belief in life after death alleviate the fear of it? In a culture that keeps death at a distance, what practices can help us to number our days?Lydia Dugdale, MD, MAR (ethics), is the Dorothy L. and Daniel H. Silberberg Associate Professor of Medicine at Columbia University Vagelos College of Physicians and Surgeons and Director of the Center for Clinical Medical Ethics. She also serves as Associate Director of Clinical Ethics at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center. A practicing internist, Dugdale moved to Columbia in 2019 from Yale University, where she previously served as Associate Director of the Program for Biomedical Ethics. Her scholarship focuses on end-of-life issues, medical ethics, and the doctor-patient relationship. She edited Dying in the Twenty-First Century (MIT Press, 2015) and is author of The Lost Art of Dying (HarperOne, 2020), a popular press book on the preparation for death.Our host, Joseph Clair, serves as the executive dean of the Cultural Enterprise at George Fox University, which encompasses the humanities, theology, education, and professional studies. He is also an associate professor of theology and culture. Before joining the George Fox faculty in 2013, he earned his PhD in the religion, ethics and politics program at Princeton University while also working as an assistant in instruction. Prior to Princeton, Clair earned an MPhil at the University of Cambridge as a Gates Cambridge Scholar. He also holds master's degrees from Fordham and Duke University, as well as a bachelor's degree from Wheaton College.These podcasts are also all video recorded and on our YouTube channel! You can also visit our website at https://georgefox.edu/talks for more content like this.

NeoChats - Series 6 | Episode 4: Mindfulness and Self-Compassion – Dr. Andrea FrolicAndrea Frolic, PhDDirector, Program for Ethics and Care Ecologies (PEaCE)Hamilton Health Sciences, MUMC SiteAssistant Professor, Family Medicine, Faculty of Health Sciences McMaster UniversityHamilton, ONPodcast Description: A reflective, personal conversation with Dr. Frolic about the role of mindfulness and self-compassion to develop resilience to sustain clinical practice in high-stress/high-trauma environments like the NICU. Biography: Andrea is the Director of the Program for Ethics and Care Ecologies (PEaCE) at Hamilton Health Sciences, and Assistant Professor in the Department of Family Medicine at McMaster University. She has a Ph.D. in Anthropology from Rice University in Houston, Texas, including a fellowship in Clinical Ethics at MD Anderson Cancer Center. As an ethicist, Andrea's expertise includes: ethics consultation; end of life care; ethics program design; whole person care, and organizational system design to support clinician resilience in healthcare.Andrea has led a collaborative venture with the Faculty of Health Sciences at McMaster to develop and evaluate mindfulness-based, evidence informed curricula for healthcare professionals to enhance resilience in clinical practice and teaching. This podcast is sponsored by Pampers Professional 

The trauma that the country feels in the aftermath of these all-too-common mass shootings is palpable, raw and not quickly relieved. And imagine what the medical staffs of the hospitals experienced as victims of these attacks are rushed into their facilities. And another kind of trauma continues to afflict them: COVID infection numbers are climbing again. For people who have been vaccinated, there is a tendency to think of the pandemic in the past tense. But for front-line health care workers, it is not at all a thing of the past. Even before hospitals faced the challenges of COVID 19, there were challenges that many health care professionals were unable or unwilling to overcome. In January of this year, the U.S. Bureau of Labor Statistics reported that healthcare was among the top three professions in monthly "quits rate." That month alone, 33,000 health care workers quit their jobs, leaving hospitals, and the remaining workers, scrambling. On today's installment of Midday on Ethics, we're going to talk about moral resilienceand why it is such an important component for the people our healthcare is entrusted to. And we'll tell you about The Nurse Antigone Project, a collaborative arts project spotlighting the unique challenges front-line nurses have endured during the COVID pandemic. Tom's guests today are two scholars from the Johns Hopkins Berman Institute of Bioethics. Dr. Jeffrey Kahn is the director of the Berman Institute, and our regular guest here on Midday for our Midday on Ethics programs. Dr. Jeffrey Kahn join us on Zoom from Baltimore. Dr. Cynda Rushton is the Anne and George L. Bunting Professor of Clinical Ethics at the Institute, and a Professor of Nursing and Pediatrics at the Johns Hopkins University School of Nursing. She is the creator of the Rushton Moral Resilience Scale, and the editor and author of Moral Resilience: Transforming Moral Suffering in Healthcare. Dr. Cynda Rushton joins us on Zoom from Boston. The next performance of The Nurse Antigone takes place tonight (Wednesday, May 25), originating in New York City, from 5-7pm. To register for the free Zoom event, click here. See omnystudio.com/listener for privacy information.

The Infectious Disease Physician and Director of Clinical Ethics at the UVM Medical Center joined The Morning Drive on Wednesday.

Dr. Devan Stahl is Assistant Professor of Religion at Baylor University. She holds an MDiv from Vanderbilt Divinity School and a Ph.D. from St. Louis University. She previously was an Assistant Professor of Clinical Ethics at Michigan State University and has experience teaching bioethics and medical humanities to undergraduates, medical students and residents, nursing students, and veterinary students. She has also worked as a clinical ethicist in tertiary hospitals and has trained as a hospital chaplain. Devin's experience with MS has led her to become a leading voice in the conversation about a Theology of Disability, which is the topic of our conversation.  https://www.baylor.edu/religion/index.php?id=962728 –––––– PROMOS Save 10% on courses with Kairos Classroom using code TITR at kairosclassroom.com! –––––– Sign up with Faithful Counseling today to save 10% off of your first month at the link:  faithfulcounseling.com/titr or use code TITR at faithfulcounseling.com –––––– Save 30% at SeminaryNow.com by using code TITR –––––– Support Preston Support Preston by going to patreon.com Venmo: @Preston-Sprinkle-1 Connect with Preston Twitter | @PrestonSprinkle Instagram | @preston.sprinkle Youtube | Preston Sprinkle Check out Dr. Sprinkle's website prestonsprinkle.com Stay Up to Date with the Podcast Twitter | @RawTheology Instagram | @TheologyintheRaw If you enjoy the podcast, be sure to leave a review. www.theologyintheraw.com

Hey everyone and welcome back to our 6th and final episode of Medical Matters: Season 2, titled "The Gray Areas of Medicine"! We had the pleasure of being joined by Robert Fulbright, a renowned ethicist and thinker in the domains of medicine and healthcare at large, who attained a Masters in Clinical Ethics at Leeds, as well as Clinical Ethics Fellowship at California Pacific Medical Center. He also serves as a professor within UNR Med and advises hospitals as they encounter complex ethical dilemmas. Our conversation was insightful, and covered a range of topics from comparisons of the ethical values instilled within healthcare systems across the world, to the morality of transplant donations given a changing technological paradigm, to how humans may think of ourselves in a not-so-distant future where living over a century is the norm. And final note, we'll be back in the Fall!

This lecture first explores ethics from the perspective of normal human nature. Then the impact of this human nature on every day medical practice, medical education, medical research and medical missions is discussed.

According to Cynda Rushton, Anne and George L. Bunting Professor of Clinical Ethics at the Johns Hopkins School of Nursing, the answer is yes. But the profession and the greater health care system must be ready to take some advised and intentional steps forward. This starts with acknowledging and assessing the wounds of the pandemic, and then developing solutions to better prepare health systems and clinicians with tools to meet the challenges in the future. On this episode, Dr. Rushton discusses the current state of nursing, the new report on preparing nurses to practice with resilience and integrity, and a message of hope for the future.  Podcast References and Resources: R³ – the Renewal, Resilience and Retention of Maryland Nurses Initiative Mind the Gap: Preparing Nurses to Practice with Resilience and Integrity American Association of Colleges of Nursing Essentials Continue the Conversation @CyndaEthx @JHUNursing @TamarRodney

Dr. Cynda Hylton Rushton, the Anne and George L. Bunting Professor of Clinical Ethics and Professor of Nursing and Pediatrics at the Johns Hopkins University Berman Institute of Bioethics and Schools of Nursing & Medicine, invites us to welcome whatever feelings are present right now and to trust what we discover in body and mind without judgment. Show notes:  More from Cynda Rushton on Mindful.org How Integrity Can Heal Burnout  Sign up for free: Healing Healthcare: A Global Mindfulness Summit

Dr. Cynda Hylton Rushton, the Anne and George L. Bunting Professor of Clinical Ethics and Professor of Nursing and Pediatrics at the Johns Hopkins University Berman Institute of Bioethics and Schools of Nursing & Medicine, invites us to welcome whatever feelings are present right now and to trust what we discover in body and mind without judgment. Show notes:  More from Cynda Rushton on Mindful.org How Integrity Can Heal Burnout  Sign up for free: Healing Healthcare: A Global Mindfulness Summit

In this conversation Ed Spilg, Geriatrician at the Ottawa Hospital and Research Chair in Physician Wellness at the University of Ottawa and an AMS Phoenix Fellow and Cynda Rushton, a Nurse and Professor of Bioethics and Nursing and Medicine at Johns Hopkins University discuss moral distress, moral resilience, and mental health in healthcare workers amidst the Covid 19 Pandemic. If you would like more information on Ed and Cynda and the important work that they are doing here are some links to get you started. Ed Spilg Geriatrician in the Division of Geriatric Medicine at the Ottawa Hospital, Assistant Professor and Research Chair in Physician Wellness in the Department of Medicine at the University of Ottawa, Senior Clinical Investigator in the Clinical Epidemiology Program at the Ottawa Hospital Research Institute, and an AMS Phoenix Fellow Cynda Rushton Anne and George L. Bunting Professor of Clinical Ethics in the Johns Hopkins Berman Institute of Bioethics and the School of Nursing with a joint appointment in the School of Medicine's Department of Pediatrics Book Rushton, C. H. (Author & Ed) (2018) Moral Resilience: Transforming Moral Suffering in Healthcare. New York: Oxford University Press. (American Journal of Nursing/Elsevier Book of the Year First Place Award in the category of professional issues 2020). https://tinyurl.com/2h6ez5bu Resources for clinicians https://link.springer.com/article/10.1186/s12888-021-03637-w https://tinyurl.com/bde6uuu9 https://www.cma.ca/physician-wellness-hub https://www.cma.ca/sites/default/files/pdf/Moral-Distress-E.pdf AACN Facebook Live: I'm not ok—Dealing with the baggage of a prolonged pandemic Mind the Gap  Rushton Moral Resilience Scale Moral Stress Amongst Healthcare Workers DURING COVID-19: A Guide to Moral Injury. Centre of Excellence on PTSD, 2020. https://www.moralinjuryguide.ca/

Horace Wells' nitrous oxide demonstration had been a disaster, but in it an old colleague would see opportunity. A second demonstration of painless surgery would have an altogether different outcome, would turn colleagues into rivals, and would make people wonder what it really means to lay claim to a discovery. Featuring: Dr Warren Zapol MD, Reginald Jenney Professor of Anaesthesia at Harvard Medical School, and Former Chief of Anaesthesia at Massachusetts General Hospital, Boston. Professor Deborah Bowman, Emeritus Professor of Bioethics, Clinical Ethics and Medical Law at St Georges Hospital Medical School, University of London Adam Unze as the Voice of Horace Wells. Adam is the host of the podcast ‘The Spark Parade,' where he geeks out with artists and entertainers about their spark of cultural inspiration. www.thesparkparade.com Music by Nicola Chang Podcast Artwork by Matthew Johnston Written, recorded and edited by Dr Matthew Heron Executive Producer Joel Myers www.etherorpod.com

Amy Stumpf, Ph.D. is a Professor of Society and Religion at California Baptist University. She grew up as a TCK in a family that worked in Relief and Development in the Philippines and Thailand. She went to International School Bangkok, and has a Ph.D. in Social Policy and Research from Loma Linda University, an M.A. in Biomedical and Clinical Ethics from Loma Linda University and a B.A. in Ethics from Pacific Union College.Courses TaughtThe book Dr. Stumpf asks male colleagues and allies to read is: Invisible Women. Be the first man to take her up on her offer to read this book in order to understand what female colleagues go through.The A World of Difference Podcast is brought to you in partnership with Missio Alliance.Stay In Touch: Connect on Facebook and Instagram with thoughts, questions, and feedback. Rate, review and share this podcast with anyone that would love to listen.  On Clubhouse @loriadbr. Find Us Online: @aworldof.difference on Instagram and A World of Difference on Facebook on Twitter at @loriadbr https://linktr.ee/aworldofdifference or loriadamsbrown.comInterested in one-on-one or group coaching on how to live a life that makes a difference? Check out: https://www.loriadamsbrown.com/coachingIf you are facing some big decisions, here is a pro tip that helps.Mentioned in this episode:Do you want to go deeper?Join us in Difference Makers, a community where we watch and discuss exclusive content that truly makes a difference. Give us $5 a month (the price of a latte), and join in on the conversation with our host Lori and others who want to make a difference. We'd love to have you join us!PatreonJoin Difference MakersJoin us in our membership community for exclusive content for only $5/month at https://www.patreon.com/aworldofdifference. We go deeper with each guest, and it makes such a difference.PatreonThis podcast uses the following third-party services for analysis: Chartable - https://chartable.com/privacyPodtrac - https://analytics.podtrac.com/privacy-policy-gdrp

Amy Stumpf, Ph.D. is a Professor of Society and Religion at California Baptist University. She grew up as a TCK in a family that worked in Relief and Development in the Philippines and Thailand. She went to International School Bangkok, and has a Ph.D. in Social Policy and Research from Loma Linda University, an M.A. in Biomedical and Clinical Ethics from Loma Linda University and a B.A. in Ethics from Pacific Union College. https://calbaptist.edu/faculty-directory/profileview?id=82# (Courses Taught) The book Dr. Stumpf asks male colleagues and allies to read is: https://amzn.to/2Xacflj (Invisible Women). Be the first man to take her up on her offer to read this book in order to understand what female colleagues go through. The A World of Difference Podcast is brought to you in partnership with https://www.missioalliance.org/ (Missio Alliance). Stay In Touch: Connect on Facebook and Instagram with thoughts, questions, and feedback. Rate, review and share this podcast with anyone that would love to listen.  On Clubhouse https://www.joinclubhouse.com/@loriadbr (@loriadbr). Find Us Online: https://www.instagram.com/aworldof.difference/ (@aworldof.difference) on Instagram and https://www.facebook.com/A-World-of-Difference-613933132591673/ (A World of Difference) on Facebook on Twitter at https://twitter.com/loriadbr (@loriadbr) https://linktr.ee/aworldofdifference (https://linktr.ee/aworldofdifference) or http://loriadamsbrown.com/ (loriadamsbrown.com)Interested in one-on-one or group coaching on how to live a life that makes a difference? Check out: https://www.loriadamsbrown.com/coaching (https://www.loriadamsbrown.com/coaching) If you are facing some big decisions, here is a https://www.youtube.com/watch?v=T9eRJXjZrsM (pro tip that helps).Mentioned in this episode: Coaching Sept 22 Want to get unstuck and make a difference? Go to loriadamsbrown.com/coachnig for a free exploratory session. Patreon Support us for as little as $5/month at Patreon.com/aworldofdifference and receive exclusive audio content and free merch. This podcast uses the following third-party services for analysis: Podcorn - https://podcorn.com/privacy

Amy Stumpf, Ph.D. is a Professor of Society and Religion at California Baptist University. She grew up as a TCK in a family that worked in Relief and Development in the Philippines and Thailand. She went to International School Bangkok, and has a Ph.D. in Social Policy and Research from Loma Linda University, an M.A. in Biomedical and Clinical Ethics from Loma Linda University and a B.A. in Ethics from Pacific Union College. https://calbaptist.edu/faculty-directory/profileview?id=82# (Courses Taught) The book Dr. Stumpf asks male colleagues and allies to read is: https://amzn.to/2Xacflj (Invisible Women). Be the first man to take her up on her offer to read this book in order to understand what female colleagues go through. The A World of Difference Podcast is brought to you in partnership with https://www.missioalliance.org/ (Missio Alliance). Stay In Touch: Connect on Facebook and Instagram with thoughts, questions, and feedback. Rate, review and share this podcast with anyone that would love to listen.  On Clubhouse https://www.joinclubhouse.com/@loriadbr (@loriadbr). Find Us Online: https://www.instagram.com/aworldof.difference/ (@aworldof.difference) on Instagram and https://www.facebook.com/A-World-of-Difference-613933132591673/ (A World of Difference) on Facebook on Twitter at https://twitter.com/loriadbr (@loriadbr) https://linktr.ee/aworldofdifference (https://linktr.ee/aworldofdifference) or http://loriadamsbrown.com/ (loriadamsbrown.com)Interested in one-on-one or group coaching on how to live a life that makes a difference? Check out: https://www.loriadamsbrown.com/coaching (https://www.loriadamsbrown.com/coaching) If you are facing some big decisions, here is a https://www.youtube.com/watch?v=T9eRJXjZrsM (pro tip that helps).Mentioned in this episode: Coaching Sept 22 Want to get unstuck and make a difference? Go to loriadamsbrown.com/coachnig for a free exploratory session. Patreon Support us for as little as $5/month at Patreon.com/aworldofdifference and receive exclusive audio content and free merch. This podcast uses the following third-party services for analysis: Podcorn - https://podcorn.com/privacy

Amy Stumpf, Ph.D. is a Professor of Society and Religion at California Baptist University. She grew up as a TCK in a family that worked in Relief and Development in the Philippines and Thailand. She went to International School Bangkok, and has a Ph.D. in Social Policy and Research from Loma Linda University, an M.A. in Biomedical and Clinical Ethics from Loma Linda University and a B.A. in Ethics from Pacific Union College.Courses TaughtThe book Dr. Stumpf asks male colleagues and allies to read is: Invisible Women. Be the first man to take her up on her offer to read this book in order to understand what female colleagues go through.The A World of Difference Podcast is brought to you in partnership with Missio Alliance.Stay In Touch: Connect on Facebook and Instagram with thoughts, questions, and feedback. Rate, review and share this podcast with anyone that would love to listen.  On Clubhouse @loriadbr. Find Us Online: @aworldof.difference on Instagram and A World of Difference on Facebook on Twitter at @loriadbr https://linktr.ee/aworldofdifference or loriadamsbrown.comInterested in one-on-one or group coaching on how to live a life that makes a difference? Check out: https://www.loriadamsbrown.com/coachingIf you are facing some big decisions, here is a pro tip that helps.Mentioned in this episode:Do you want to go deeper?Join us in Difference Makers, a community where we watch and discuss exclusive content that truly makes a difference. Give us $5 a month (the price of a latte), and join in on the conversation with our host Lori and others who want to make a difference. We'd love to have you join us!PatreonJoin Difference MakersJoin us in our membership community for exclusive content for only $5/month at https://www.patreon.com/aworldofdifference. We go deeper with each guest, and it makes such a difference.PatreonThis podcast uses the following third-party services for analysis: Chartable - https://chartable.com/privacyPodtrac - https://analytics.podtrac.com/privacy-policy-gdrp

During this episode, Donna talks with Dr. Cynda Hylton Rushton about moral injury and its effects on clinicians navigating a global pandemic, especially nurses. Dr. Rushton also shares her thoughts on how healthcare organizations can honor the experiences of their clinicians and effectively address their needs.During this episode, you will learn about: Moral injury and how it is similar to and different from burnout The effects of moral suffering on clinicians and healthcare systems, especially during a pandemic The unique challenges faced by nurses Effectively using mindfulness to help reduce moral suffering through real-world examplesMed-IQ is a leading provider of clinical and risk management education, consulting services, and quality improvement solutions, empowering individuals at every level of the healthcare delivery system with the knowledge they need to continuously improve provider performance and patient outcomes.This information is intended to provide general information (or education). It is not intended and should not be construed as legal or medical advice.Music and lyrics: Nancy Burger and Scott Weber.

Cynda Rushton, Anne and George L. Bunting Professor of Clinical Ethics, discusses the newly published report: “Mind the Gap: Preparing Nurses to Practice with Resilience & Integrity.” It includes five key recommendations as to how nurses as individuals and as a profession can find their voice, honor their contributions, and support one another so they…

Innovation & Excellence in Health Care Ethics Lectureship Nicholas Kockler, PhD, MS, HEC-C Andy & Bev Honzel Endowed Chair in Applied Health Care Ethics, Regional Director, Providence Center for Health Care Ethics

Innovation & Excellence in Health Care Ethics Lectureship Nicholas Kockler, PhD, MS, HEC-C Andy & Bev Honzel Endowed Chair in Applied Health Care Ethics, Regional Director, Providence Center for Health Care Ethics

Trisomy 13 & 18 Ethical Considerations with Dr. Paul Mann PARTICIPANTS: Paul Mann, MD Zachary Hodges, MD About Our Guest: Dr. Paul Mann is an Associate Professor of Pediatrics, Chief of the Division of Neonatology and practicing neonatologist at the Medical College of Georgia. He also is the Director of Clinical Ethics for the Augusta University Center for Bioethics and Health Policy. Free CME Credit: https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=7772 Learning Objectives: By the end of listening to this episode, learners should be able to: Recognize aneuploidies as a common cause of genetic abnormalities in pregnancy. Recognize the historically pessimistic counseling given to families of children with trisomy 13 and 18 and how this might continue to influence our counseling today. Recall how most babies are prenatally diagnosed with trisomy 13 and 18. Describe the life-limiting malformations associated with trisomy 13 and 18. Recognize the recent improvement in prognosis of children with trisomy 13 and 18 as they are being selectively offered more intensive and surgical care. Sensitively counsel families about the general prognosis of newborns with trisomy 13 and 18 while avoiding inaccurate and problematic language such as “lethal and incompatible with life.”        Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu. Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios. We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.     Peer Reviewers: Amy Thompson, MD & MCG Pediatric Podcast Committee   References: Kett JC. Who Is the Next "Baby Doe?" From Trisomy 21 to Trisomy 13 and 18 and Beyond. Pediatrics. 2020;146(Suppl 1):S9-S12. doi:10.1542/peds.2020-0818D American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Obstetrics; Committee on Genetics; Society for Maternal–Fetal Medicine. Practice Bulletin No. 162: Prenatal Diagnostic Testing for Genetic Disorders. Obstet Gynecol. 2016;127(5):e108-e122. doi:10.1097/AOG.0000000000001405 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs. Stamford, Conn: Appleton & Lange, 1999. Print. McCaffrey MJ. Trisomy 13 and 18: Selecting the road previously not taken. Am J Med Genet C Semin Med Genet. 2016;172(3):251-256. doi:10.1002/ajmg.c.31512 Bajinting A, Munoz-Abraham AS, Osei H, Kirby AJ, Greenspon J, Villalona GA. To operate or not to operate? Assessing NSQIP surgical outcomes in trisomy 18 patients [published online ahead of print, 2020 Jun 5]. J Pediatr Surg. 2020;S0022-3468(20)30369-9. doi:10.1016/j.jpedsurg.2020.05.037 Neubauer K, Boss RD. Ethical considerations for cardiac surgical interventions in children with trisomy 13 and trisomy 18. Am J Med Genet C Semin Med Genet. 2020;184(1):187-191. doi:10.1002/ajmg.c.31767 Wightman A, Kett J, Campelia G, Wilfond BS. The Relational Potential Standard: Rethinking the Ethical Justification for Life-Sustaining Treatment for Children with Profound Cognitive Disabilities. Hastings Cent Rep. 2019;49(3):18-25. doi:10.1002/hast.1003 Nelson KE, Rosella LC, Mahant S, Guttmann A. Survival and Surgical Interventions for Children With Trisomy 13 and 18 [published correction appears in JAMA. 2017 May 2;317(17 ):1803]. JAMA. 2016;316(4):420-428. doi:10.1001/jama.2016.9819

On Lonely Deaths: COVID, Community, & the Lost Art of Dying Well with Dr. Lydia Dugdale was recorded live on Thursday, April 29. The event's co-sponsors were the Center for Catholic Studies, the IHS Library, with IHS Bioethics. The event was moderated by Dr. Bryan Pilkington.Lydia Dugdale, MD, MAR (ethics), is the Dorothy L. and Daniel H. Silberberg Associate Professor of Medicine at Columbia University Vagelos College of Physicians and Surgeons and Director of the Center for Clinical Medical Ethics. She also serves as Associate Director of Clinical Ethics at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center. She is author of The Lost Art of Dying (HarperOne, 2020), on the preparation for death.

In recent years, the issues of moral injury and moral suffering have become widely discussed within the field of nursing. These conversations have taken on particular urgency as the COVID-19 pandemic has exposed many nurses to death and patient suffering on an unprecedented scale. Our guest for this episode is Dr. Cynda Rushton, a Professor of Clinical Ethics at the Johns Hopkins Berman Institute of Bioethics and School of Nursing. After beginning her career in the pediatric ICU, Dr. Rushton became acutely aware of the moral suffering that clinicians face in the course of doing their jobs -- suffering that she says often goes unacknowledged. She eventually decided to pursue a career in bioethics, and has dedicated her professional life to helping nurses and nurse leaders find ways to build their resilience. In her conversation with Dan, Dr. Rushton talks about the interventions that she thinks can best help nurses meet the unique challenges that come from working at the bedside today and how to maintain their integrity in the face of moral suffering. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

In recent years, the issues of moral injury and moral suffering have become widely discussed within the field of nursing. These conversations have taken on particular urgency as the COVID-19 pandemic has exposed many nurses to death and patient suffering on an unprecedented scale.  Our guest for this episode is Dr. Cynda Rushton, a Professor of Clinical Ethics at the Johns Hopkins Berman Institute of Bioethics and School of Nursing. After beginning her career in the pediatric ICU, Dr. Rushton became acutely aware of the moral suffering that clinicians face in the course of doing their jobs -- suffering that she says often goes unacknowledged. She eventually decided to pursue a career in bioethics, and has dedicated her professional life to helping nurses and nurse leaders find ways to build their resilience.  In her conversation with Dan, Dr. Rushton talks about the interventions that she thinks can best help nurses meet the unique challenges that come from working at the bedside today and how to maintain their integrity in the face of moral suffering.   Links to recommended reading:  Moral Resilience Transforming Moral Suffering in Healthcare Johns Hopkins Institute of Bioethics   How Johns Hopkins University Improved Nurse Resilience by Addressing Moral Distress    The Burden of Caring: The Moral Injury of COVID-19 The full transcript for this episode can be found here: http://www.trustedhealth.com/the-handoff-podcast/cynda-rushton  

In recent years, the issues of moral injury and moral suffering have become widely discussed within the field of nursing. These conversations have taken on particular urgency as the COVID-19 pandemic has exposed many nurses to death and patient suffering on an unprecedented scale.  Our guest for this episode is Dr. Cynda Rushton, a Professor of Clinical Ethics at the Johns Hopkins Berman Institute of Bioethics and School of Nursing. After beginning her career in the pediatric ICU, Dr. Rushton became acutely aware of the moral suffering that clinicians face in the course of doing their jobs -- suffering that she says often goes unacknowledged. She eventually decided to pursue a career in bioethics, and has dedicated her professional life to helping nurses and nurse leaders find ways to build their resilience.  In her conversation with Dan, Dr. Rushton talks about the interventions that she thinks can best help nurses meet the unique challenges that come from working at the bedside today and how to maintain their integrity in the face of moral suffering.   Links to recommended reading:  Moral Resilience Transforming Moral Suffering in Healthcare Johns Hopkins Institute of Bioethics   How Johns Hopkins University Improved Nurse Resilience by Addressing Moral Distress    The Burden of Caring: The Moral Injury of COVID-19 The full transcript for this episode can be found here: http://www.trustedhealth.com/the-handoff-podcast/cynda-rushton  

The CVOID-19 pandemic has left physical, psychological and moral wounds for nurses who have sacrificed so much to provide care to patients and their families. Some healthcare workers describe symptoms similar to PTSD: having panic attacks, difficulty sleeping, unable to eat or eating too much, exhaustion, tearful, and reliving the tragedies they have witnessed. There is a name for this, which also brings the good news that it can be relieved. My guest in this important episode is Dr. Cynda Hylton Rushton, the Anne and George L. Bunting Professor of Clinical Ethics at the Johns Hopkins Berman Institute of Bioethics and the School of Nursing, and co-chairs the Johns Hopkins Hospital’s Ethics Committee and Consultation Service. Together, we will explore the sources of moral suffering experienced by nurses and offer a roadmap for restoring integrity by cultivating moral resilience. Dr. Rushton is the perfect person to talk with us about the symptoms of this engulfing experience and how to find our way out of the cloud.

In today's special edition of the 21 News Podcast – we continue to discuss the COVID-19 pandemic, one year later.21 News Anchor Madison Tromler down with Dr. Cynda Rushton, a bunting professor of Clinical Ethics and Nursing of Johns Hopkins University.Rushton walks through the challenges nurses have faced on the front lines of the pandemic, how this will impact them, and how this could affect all people in the years to come if change is not made.Listen up!

In this episode we talk with Bryanna Moore about the joys and challenges of being an ethics consultant in a clinical context in the United States. We also discuss different philosophical approaches to clinical ethics decision making, the importance of physical presence and the added challenges of COVID-19. Dr Bryanna Moore is a postdoctoral fellow in clinic ethics at Baylor College of Medicine's Center for Medical Ethics and Health Policy. She received a Bachelor of Arts with first class honors in Philosophy from the University of Queensland in 2013, and in 2018, she earned her PhD in Philosophy from Monash University. Ever an Australian at heart, she currently lives and works in the US, and currently conducts clinical ethics consultations at Houston Methodist Hospital in Texas. Photo by Priscilla Du Preez on Unsplash

In this episode, Devan and Tyler check-in with professor Tom Tomlinson to discuss some of the misconceptions and myths that surround end of life decision-making and clinical ethics.

On PrepTalks, Ned chats with parenting expert Jessica Lahey, author of The Gift of Failure: How The Best Parents Learn to Let Go So Their Children Can Succeed) and Tim Lahey, infectious disease physician and Director of Clinical Ethics at the University of Vermont Medical Center. Ned, Jess, and Tim discuss how parents can balance empathy, resilience, risk management, and maintaining a sense of control while our kids go back to school during COVID-19.Follow Ned on Twitter at @nedjohnson, Jessica at @jesslahey, and Tim at @TimLaheyMD.Read Jessica and Tim’s article in The Washington Post, “Back to School in a Pandemic: A Guide to All the Factors Keeping Parents and Educators Up at Night.”

George interviews Peter DePergola, Director of Clinical Ethics at Baystate Health and one of BusinessWest's 2020 Alumni Achievement Award finalists. When he joined the other members of the 40 Under Forty class of 2015, he was a staff ethicist at Baystate and the only person to hold that title in Western Mass. Now a professor of Bioethics and Medical Humanities at Elms College, he's still the only ethicist in the 413, but his influence now extends well beyond this region.

Episode 27: Sept. 14, 2020 George Interviews Peter DePergola, Director of Clinical Ethics, Baystate Health George interviews Peter DePergola, Director of Clinical Ethics at Baystate Health and one of BusinessWest's 2020 Alumni Achievement Award finalists. When he joined the other members of the 40 Under Forty class of 2015, he was a staff ethicist at Baystate and the only person to hold that title in Western Mass. Now a professor of Bioethics and Medical Humanities at Elms College, he's still the only ethicist in the 413, but his influence now extends well beyond this region. See omnystudio.com/listener for privacy information.

Dr. Nneka Sederstrom was Director of the Center for Ethics and Director of the Spiritual Care Department at Medstar Washington Hospital Center in Washington DC before coming to Children's Minnesota as Director of the Clinical Ethics Department. She earned her PhD in Medical Sociology, MPH in Global Health Management, and MA in Philosophy. She is widely published in Clinical Ethics and speaks regularly at national and international meetings.Dr. Sederstrom loves to read (especially long epic fantasy series), dance, knit, and engage in all things crafty. She is the first African American woman bakery owner to use locally sourced ingredients in the state of Minnesota. She is the mother of Grayson, who happens to be a baby model, and Aadya, who may model one day. She is the wife to Charlie, the love of her life. Her favorite music is anything before 2005. Her favorite quote is “Do the best you can until you know better. Then when you know better, do better.” — Maya AngelouCharlie Sederstrom is a registered nurse and the current clinical and technical trainer at Medica where, among other duties, he is helping to lead a health equity work group that is beginning to take a detailed look at how access to quality health care, and health literacy, can be improved across the region.He, like many White people, is beginning to better understand the role he needs to play in recognizing, and then taking action against, racism in our community.  

A discussion of the BAPM framework for practice on management of babies

In episode 31 I sat down with Holly Tabor, PhD. Holly is Associate Professor of Medicine at the Stanford University School of Medicine, and Associate Director for Clinical Ethics and Education at the Stanford Center of Biomedical Ethics. She is also the co-Chair of the Ethics Committees for Stanford Hospital and Lucille Packard Children's Hospital. She has published articles on a wide-range of topics in bioethics, especially on ethical issues in genetic and genomic medicine and research. She has also written and spoken about ethical issues and inclusive health practices for adults and children with disabilities. We talked about ethics during this time, how our families have adapted to COVID and Shelter-in-Place, finding hope, and more. This was a great conversation with someone involved in important health and wellness conversations.A couple of links from Holly:An Unlikely Superpower on NPR https://www.npr.org/2020/03/18/817977005/an-unlikely-superpowerPandemic as Teacher — Forcing Clinicians to Inhabit the Experience of Serious Illnesshttps://www.nejm.org/doi/pdf/10.1056/NEJMp2015024?articleTools=trueThe Truth About Cocoons What caterpillars really go through in there has applications for our moment.https://www.nytimes.com/interactive/2020/05/21/magazine/covid-quarantine-self.html?fbclid=IwAR288towzno8l9UVuVwR-l0jyprdheN_zLgwvmWpUixrIlfQtKCuLc2PvTkThe final segment, as always, is about what we are watching, listening to, and reading. Enjoy!Instagram Mentions: @theheumannperspective @nprinvisibilia @cripcampfilm @thehistorychicksAnd do not forget to get your LGBTQIA+ pronoun swag from More Light Presbyterians. Use Code: BRC for 15% off your entire purchase except for stoles and patches: https://mlp.org/shop/Listen to all of Bruce's Podcast tomfoolery on Spreakerhttps://www.spreaker.com/user/breyeschowSupport Bruce's podcast-making over on Patreonhttps://www.patreon.com/breyeschowConnect with Bruce Reyes-ChowWebsite: http://www.reyes-chow.comTwitter: https://twitter.com/breyeschowInstagram: https://www.instagram.com/breyeschowFacebook: https://www.facebook.com/breyeschowBruce's dogs would be very happy if you subscribed to and rated this podcast and they would be over the moon if you followed, liked, tagged, and shared this podcast on —Twitter: https://twitter.com/brcandfriendsInstagram: https://www.instagram.com/brcandfriendsFacebook: https://www.facebook.com/brcandfriendsSpreaker: https://www.spreaker.com/show/brc

In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CNSC, interviews Denise Baird Schwartz, MS, RD, FADA, CNSC about her article “Integrating Patient-Centered Care and Clinical Ethics Into Nutrition Practice,” published in the October 2013 issue of NCP. https://doi.org/10.1177/0884533613500507

Dr. Kenneth Prager, Director of Clinical Ethics at Columbia University Medical Center, speaks with Alan Brudner, Chair of the Bioethical Issues Committee of the New York City Bar Association, about ethical issues in health care arising from the COVID-19 pandemic.

Episode 1 - Clinical Ethics Consultations: Interview with Dr. Paul Ford, Director of Bioethics at the Cleveland Clinic In this episode, we discuss clinical ethics consultations at the Cleveland Clinic with Director of Bioethics, Dr. Paul Ford. Dr. Ford discusses the structure of the department, how clinical consultations arise, the role of ethical dilemmas in health care and the goals of ethics consultations. He also discusses a case from a book he edited with D.M. Dudzinski, Complex Ethics Consultations: Cases That Haunt Us, as well as other cases involving complex human values.

Clinical Ethics in Critical Care: Respect for Persons in Interprofessional Communication in the ICU

Did you know that a health and social services organization like ours has a Clinical Ethics Service? This service aims to improve the experience of patients, clients, residents, their families and staff, and enhance the integrity of the organization as a whole. To talk about the role played by an ethicist in a health network like ours, Barry Morgan from Your Health Podcast talks with Kevin Hayes, a clinical ethicist for CIUSSS West-Central Montreal.

As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death.    Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!)   I want to…  ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc.  ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation.  ...put my preferences in writing (an advance directive):  Advance Directive forms connects you to advance directive forms for your state.  My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere.  Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine   Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Read some of Dr. Zitter’s articles about life support tech (here and here) and the tough decisions doctors and patients face in the ICU (here and here)   Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.

As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death.    Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!)   I want to…  ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc.  ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation.  ...put my preferences in writing (an advance directive):  Advance Directive forms connects you to advance directive forms for your state.  My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere.  Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine   Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Read some of Dr. Zitter’s articles about life support tech (here and here) and the tough decisions doctors and patients face in the ICU (here and here)   Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.

Dr. Holly Tabor is Associate Professor of Clinical Ethics and Education at Stanford and she joins us to talk biomedical ethics, how the medical system can better serve patients with disabilities such as autism, and a shocking finding from a Special Olympics study. Breakdown of topic by timecode here: http://zdoggmd.com/incident-report-169

Clinical Ethics in Critical Care: Surrogate Decision Makers

Clinical ethics in Critical Care: Is it ethically acceptable to honor previous wishes to withhold life-sustaining treatments in the setting of suspected suicide?

Nicolae Morar, assistant professor of Philosophy and Environmental Studies; and John Holmes, Director of Ethics for PeaceHealth Oregon and adjunct instructor of Philosophy. They discuss teaching "Clinical Ethics" at the University of Oregon during winter 2017. The class examines theoretical ethical problems that arise in medical care. Half of the class is held at Sacred Heart Hospital at River Bend where students explore the practical application of ethics in a health care setting. Morar developed the class with support from the OHC's Robert F. and Evelyn Nelson Wulf Professorship in the Humanities.

Professional Standards for Innovation - 2017 Australian Centre for Health Law Research (ACHLR) – Economic and Social Research Council (ESRC) Seminar Series, Liability and Innovation: The Effect of Disciplinary Proceedings and Innovation: Medical Innovation, Regulation and Disciplinary Proceedings: Medical Perspectives - Professor Wendy Rogers, Professor of Clinical Ethics, Macquarie University. Topic: Professional Standards for Innovation

This week, Dr. Polnik continues to look at clinical ethics by exploring the value ladened reality of ethics, the principlist method of reasoning, and exploring other areas where clinical ethics could be useful.

Dr. Annette Mendola responds to Being Mortal: Medicine and What Matters in the End by Atul Gawande in this podcast of a Books Sandwiched In program (recorded June 22, 2016). Dr. Mendola comments, "The American healthcare system has ardently pursued heroic, lifesaving technologies. It has been less invested in helping people preserve the things that matter most to them in life, such as mobility, relationships, meaningful activity, and being at home. Gawande encourages us to question the way medicine is produced and consumed, and to ask ourselves what we really want from healthcare." Dr. Mendola’s experience as a nurses’ aide during high school and later on the inpatient psychiatric floor of a small county hospital naturally led to her interest in end-of-life issues and medical ethics. Prior to her current tenure as Director of Clinical Ethics at the University of Tennessee Medical Center, she was a lecturer in the Philosophy Department at the University of Tennessee, Knoxville.

Jill Johnson is Director of Dance, Senior Lecturer in Music and Theater, Dance & Media; and Artistic Director of the Harvard Dance Project, at Harvard University. A graduate of Canada’s National Ballet School and a 28-year veteran of the dance field, Johnson choreographs for film, television, and the stage; she has danced in over 50 tours on 5 continents. She was a soloist with the National Ballet of Canada and a principal dancer and researcher in William Forsythe’s company Frankfurt Ballet. Stages Forsythe’s work worldwide, including for Paris Opera Ballet, La Scala, Batsheva Dance Company, Norwegian National Ballet, Netherlands Dance Theater, Boston Ballet, and American Ballet Theater. Johnson is a founding collaborator of The Movement Invention Project in New York, and has served on the faculties of and created choreographic work for Princeton University, Columbia University, the Juilliard School, and NYU, and has created 12 new works at Harvard since 2011 including, Paper Wing, What Moves You?, and dance installations RE: RE: RE:, and LOOK UP. Recent collaborations include those with the Harvard Choruses, Harvard Mahindra Humanities Center, Boston Ballet, San Francisco Ballet, Dries Van Noten and the Louvre Musee des Arts Decoratif, Ryuichi Sakamoto, and Mikhail Baryshnikov. Dr. Annekathryn Goodman is an Associate Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and a Fellow of the American College of Surgeons. She completed medical school and residency training in Obstetrics and Gynecology at Tufts University School of Medicine in Boston and her fellowship training in gynecologic oncology at Massachusetts General Hospital (MGH). In addition to board certification in gynecologic oncology, she is certified in acupuncture, and has completed training in both pastoral and palliative care. She received a certificate in Clinical Ethics and Health Policy from the Center for Practical Bioethics, University of Kansas Medical School. She received a certificate in Global Health from New York Medical College. She has undergone advanced training in humanitarian disaster relief work through the Harvard Humanitarian studies initiative, Missioncraft in disaster relief operations, and the DelValle Institute’s all hazard disaster response and protection for healthcare personnel. She is the Director of the Gynecologic Oncology Fellowship Program at Massachusetts General Hospital. She is also a member of the Ethics Committee at Massachusetts General Hospital. She is the past president of The Obstetrical Society of Boston and of the New England Society of Gynecologic Oncologists. She is a member of the national disaster team, IMSuRT (International Medical Surgical Response team), a branch of the US department of Health and Human Services and has deployed to various international disasters including Bam, Iran 2004, Banda Aceh 2005, Haiti 2010, the Philippines 2014, and Nepal 2015. She received the 2012 ACOG International Service Award for service to pregnant women after the Haiti earthquake. Since 2008, she has been consulting in Bangladesh on cervical cancer prevention and the development of medical infrastructure to care for women with gynecologic cancers. She has also developed a two-month observership in gynecologic oncology at MGH for physicians from resource-limited countries.

Pediatric Grand Rounds with Kathryn Dee MacMillan, MD

In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CNSC, interviews Denise Baird Schwartz, MS, RD, FADA, CNSC about her article “Integrating Patient-Centered Care and Clinical Ethics Into Nutrition Practice,” published in the October 2013 issue of NCP. Click here to read the full article.

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Virtual Mentor issue editor Sophia Cedola, a medical student at Columbia University College of Physicians and Surgeons, interviewed Dr. Craig Blinderman about talking with patients who are terminally ill, asking him whether there are some key “do’s” and “don’ts” for having end-of-life conversations with patients and their families. Dr. Blinderman is the Director of the Adult Palliative Medicine Service and Co-Director of the Center for Supportive Care and Clinical Ethics in the Department of Medicine at Columbia University Medical Center in New York.

The Case of the Bipolar Sufferer and her Legal Battle for an Abortion S.B. is a 37 year old woman with a diagnosis of bipolar disorder. She wanted a baby but when she was pregnant, became ill, and was sectioned under the Mental Health Act. She then said she couldn't cope with having a baby and began requesting an abortion. Her husband, her mother and the psychiatrists treating her argued that the termination shouldn't go ahead, because S.B. wasn't of "sound mind". Deborah Bowman, Professor of Bioethics, Clinical Ethics and Medical Law at St George's, University of London, discusses why this case, which went to the Court of Protection, is so important for people with mental health problems. The Complex Psychology Behind Wind Farm Opposition National polls consistently show that a majority of people support wind power in principle, but when it comes to local schemes, there's often vociferous opposition. NIMBYs often get the blame. They're portrayed as selfish individuals who say no, for purely self interested reasons. Claudia talks to Dr Chris Jones, social and environmental psychologist from the University of Sheffield, on the windy hills North of the City, about why opposition to wind farms is a complex matter and that the "Not In My Back Yarders" can have valid and varied reasons for being turbine-rejectors. Syrian Children and the Mental Health Impact of War Hundreds of thousands of Syrian children have fled their country as the war there reaches new levels of brutality. All in the Mind has been following the efforts of one Syrian psychologist, Masa Al-kurdi, to provide targeted support for child refugees that specifically address the war trauma they have experienced. Her group of volunteers, the Arab Foundation for the Care of Victims of War and Torture, has been using interventions developed by the Children and War Foundation, specifically designed to teach coping strategies and techniques to as many children as possible. In Jordan, the courses are now in place and Claudia hears from Masa that thousands of children will have been through the courses by the end of 2013. Producer - Fiona Hill.

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Dr. Braddock is Professor of Medicine and Associate Dean for Undergraduate and Graduate Medical Education, Director, Stanford Center for Medical Education Research & Innovation and Director of Clinical Ethics, Stanford Center for Biomedical Ethics. This is his special session presentation on May 11th, 2012 at the PRIME national conference in Louisville, KY.

Dr. Braddock is Professor of Medicine and Associate Dean for Undergraduate and Graduate Medical Education, Director, Stanford Center for Medical Education Research & Innovation and Director of Clinical Ethics, Stanford Center for Biomedical Ethics. These are the slides for his special session presentation on May 11th, 2012 at the PRIME national conference in Louisville, KY

Medical Ethicist Dr. Philip Hebert reviews the nature of medical mistakes that occur in doctor's offices, labs and hospitals, and what medical professionals and patients can do to help prevent them. Dr. Philip Hebert is Director of Clinical Ethics at Sunnybrook Health Sciences Centre, Toronto. (Originally aired May 2003)

Medical Ethicist Dr. Philip Hebert reviews the nature of medical mistakes that occur in doctor's offices, labs and hospitals, and what medical professionals and patients can do to help prevent them. Dr. Philip Hebert is Director of Clinical Ethics at Sunnybrook Health Sciences Centre, Toronto. (Originally aired May 2003)

Timothy Quill, MD, one of seven prominent critical care leaders presenting during the plenary sessions at the 35th Critical Care Congress, discusses the Terry Schiavo case and how courts have played a role in end-of-life decision making. Dr. Quill is a professor of medicine, psychiatry and medical humanities, as well as the director of the Center for Palliative Care and Clinical Ethics at the University of Rochester Medical Center, Rochester, N.Y.