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In this episode of Deep Cuts: Exploring Equity in Surgery, Dr. Carmelle Romain and Dr. Kylie Callier provide an overview of the field of pediatric surgery. We cover key aspects of pediatric surgery, from common pediatric conditions to the factors that attract surgeons to the subspecialty. We also examine which populations of children lack access to surgery, and the reasons behind these barriers. Finally, we highlight what the University of Chicago is doing to improve access for children and parents in Chicago's South Side. Dr. Carmelle Romain is a pediatric surgeon and Assistant Professor in the Department of General Surgery. She attended medical school at Brown University and completed her residency and fellowship training at Vanderbilt University and Miami Children's Hospital. In addition to her clinical practice, Dr. Romain is an active researcher examining how telehealth can expand access for pediatric patients.Dr. Kylie Callier is a 3rd-year surgery resident at UChicago Medicine and a fellow at the Maclean Center for Clinical Medical Ethics. She is an aspiring pediatric surgeon and attended medical school at Texas Tech University. Her research interests include pediatric trauma and pediatric ECMO, a life-supporting treatment for critically ill children with heart and/or lung failure. Deep Cuts: Exploring Equity in Surgery comes to you from the Department of Surgery at the University of Chicago, which is located on Ojibwe, Odawa and Potawatomi land.Our executive producer is Tony Liu. Our senior producers are Alia Abiad, Caroline Montag, and Chuka Onuh. Our production team includes Megan Teramoto, Ria Sood, Ishaan Kumar, and Daniel Correa Buccio. Our senior editor and production coordinator is Nihar Rama. Our editorial team also includes Beryl Zhou. The intro song you hear at the beginning of our show is “Love, Money Part 2” from Chicago's own Sen Morimoto off of Sooper Records. Our cover art is from Leia Chen.A special thanks this week to Dr. Jeffrey Matthews — for his leadership, vision, and commitment to caring for the most vulnerable in our communities. Let us know — what have you most enjoyed about our podcast. Where do you see room for improvement? You can reach out to us on Instagram @deepcutssurgery. Find out more about our work at deepcuts.surgery.uchicago.edu.
The Bulletin welcomes Lydia Dugdale for a conversation about measles, public health, and the creative work of God. Find us on YouTube. In this episode of The Bulletin, Clarissa Moll speaks with Lydia Dugdale, professor of medicine at Columbia University's medical center and director of the Center for Clinical Medical Ethics. They discuss a recent measles outbreak in Texas, vaccinations, and Robert F. Kennedy Jr.'s statements on the disease. GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in your podcast app of choice. ABOUT THE GUEST: Lydia Dugdale is the Dorothy L. and Daniel H. Silberberg Professor of Medicine at the Columbia University Medical Center and director of the Center for Clinical Medical Ethics. She also serves as codirector 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, the role of aesthetics in teaching ethics, moral injury, and the doctor-patient relationship. ABOUT THE BULLETIN: The Bulletin is a weekly (and sometimes more!) current events show from Christianity Today hosted and moderated by Clarissa Moll, with senior commentary from Russell Moore (Christianity Today's editor in chief) and Mike Cosper (director, CT Media). Each week, the show explores current events and breaking news and shares a Christian perspective on issues that are shaping our world. We also offer special one-on-one conversations with writers, artists, and thought leaders whose impact on the world brings important significance to a Christian worldview, like Bono, Sharon McMahon, Harrison Scott Key, Frank Bruni, and more. The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: Kevin Morris Music: Dan Phelps Executive Producers: Erik Petrik and Mike Cosper Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices
The Bulletin reflects on the unexpected hope found through the COVID-19 pandemic. Find us on YouTube. In the second episode of this series, we continue to revisit the COVID-19 pandemic by looking at what was gained despite all the losses. Guests in this episode include listener and Air Force Reservist Michael Moody; Lydia Dugdale, director of Columbia University's Center for Clinical Medical Ethics; National Institutes of Health director Francis Collins; listener Jenny Holberg; Gordon College president Michael Hammond; Police Officer Amy H.; and other listener voices. GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in Apple Podcasts. ABOUT THE BULLETIN: The Bulletin is a weekly (and sometimes more!) current events show from Christianity Today hosted and moderated by Clarissa Moll, with senior commentary from Russell Moore (Christianity Today's editor in chief) and Mike Cosper (director, CT Media). Each week, the show explores current events and breaking news and shares a Christian perspective on issues that are shaping our world. We also offer special one-on-one conversations with writers, artists, and thought leaders whose impact on the world brings important significance to a Christian worldview, like Bono, Sharon McMahon, Harrison Scott Key, Frank Bruni, and more. The Bulletin listeners get 25 percent off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Leslie Thompson Editing and Mix: Kevin Morris Music: Dan Phelps Executive Producers: Erik Petrik and Mike Cosper Senior Producer: Matt Stevens tags: COVID, pandemic, christianity, fifth anniversary, nurse, chaplain, remember, education, university, hospital, new york city Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of Physician's Guide to Doctoring, Dr. Bradley Block speaks with returning guest Dr. Stephen Bradley who shares insights from his co-authored article addressing how medical institutions emphasize diversity but frequently neglect true inclusion. Drawing from personal experiences including decisions about personal grooming to conform to professional expectations and those of colleagues, Dr. Bradley explores the subtle and overt pressures underrepresented physicians face to fit in.The conversation covers actionable strategies to foster inclusive environments, the "minority tax" in medicine, and how healthcare organizations can support their diverse workforce beyond recruitment. Whether you're a medical student, physician, or healthcare leader, this episode offers thought-provoking perspectives on creating a more inclusive medical community.Three Actionable Takeaways:Move Beyond Metrics: Diversity in numbers isn't enough—institutions must foster environments where underrepresented groups feel valued and authentically included.Understand the "Minority Tax": Recognize and address the added burden placed on minority physicians to mentor, advocate, and represent, often without institutional support.Create Inclusive Policies: Small but meaningful changes, like flexible grooming and dress codes, recognizing diverse holidays, and improving communication, can significantly enhance workplace inclusivity.About Guest:Dr. Steven Bradley is a board-certified anesthesiologist and medical ethicist dedicated to mentorship and enhancing diversity in healthcare. He earned his medical degree from Howard University College of Medicine and completed his anesthesiology residency at the University of Chicago Medical Center. Furthering his expertise, Dr. Bradley pursued a fellowship at the MacLean Center for Clinical Medical Ethics. He serves as an assistant professor of anesthesiology, educating both medical students and residents. Additionally, Dr. Bradley hosts "The Black Doctors Podcast," where he interviews minority professionals across various fields to inspire and motivate listeners. LinkedIn: https://www.linkedin.com/in/stevenbradleymd/Instagram: https://www.instagram.com/stevenbradleymd/X: https://x.com/StevenBradleyMDWebsite: https://stevenbradleymd.com About the Host:Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts the Physician's Guide to Doctoring podcast, focusing on personal and professional development for physicians.Did you know...You can also be a guest on our show? Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more! Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.
The Justice Insiders: Giving Outsiders an Insider Perspective on Government
Host Gregg N. Sofer welcomes back to the podcast Richard Epstein, Laurence A. Tisch Professor of Law at New York University Law School, and Steve Renau, Husch Blackwell's Head of Thought Leadership, to discuss the U.S. Supreme Court's recent decision in Securities and Exchange Commission v. Jarkesy. The Court held 6-3 that the Seventh Amendment's guarantee of a jury trial requires the SEC to pursue civil penalties for securities-fraud violations in federal court. No longer can the SEC rely on its own in-house tribunal to secure these penalties. Although Jarkesy applies only to the SEC, the Court's reasoning could have far-reaching implications across a number of federal agencies, particularly when “the ‘public rights' exception to Article III jurisdiction does not apply.”Our discussion highlights the administrative law history that was brought to bear upon the case and how it was that the adjudication of civil penalties came to be matters before non-Article III courts. We then pivot to some of the impacts Jarkesy could have in the future, including whether the Supreme Court will take up related issues of due process in future challenges to federal agency enforcement actions.Finally, we discuss Jarkesy in light of the Supreme Court's Loper Bright decision that ended the doctrine of Chevron deference and the implications of both decisions for administrative agencies and the private businesses they regulate.Gregg N. Sofer BiographyFull BiographyGregg counsels businesses and individuals in connection with a range of criminal, civil and regulatory matters, including government investigations, internal investigations, litigation, export control, sanctions, and regulatory compliance. Prior to entering private practice, Gregg served as the United States Attorney for the Western District of Texas—one of the largest and busiest United States Attorney's Offices in the country—where he supervised more than 300 employees handling a diverse caseload, including matters involving complex white-collar crime, government contract fraud, national security, cyber-crimes, public corruption, money laundering, export violations, trade secrets, tax, large-scale drug and human trafficking, immigration, child exploitation and violent crime.Richard Epstein BiographyRichard A. Epstein is the Laurence A. Tisch Professor of Law, New York University Law School, a senior lecturer at the University of Chicago, and the Peter and Kirsten Bedford Senior Fellow at the Hoover Institution.Professor Epstein has published work on a broad range of constitutional, economic, historical, and philosophical subjects. He has taught administrative law, antitrust law, communications law, constitutional law, corporation criminal law, employment discrimination law, environmental law, food and drug law, health law, labor law, Roman law, real estate development and finance, and individual and corporate taxation.Epstein's most recent book publication is The Dubious Morality of Modern Administrative Law (2020). Other works include The Classical Liberal Constitution: The Uncertain Quest for Limited Government (2014); Design for Liberty: Private Property, Public Administration, and the Rule of Law (2011); The Case against the Employee Free Choice Act (2009); Supreme Neglect: How to Revive the Constitutional Protection for Private Property (2008); How the Progressives Rewrote the Constitution (2006); Overdose (2006); and Free Markets under Siege: Cartels, Politics, and Social Welfare (2005).He received a BA degree in philosophy summa cum laude from Columbia in 1964; a BA degree in law with first-class honors from Oxford University in 1966; and an LLB degree cum laude, from the Yale Law School in 1968. Upon graduation he joined the faculty at the University of Southern California, where he taught until 1972. In 1972, he visited the University of Chicago and became a regular member of the faculty the following year.He has been a senior fellow at the MacLean Center for Clinical Medical Ethics since 1984 and was elected a fellow of the American Academy of Arts and Sciences in 1985. In 2011, Epstein was a recipient of the Bradley Prize for outstanding achievement. In 2005, the College of William & Mary School of Law awarded him the Brigham-Kanner Property Rights Prize.Additional ResourcesThe Justice Insiders, “The Administrative State Is Not Your Friend: A Conversation with Professor Richard Epstein” (Episode 7), June 21, 2022The Justice Insiders, “SEC Plays Chicken with Jarkesy” (Episode 18), October 16, 2023U.S. Supreme Court, Securities and Exchange Commission v. Jarkesy, June 27, 2024Gregg N. Sofer and Joseph S. Diedrich, “Landmark Supreme Court Decisions Restrain Federal Administrative Agency Power,” June 28, 2024© 2024 Husch Blackwell LLP. All rights reserved. This information is intended only to provide general information in summary form on legal and business topics of the day. The contents hereof do not constitute legal advice and should not be relied on as such. Specific legal advice should be sought in particular matters.
Welcome to our 100th episode! This week we talked to the renowned Dr. David T. Rubin! Dr. Rubin is the Joseph B. Kirsner Professor of Medicine and a Professor of Pathology, Chief of the Section of Gastroenterology, Hepatology & Nutrition and the Co-Director of the Digestive Diseases Center at The University of Chicago Medicine. He also currently serves as an associate faculty member at the MacLean Center for Clinical Medical Ethics, an associate investigator at the University of Chicago Comprehensive Cancer Center and is a member of the University of Chicago Committee on Clinical Pharmacology and Pharmacogenomics. He is the chair of the National Scientific Advisory Committee of the Crohn's & Colitis Foundation, where he also serves as a Board of Trustees member. He is the deputy chair of the Executive Committee of the International Organization for the Study of Inflammatory Bowel Disease. In 2018, Dr. Rubin completed the Harvard T.H. Chan School of Public Health Leadership Development Course for Physicians.Dr. Rubin is a Fellow of the American Gastroenterological Association (AGA), the American College of Gastroenterology (ACG), the American Society for Gastrointestinal Endoscopy (ASGE), the American College of Physicians (ACP), and the Royal College of Physicians (Edinburgh). He is on the Board of Trustees for the ACG. Among numerous awards and honors, Dr. Rubin was chosen by his peers as a member of Best Doctors (recognized for superior clinical ability) and America's Top Physicians (gastroenterology). Additionally, he twice received the ACG's Governor's Award of Excellence in Clinical Research (2003 and 2013), and the UChicago Postgraduate Teaching Award in recognition of significant contributions for fellowship education (2006). In 2012, he received the Crohn's & Colitis Foundation's Rosenthal Award, a national leadership award bestowed upon a volunteer who has contributed in an indisputable way to the quality of life of patients and families. He is an Associate Editor of the journal Gastroenterology and Editor-in-Chief of the ACG On-Line Education Universe. In 2020, Dr. Rubin received the Sherman Prize for Excellence in Crohn's and Colitis.Dr. Rubin is an editor of a best-selling book Curbside Consultation in IBD which is now in its 3rd edition and an author or coauthor of over 500 articles on treatment and management of IBD, cancer in IBD and novel paradigms, as well as the first author of the 2019 ACG Guidelines for ulcerative colitis. His current research is in the area of novel approaches to monitoring of IBD (wearables and point of care intestinal ultrasound), prevention of progressive complications from uncontrolled inflammation, and a variety of collaborative and translational studies related to the causes of IBD and its complications. Episodes from some of Dr. Rubin's UChicago's team: Dr. Alysse Bedell- Gastro PsychologistMichele Rubin, APN- JPouch surgical nurse extraordinaireMarita Kametas- Ostomy Specialist! Dr. David Choi- IBD PharmacistPlease keep in mind that the views and opinions expressed in this program are those of the speakers and should not be considered medical or legal advice. Please consult with your healthcare team on any changes to your disease, diet, or treatment.Let's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!
The Justice Insiders: Giving Outsiders an Insider Perspective on Government
Host Gregg N. Sofer welcomes back to the podcast Richard Epstein, Laurence A. Tisch Professor of Law at NYU School of Law, to discuss the U.S. Supreme Court's consideration of Securities and Exchange Commission v. Jarkesy, a case that has the potential to vastly alter the way the SEC initiates and adjudicates enforcement proceedings, as well as its ability to choose its own in-house venue for those proceedings.Gregg N. Sofer BiographyFull BiographyGregg counsels businesses and individuals in connection with a range of criminal, civil and regulatory matters, including government investigations, internal investigations, litigation, export control, sanctions, and regulatory compliance. Prior to entering private practice, Gregg served as the United States Attorney for the Western District of Texas—one of the largest and busiest United States Attorney's Offices in the country—where he supervised more than 300 employees handling a diverse caseload, including matters involving complex white-collar crime, government contract fraud, national security, cyber-crimes, public corruption, money laundering, export violations, trade secrets, tax, large-scale drug and human trafficking, immigration, child exploitation and violent crime.Richard Epstein BiographyRichard A. Epstein is the Laurence A. Tisch Professor of Law, New York University Law School, a senior lecturer at the University of Chicago, and the Peter and Kirsten Bedford Senior Fellow at the Hoover Institution.Professor Epstein has published work on a broad range of constitutional, economic, historical, and philosophical subjects. He has taught administrative law, antitrust law, communications law, constitutional law, corporation criminal law, employment discrimination law, environmental law, food and drug law, health law, labor law, Roman law, real estate development and finance, and individual and corporate taxation.Epstein's most recent book publication is The Dubious Morality of Modern Administrative Law (2020). Other works include The Classical Liberal Constitution: The Uncertain Quest for Limited Government (2014); Design for Liberty: Private Property, Public Administration, and the Rule of Law (2011); The Case against the Employee Free Choice Act (2009); Supreme Neglect: How to Revive the Constitutional Protection for Private Property (2008); How the Progressives Rewrote the Constitution (2006); Overdose (2006); and Free Markets under Siege: Cartels, Politics, and Social Welfare (2005).He received a BA degree in philosophy summa cum laude from Columbia in 1964; a BA degree in law with first-class honors from Oxford University in 1966; and an LLB degree cum laude, from the Yale Law School in 1968. Upon graduation he joined the faculty at the University of Southern California, where he taught until 1972. In 1972, he visited the University of Chicago and became a regular member of the faculty the following year.He has been a senior fellow at the MacLean Center for Clinical Medical Ethics since 1984 and was elected a fellow of the American Academy of Arts and Sciences in 1985. In 2011, Epstein was a recipient of the Bradley Prize for outstanding achievement. In 2005, the College of William & Mary School of Law awarded him the Brigham-Kanner Property Rights Prize.Additional ResourcesJarkesy v. Securities and Exchange Commission, No. 20-61007 (5th Cir. May 18, 2022).SCOTUSblog, Securities and Exchange Commission v. Jarkesy
Moral imagination is the ability to transcend one's own immediate context and experiences to explore diverse moral perspectives and ethical scenarios. In medicine, where decisions can reverberate profoundly through a patient's life, moral imagination allows us to navigate the ethical complexities of particular situations while honoring the dignity of others. But how can this capacity be developed? Can we actually teach moral imagination to clinicians? In this episode, we are joined by Dr. Lydia Dugdale, director of the Center for Clinical Medical Ethics at Columbia University, who has deeply explored these issues through her writings and research. She is the author of multiple books, most recently The Lost Art of Dying: Reviving Forgotten Wisdom, (2020). Over the course of our conversation, Dr. Dugdale shares her efforts to nurture moral imagination in her students, the importance of acknowledging suffering not just between clinicians and patients, but also among clinicians themselves, what sustains her through the most challenging or mundane moments in medicine, and more.In this episode, we discuss:2:31 - Dr. Dugdale's calling to medicine5:06 - How Dr. Dugdale became interested in clinical ethics8:49 - Why it's difficult to engage the spiritual side of medicine16:18 - The importance of cultivating imagination, especially for physicians21:44 - The place that higher education has (or doesn't have) in shaping the “souls” of students 27:25 - The importance of creating space to reflect on the patient connection36:14 - Dr. Dugdale's advice for trainees and clinician on how they can better approach addressing suffering with patients In this episode, we discussed Alan Deresiewicz book “Excellent Sheep: The Miseducation of the American Elite and the Way to a Meaningful Life” (excerpt from which is published in The New Republic) as well as Steven Pinker's response essay The Trouble with Harvard.Dr. Dugdale is the author of The Lost Art of Dying: Reviving Forgotten Wisdom.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2023
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.
How do we prepare now to die well? Can we reimagine care of the dying in all of its messiness as a gift? Dr. Lydia Dugdale, a medical ethicist, internal medicine doctor, professor, and author of The Lost Art of Dying, talks with Amy Julia Becker about:DisabilityDeathMedical assistance in dyingHonoring all human life as the gift it is without idolizing life__Guest Bio:“Lydia Dugdale MD, MAR, is the Dorothy L. and Daniel H. Silberberg Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University. Prior to her 2019 move to Columbia, she was Associate Director of the Program for Biomedical Ethics and founding Co-Director of the Program for Medicine, Spirituality, and Religion at Yale School of Medicine. She is an internal medicine primary care doctor and medical ethicist. Her first book, Dying in the Twenty-First Century (MIT Press, 2015), provides the theoretical grounding for this current book. She lives with her husband and daughters in New York City.”__Connect Online:Website: lydiadugdale.com__On the Podcast:Book: The Lost Art of Dying: Reviving Forgotten Wisdom__Interview transcript and more: amyjuliabecker.com/lydia-dugdale__Season 6 of the Love Is Stronger Than Fear podcast connects to themes in my latest book, To Be Made Well, which you can order here! Learn more about my writing and speaking at amyjuliabecker.com.__*A transcript of this episode will be available within one business day on my website, and a video with closed captions will be available on my YouTube Channel.Connect with me: Instagram Facebook Twitter Website Thanks for listening!
As a legal nurse consultant, when you go through medical records, you may see indications that an ethics consult was called or that ethical issues were considered. You may also find yourself struggling with aspects of the decisions made regarding the patient and feel the need of advice from an expert in medical ethics. Camille Renella opens the door to this little-understood aspect of medicine. She begins by pointing out that ethics has lower regard than the law in terms of application simply because legal violations generate so many more repercussions. At an earlier time, doctors and administrative personnel didn't even want to deal with issues like setting up ethics committees in their institutions. Today no formal qualifications exist for sitting on such a committee. In contrast, medical ethicists receive formal, usually post-doctoral, education in their field. They look at those who are working around the patient and consider the standard of care and code of ethics of each group of practitioners and how their application of these values can benefit the patient. The need for a clinical medical ethicist particularly arises in continuation of life issues. This can involve conflicts between family members and clinical staff, issues around advanced directives, and other considerations. Camille raises important ethical and practical issues in this informative podcast. It will broaden your perspective about what is involved in medical decisions. Join me in this episode of Ethical Dilemmas in Healthcare: Insights from a Medical Ethicist with Camille Renella What does a medical ethicist do? What are the requirements for sitting on an ethics committee? How do issues of life support get involved with ethics? How do hospital and medical costs impact ethics decisions? How important is the role of intuition in medical ethics? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. https://youtu.be/rNC2EcuylTI You can still order the recordings for our 7th Virtual Conference! LNC Success™ is a Virtual Conference 3-day event designed for legal nurse consultants just like you! Pat Iyer and Barbara Levin put together THE first Legal Nurse Consulting Virtual Conference in July 2020. They are back with their 7th all-new conference based on what attendees said they'd find most valuable. This new implementation and networking event is designed for LNCs at any stage in their career. Build your expertise, attract higher-paying attorney clients, and take your business to the next level. After the LNC Success™ Virtual Conference, you will leave with clarity, confidence, and an effective step-by-step action plan that you can immediately implement in your business. Your Presenter of Ethical Dilemmas in Healthcare: Insights from a Medical Ethicist with Camille Renella Camille M. Renella is a veteran clinician and former Associate Faculty Member of The MacLean Center for Clinical Medical Ethics at the University of Chicago. Camille completed the Post Doctorate Fellowship in Clinical Medical Ethics at the University of Chicago Pritzker School of Medicine and served as Chief Ethicist in Patient Services at The University of Chicago Hospitals and The University of Chicago Children's Hospital for ten years. Camille has an extensive clinical background in adult, child and home health nursing, as well as Nursing Administration and Multidisciplinary staff education. Camille continues to integrate her background in medicine, law and clinical medical ethics as President of her National Consulting Firm, C.M. RENELLA & ASSOCIATES and now President of Healthcare Competency Program Specialists, LLC. Throughout her career Camille participated in Clinical Outreach Programs in San Juan, Puerto Rico and in Capitol Hill, Washington DC nation-wide initiative. Camille provided presentations at local,
The Intersection of Medical Ethics and Health Equity This week Dr. Steven Bradley chats about his passion a specialized training in Clinical Medical Ethics. This field works to examine how and why complex decisions are made. Have you ever had to make difficult clinical decisions? Have you ever struggled to do what is right regarding end-of-life care or other ethical dilemmas? Are you interested in learning more about how to make challenging ethical decisions, then this episode is for you! Our host shares his experiences from his fellowship in Clinical Medical Ethics. He also talks about his experiences working on a hospital ethics committee while on active duty in the US Navy. You asked and we delivered: The Black Doctors Podcast Swag is now available? Click HERE to order. **Interested in starting a podcast? Check out Riverside for your remote recording needs: RIVERSIDE.FM Are you a medical student or resident that wants to ace your boards or in-training exams? Check out TrueLearn . Use the discount code "BDPODCAST" to rece ive $25 off. If you enjoyed this episode, please share with a friend and leave a comment and rating on iTunes. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations or speaking engagements regarding health equity and medical ethics. Leave a voice memo that we can include in a future episode: Pass The Mic
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.
Sociologist James Hughes shares his thoughts on how libertarian transhumanism allows for cognitive liberty and bodily autonomy, the ethical implications of using enhancement technologies to amplify human virtues, and the challenge of being a techno-optimist. James Hughes, the Executive Director of the Institute for Ethics and Emerging Technologies, is a bioethicist and sociologist who serves as the Associate Provost for Institutional Research, Assessment and Planning for the University of Massachusetts Boston (UMB), and as Senior Research Fellow at UMB's Center for Applied Ethics. He holds a doctorate in Sociology from the University of Chicago where he taught bioethics at the MacLean Center for Clinical Medical Ethics. Dr. Hughes has taught health policy, bioethics, medical sociology and research methods at Northwestern University, the University of Connecticut, and Trinity College. Dr. Hughes is author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future (2004) and is co-editor of Surviving the Machine Age: Intelligent Technology and the Transformation of Human Work (2017). In 2005 Dr. Hughes co-founded the Institute for Ethics and Emerging Technologies (IEET) with Oxford philosopher Nick Bostrom, and since then has served as its Executive Director. Dr. Hughes serves as Associate Editor of the Journal of Evolution and Technology, and as co-founder of the Journal of Posthuman Studies. Find out more: futurespodcast.net CREDITS Produced by FUTURES Podcast Recorded, Mixed & Edited by Luke Robert Mason FOLLOW Twitter: twitter.com/futurespodcast Facebook: facebook.com/futurespodcast Instagram: instagram.com/futurespodcast
The Justice Insiders: Giving Outsiders an Insider Perspective on Government
In this episode of The Justice Insiders, we welcome Richard A. Epstein, Laurence A. Tisch Professor of Law at NYU School of Law. Host Gregg Sofer and co-host Steve Renau explore with Professor Epstein the implications stemming from the recent Fifth Circuit decision in Jarkesy v. SEC, as well as possible future developments with respect to administrative law and regulatory compliance.Richard Epstein BiographyRichard A. Epstein is the Laurence A. Tisch Professor of Law, New York University Law School, a senior lecturer at the University of Chicago, and the Peter and Kirsten Bedford Senior Fellow at the Hoover Institution.Professor Epstein researches and has published work on a broad range of constitutional, economic, historical, and philosophical subjects. He has taught administrative law, antitrust law, communications law, constitutional law, corporation criminal law, employment discrimination law, environmental law, food and drug law, health law, labor law, Roman law, real estate development and finance, and individual and corporate taxation.Epstein's most recent book publication is The Dubious Morality of Modern Administrative Law (2020). Other works include The Classical Liberal Constitution: The Uncertain Quest for Limited Government (2014); Design for Liberty: Private Property, Public Administration, and the Rule of Law (2011); The Case against the Employee Free Choice Act (Hoover Institution Press, 2009); Supreme Neglect: How to Revive the Constitutional Protection for Private Property (2008); How the Progressives Rewrote the Constitution (2006); Overdose (2006); and Free Markets under Siege: Cartels, Politics, and Social Welfare (Hoover Institution Press, 2005).He received a BA degree in philosophy summa cum laude from Columbia in 1964; a BA degree in law with first-class honors from Oxford University in 1966; and an LLB degree cum laude, from the Yale Law School in 1968. Upon graduation he joined the faculty at the University of Southern California, where he taught until 1972. In 1972, he visited the University of Chicago and became a regular member of the faculty the following year.He has been a senior fellow at the MacLean Center for Clinical Medical Ethics since 1984 and was elected a fellow of the American Academy of Arts and Sciences in 1985. In 2011, Epstein was a recipient of the Bradley Prize for outstanding achievement. In 2005, the College of William & Mary School of Law awarded him the Brigham-Kanner Property Rights Prize.Links of InterestJarkesy v. Securities and Exchange Commission, No. 20-61007 (5th Cir. May 18, 2022).Epstein, Richard A. The Dubious Morality of Modern Administrative Law. Rowman & Littlefield. 2020.Diedrich, Joseph S. “Judicial Deference to Municipal Interpretation,” 49 Fordham Urb. L.J. 807 (2022).
On the book review we talk with editors Julie Chor and Katie Watson about this wonderful new collection of essays. More information on these topics is at www.asrm.org Tell us your thoughts on the show by e-mailing asrm@asrm.org Please subscribe and rate the show on Apple Podcasts, Google Play or wherever you get your podcasts. ASRM Today Series Podcasts are supported in part by the ASRM Corporate Member Council.
No one wants to talk about death. Hell, most physicians don't want to cover the topic. But today's episode is all about just that, the art of dying.But don't think of this as a complete downer episode. It's all part of our life journey.Today's guest is an expert in the art of human death. Lydia Dugdale MD, MAR, is the Dorothy L. and Daniel H. Silberberg Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University. Prior to her 2019 move to Columbia, she was Associate Director of the Program for Biomedical Ethics and founding Co-Director of the Program for Medicine, Spirituality, and Religion at Yale School of Medicine. She is an internal medicine primary care doctor and medical ethicist. Her first book, Dying in the Twenty-First Century, provides the theoretical grounding for this current book, The Lost Art Of Dying. In it, Dr. Dugdale offers a hopeful perspective on death and dying as she shows us how to adapt the wisdom from the past to our lives today. The Lost Art of Dying is a vital, affecting book that reconsiders death, death culture, and how we can transform how we live each day, including our last.
No one wants to talk about death. Hell, most physicians don't want to cover the topic.No one wants to talk about death. Hell, most physicians don't want to cover the topic. But today's episode is all about just that, the art of dying.But don't think of this as a complete downer episode. It's all part of our life journey.Today's guest is an expert in the art of human death. Lydia Dugdale MD, MAR, is the Dorothy L. and Daniel H. Silberberg Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University. Prior to her 2019 move to Columbia, she was Associate Director of the Program for Biomedical Ethics and founding Co-Director of the Program for Medicine, Spirituality, and Religion at Yale School of Medicine. She is an internal medicine primary care doctor and medical ethicist. Her first book, Dying in the Twenty-First Century, provides the theoretical grounding for this current book, The Lost Art Of Dying. In it, Dr. Dugdale offers a hopeful perspective on death and dying as she shows us how to adapt the wisdom from the past to our lives today. The Lost Art of Dying is a vital, affecting book that reconsiders death, death culture, and how we can transform how we live each day, including our last.
The marginalization of death—its hiddenness—is strange and of course ultimately a fool's errand. This past year and a half, living through a pandemic, has forced us to confront realities that many of us have spent years avoiding. Death is our neighbor. And yet many of us aren't equipped to talk or think about its presence. Our guest today, Lydia Dugdale, has written a bracing yet beautiful book, The Lost Art of Dying: Reviving Forgotten Wisdom. She is an associate professor of medicine and director of the Center for Clinical Medical Ethics at Columbia University. Prior to her 2019 move to Columbia, she was Associate Director of the Program for Biomedical Ethics and founding Co-Director of the Program for Medicine, Spirituality, and Religion at Yale School of Medicine.
The session considers some case examples where ‘deciding with children' isn't ethically straightforward. When parents exclude an adolescent from being involved, or when parents disagree with their child's views, clinicians must decide when and how to advocate for a child to decide. When and why ought they to defer to the parent's views?Professor Lynn Gillam (Academic Director of the Children's Bioethics Centre, The Royal Children's Hospital) in discussion with Professor Douglas Diekema (Physician and Director of Education, Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital, USA) and Professor Lainie Friedman Ross (Professor of Clinical Medical Ethics and Professor, Departments of Pediatrics, Medicine, Surgery and the College, University of Chicago).
The session considers some case examples where ‘deciding with children' isn't ethically straightforward. When parents exclude an adolescent from being involved, or when parents disagree with their child's views, clinicians must decide when and how to advocate for a child to decide. When and why ought they to defer to the parent's views? Professor Lynn Gillam (Academic Director of the Children's Bioethics Centre, The Royal Children's Hospital) in discussion with Professor Douglas Diekema (Physician and Director of Education, Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital, USA) and Professor Lainie Friedman Ross (Professor of Clinical Medical Ethics and Professor, Departments of Pediatrics, Medicine, Surgery and the College, University of Chicago).
Lydia Dugdale, Dorothy L. and Daniel H. Silberberg Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University, discusses the forgotten wisdom of the Art of Dying, and why that wisdom is desperately needed today.
Dr. Lydia Dugdale joins Aaron to discuss her book—The Lost Art of Dying—and the place of death and dying in our culture. Dr. Lydia Dugdale, MD is a New York City internal medicine primary care doctor and medical ethicist. She is Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University. Prior to her 2019 move to Columbia, she was the Associate Director of the Program for Biomedical Ethics and founding Co-Director of the Program for Medicine, Spirituality, and Religion at Yale School of Medicine. In addition to her book, she edited Dying in the Twenty-First Century, a volume that articulates a bioethical framework for a contemporary art of dying. The Lost Art of Dying: Reviving Forgotten Wisdom Please visit the Ethics and Public Policy's Bioethics and American Democracy program page for more information.
With a passion for mentorship and increasing diversity in the healthcare workforce, Dr. Steven Bradley uses online platforms to connect with aspiring physicians, providing advice and encouragement. Steven is an Anesthesiologist with the US Navy, and a Fellow at the MacLean Center for Clinical Medical Ethics at the University of Chicago. The Black Doctors Podcast provides inspiration and representation to minority pre-health professions students. His second, less frequently published podcast, Curbside Ethics, is designed around short, weekly episodes that provide valuable tools for clinicians invested in providing ethical, equitable, culturally competent care to their patients.
Introducing Dr. Pringl Miller, a General Surgeon, also with a Fellowship in Hospice and Palliative Medicine, as well as Clinical Medical Ethics. Dr. Pringl is the Founder and Executive Director of Physician Just Equity, an organization created to help empower doctors through complex work conflicts. In this episode Dr. Pringl discusses the problem of physician inequity and maltreatment of doctors especially among healthcare leaders, highlighting the negative impacts on the healthcare industry. Top Takeaways • [06:48] Women and underrepresented people in Medicine and Surgery seem to be more vulnerable to harassment, discrimination, and retaliation. Usually, these situations are unrelated to their clinical quality or work proficiency. • [10:56] Lessons from failure: It's important to understand the culture and engage in proactive communication with colleagues to minimize misunderstanding. Also, remember that not every environment is going to be supportive of your authentic self and it's better to part ways amicably. • [14:23] When faced with such challenging situations, it is important to avoid going into conversations hot but to take time and understand what happened, and be sure that the cultural values in that workplace align with yours. • [17:13] Tools for building intimate connections: Respect for colleagues, Active Listening, and Aligning with what gives people meaning. • [21:18] Best 'Aha' moment: Moving from clinical work to focus on her foundation gave a lightness, and Dr. Pringl realized that it was because she left an environment where there was a constant expectation for her to fail. • [27:40] Ongoing changes in the healthcare industry: There is a heightened awareness of health inequity and the need for health justice as the pandemic brought to light some of the racial inequities in the healthcare system. • [33:28] Professionals need to be encouraged to move into healthcare by improving the workplace treatment of doctors, especially the underrepresented groups of doctors; this alone is a major reason for the mass exit of healthcare professionals. • [37:05] Dr. Pringl is inspired by her work to lead by example, and this passion helps her inspire workers in her organization. • [40:45] Dr. Pringl's message to herself in the past is "it's not whether you win or lose, it's how you play the game". To herself in the future, she hopes all her challenges have helped her grow productively. • [42:07] Dr. Pringl encourages listeners to reach out and offer support through the Physician Just Equity website. Key Quotes: "Not everything that is faced can be changed but nothing can be changed until it is faced" - James Baldwin "40% of women leave Medicine altogether or go to part-time within 6 years of completing their training" "We are all stories" "If you're not being allowed to shine and to thrive, there's something wrong with your workplace environment" Connect: Find | Dr. Pringl Miller LinkedIn – Dr. Pringl Miller Twitter - @equitydocs --- Send in a voice message: https://anchor.fm/healthcarequalitycast/message
When does a limb have to be amputated? This is the question Dr. Ross Milner and Dr. Kha Tran — 2 vascular surgeons who operate to restore blood flow in the body — consider. When a patient's arteries have narrowed and improper blood flow emerges, that patient may be diagnosed with peripheral arterial disease. In this episode, you'll hear about different ways to treat this disease, what can be done before a limb amputation has to occur, and why it's so important to understand the lived circumstances of a patient who has peripheral arterial disease.Dr. Ross Milner is a Professor of Surgery and the Director of the Center for Aortic Diseases at UChicago Medicine. He is an internationally recognized expert in vascular surgery, a dedicated educator and mentor, and a prolific author, having written more than 100 abstracts and manuscripts, as well as more than 20 reviews and chapters in leading textbooks on endovascular therapies. Dr. Kha Tran is a fourth year surgical resident at UChicago Surgery and a fellow of the Maclean Center for Clinical Medical Ethics. In his former life, he was an Olympic-level athlete.“Deep Cuts: Exploring Equity in Surgery” comes to you from the Department of Surgery at UChicago Medicine. Our host is Dr. Jen Vigneswaran. Our senior producer is Tony Liu. Our podcast cover art comes to you from Pombie Silverman, episode art from Sam Higgins, and music from Sen Morimoto off of Sooper Records. A special thanks this week to the Department of Surgery's Sophia Chung and Jan Spicer.Find more about our work at surgery.uchicago.edu
From the archives we bring you our first ever Virtual Veritas Forum. We hear from a panel that includes Lydia Dugdale, MD and Director of Columbia Center for Clinical Medical Ethics; David Brooks, bestselling author and NYT cultural commentator; and Andy Crouch, executive editor of Christianity Today, author, and partner at Praxis Labs. Moderated by executive director of The Veritas Forum, Andrew Schuman. You can check out our new podcast, Beyond the Forum, wherever you listen to podcasts. Please like, share, subscribe to, and review this podcast. Thank you!
This week I discuss an article entitled, "Disclosure of Individual Surgeon's Performance Rates During Informed Consent." This topic was discussed on Twitter and I decided to read more. The article presented a very comprehensive look at the issue and discussed the pros and cons of implementation. Overall, the data collection is generally poor quality and difficult to compare across different facilities. It is also difficult to present this data to patients with the appropriate context. Obviously, however, Physicians should be open and honest about their abilities as this allows patients to make autonomous, informed decisions. What do you think Physicians are ethically obligated to disclose regarding their caselogs? What do you typically disclose in your practice? We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Breaking news with the passing of new legislation affecting military medicine. For years, service members have been unable to sue for medical malpractice due to the Feres Doctrine. This court case set the precedent that federal employees cannot sue the federal government. There are many cases of egregious medical malpractice with damages that have occurred in the military healthcare system. With the Richard Stayskal bill, there is now a pathway for patients and family members to receive damages. This is an important step to bringing health equity to the military healthcare system. These policies are more closely aligned with civilian torte reform. Please share with any family or friends you may have that are receive care from military physicians and providers. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
"It's for educational purposes" is a phrase uttered at teaching hospitals on a daily basis. It is incumbent upon society to train future physicians, however, the medical education community must be intentional about doing right by their patients. In this episode, I review an interesting consult I received. Names and information has been changed to respect patient privacy. The case centers around informed consent, medical education and power-dynamics within a physician-patient relationship. Have you encountered any ethical dilemmas? Visit my website and leave a request for consultation. I will review and discuss within a week and you may be featured on the show (anonymously of course). What are your thoughts? I would love to hear from you. Either leave a comment on iTunes or send me a message on my blog site, Steven Bradley MD.com We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week I'm tackling a very contentious issue in the world of healthcare. Should we abandon the use of the term "Provider." I present an article that was recently featured in the Journal of the American Medical Association (JAMA) entitled, "Promoting Trust and Morale by Changing How the Word Provider Is Used". The author raising some very good points about how the term Provider is vague and takes into account neither the various levels and styles of training nor the vastly different approaches to providing care. The author makes the point that we are very specific when it comes to informing patients who participates in their care when dealing with physicians-in-training. Patients deserve transparency. Clinicians deserve to proudly represent their respective fields. I think this article makes several fantastic arguments for why we should abandon the term "Provider" and replace it with either professionals titles or a collective term such as clinician. What are your thoughts? I would love to hear from you. Either leave a comment on iTunes or send me a message on my blog site, Steven Bradley MD.com We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
In this episode of Ethically Sourced, I cover two articles. The first is entitled, "High COVID-19 vaccination rates do not equate to equity in communities of color" and it appeared on the KevinMD blog. One of the co-authors is a friend of mine, Dr. Joshua Anthony. This article provides an excellent overview of the healthcare disparities that have been evident in the states since the before the pandemic. It shows how these issues have been highlighted and amplified once again by the inequitable distribution of COVID-19 vaccines. The second article I present appeared on The Hastings Center's website and is entitled, "Instead of Vaccine Passports, Let's Push for Global Justice in Vaccine Access". It was written by Dr. Gabriela Arguedas-Ramírez, an associate professor in the school of philosophy at the University of Costa Rica. This article provides a very interesting perspective on "vaccine passports." It describes how inequitable the concept is on an international scale. The onset of travel liberations only benefit the wealthiest, most privileged nations. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
"Professionalism" is a term and concept that is used frequently in healthcare settings. The medical students, resident physicians and attending physicians are often judged on their professionalism. However, too often, this concept of professionalism is not standardized. Certain organizations do delineate their opinions and standards. Unfortunately, professionalism is often a subjective judgement by those in positions of authority. This allows it to be used a weapon; a form of legalized discrimination. In this episode, I talk about several concerns for trainees attempting to navigate this system. Professionalism should not hinge upon self-expression. Going forward, we must either standardize this concept or limit its use in certain settings. Increasing diversity in the healthcare workforce and especially in leadership positions is key to combatting weaponized professionalism. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Lydia Dugdale, MD, MAR is the Silberberg Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics in the Department of Medicine at Columbia University Vagelos College of Physicians & Surgeons. Shelly Kagan is Clark Professor of Philosophy at Yale University, where he has taught since 1995.
This week's episode features another journal club. It covers the article entitled: "Minority Tax Reform — Avoiding Overtaxing Minorities When We Need Them Most" which appeared in the New England Journal of Medicine. The article was written by Theresa Williamson, M.D., C. Rory Goodwin, M.D., Ph.D., and Peter A. Ubel, M.D. This article defines and discusses the "minority tax" that is levied so frequently towards minority academic clinicians. This minority tax leads to an increased work load, increased stress and decreased promotion rates. It likely contributes to a high attrition rate of minority physicians from academic medicine. We hope you enjoy this Journal Club edition of Ethically Sourced. In the future, we will feature additional articles that are relevant to our mission. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Dr. Peter Angelos (https://twitter.com/pangelos1?s=20) is an endocrine surgeon at the University of Chicago and is really one of the founders of the field of surgical ethics. We ask him to define for us the term “surgical ethics” and chat about a number of important ethical issues such as informed consent, paternalism, and the limits of disclosure. Links: 1. SOUTHWESTERN SURGICAL CONGRESS EDGAR J. POTH MEMORIAL LECTURE. Surgical ethics and the challenge of surgical innovation. https://www.americanjournalofsurgery.com/article/S0002-9610(14)00457-7/fulltext 2. Dr. Angelos’s column on MD Edge: https://www.mdedge.com/authors/peter-angelos-md-phd-facs 3.The personal dimension of informed consent: https://www.mdedge.com/surgery/article/79179/personal-dimension-informed-consent 4. David Urbach on the word “leaks”: https://soundcloud.com/cjs-podcast/e17-david-urbach-on-checklists-wait-times-in-the-time-of-covid-and-medical-devices 5. Tim Pawlik: https://soundcloud.com/cjs-podcast/e26-tim-pawlik-on-surgical-regret-leadership-and-academic-success 6. The Right Choice? Paternalism, Autonomy, and the Incidental Finding. https://www.mdedge.com/surgery/article/88487/right-choice-paternalism-autonomy-and-incidental-finding 7. How was your night, Doc? The limits of disclosure in preop. https://www.mdedge.com/obgyn/article/77752/how-was-your-night-doc-limits-disclosure-preop 8. How to Solve Ethical Conflicts in Everyday Surgical Practice: A Toolbox. https://link.springer.com/chapter/10.1007%2F978-3-030-05964-4_29 Bio (from https://www.uchicagomedicine.org/find-a-physician/physician/peter-angelos) Peter Angelos, MD, PhD, is a highly regarded surgeon who has extensive experience in surgery of the thyroid, parathyroid and adrenal glands. He is also an expert in treating endocrine cancers, including thyroid, parathyroid and adrenocortical cancers, as well as islet cell tumors of the pancreas. Dr. Angelos has a special interest in minimally invasive endocrine surgery, a type of surgery that is performed through small incisions. Minimally invasive surgery has many benefits for patients -- from less scarring and pain, to a shorter hospital stay and a quicker recovery. An accomplished author, Dr. Angelos has published many journal articles and book chapters on his research into improving outcomes of thyroid and parathyroid surgery, minimally invasive endocrine surgery and best practices for thyroid cancer treatment. Dr. Angelos is a recognized expert in medical ethics, and serves as associate director of the University of Chicago MacLean Center for Clinical Medical Ethics. He has written widely on ethical issues in surgical practice and how to best teach medical ethics to surgical residents. He is past president of the American Association of Endocrine Surgeons.
This week is a journal club. This article "Code-Switching As An Emergency Medicine Survival Tactic" was written by Dr. Italo Brown. He is an Emergency Medicine Physician practicing in California. This article breaks down the concept of "Code-Switching". We all know it happens and it is the topic of many twitter threads and memes. Dr. Brown highlights the toxicity behind this learned survival skill. He provides several examples of how this behavior affects the productivity and psyche of underrepresented minority physicians. We hope you enjoy this Journal Club edition of Ethically Sourced. In the future, we will feature additional articles that are relevant to our mission. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients. Visit The Black Doctors Podcast to learn more about the show. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Every week I hope that the information presented helps shape your world-view and empowers you to provide more equitable and ethical care to your patients. This week I break down the things I take into consideration when navigating a complex ethical situation. How we approach these conversations dictates how they end. Personally, I like to start by attempting to see things from the patient's perspective. Then I try to discuss my perspective and opinions with a trusted colleague. Departmental and facility policies and protocols may provide some guidance as well. Looping in a "patient advocate" or risk-management can mitigate some adverse outcomes along the way. Ultimately, a structured consideration of many different factors based upon patient goals, history, ethnicity, culture, etc. will help provide the most suitable course of action. If you find this episode helpful, please leave a review or comment on itunes as it helps the show spread and reach more people. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations regarding health equity or medical ethics, as well as for mentorship. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
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.
This episode discusses a situation that is not-uncommon in teaching hospitals across the country. At some point, physicians-in-training will have patients that would prefer to be seen, examined, or treated by a "real doctors." It is important to attempt to understand these patient's concerns and level of understanding on how the healthcare system works. In this episode, I look at these events from the perspective of the patient, trainee, and attending physician. It is important to prioritize patient autonomy, as well as maintaining an appropriate and supportive relationship with residents and other healthcare providers. I discuss a recent situation I personally encountered and how I successfully navigated the interaction. This episode is extremely pertinent to attending physicians at teaching hospitals, patients and healthcare students. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of our patients. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. Visit StevenBradleyMD.com to recommend specific guests and topics, or to request a health equity or clinical medical ethics consultation. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
The Johnson & Johnson vaccine was paused by the CDC after 6 patients were diagnosed with blood clots (cavernous sinus thromboses) several days after receiving their injection. The Advisory Committee on Immunization Practices met to discuss a way forward. Unfortunately, they made no recommendations regarding ending this pause. Dr. Will Parker and Dr. Govind Persad published an opinion piece in The Washington Post entitled, "Extending the Johnson & Johnson vaccine pause for a week was a deadly mistake". They discussed the extensive ramifications of a prolonging the pause based on these extremely low risks of complications. They argue that the ACIP does not have appropriate representation from a public health perspective. After presenting the article, I review the for basic principles of clinical medical ethics and how they are related to this issue. Thank-you for tuning into this week's episode of Ethically Sourced, a supplement of The Black Doctors Podcast. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. Visit StevenBradleyMD.com to recommend a topic or to request a consultation on a topic related to health equity or clinical medical ethics. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
In the wake of yet another episode of police brutality and misconduct ending in death for the victim, I am reviewing this article published in the AMA journal of ethics. Dr. Alden Landry, an Assistant Professor and Emergency Medicine physician was the primary author for this piece. With all of the headlines and events of the last year, there are clearly several widespread issues that need to be dealt with. These issues have significant repercussions on the lives of Black and Brown Americans. These two issues, of course, are the COVID-19 pandemic and the rampant pandemic of police brutality. After identifying the problems, how can we develop interventions to stop them. It is incumbent upon the system that produces physicians and other healthcare providers to incorporate healthcare disparities and police brutality into its education model. This paper goes on to provide eight recommendations that affect both the educator and the learner. How Should Health Professional Education Respond to Widespread Racial and Ethnic Health Inequity and Police Brutality? -JAMA Ethics February 2021 TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients from all demographics. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week I discuss another hot topic: Digital Health Passes. Or, "Vaccine Passports" as they are more commonly called. This concept is not as new as some folks seem to think. There is a precedent set by circumstances such as mandatory Yellow Fever vaccination before travel to certain areas. In this episode, I review a couple of articles that discuss some of the legal and ethical issues associated with Digital Health Passes. There are certainly pros and cons, but what do you think? Thank you to everyone who responded to the question in my instagram story. It was fantastic feedback to use in this episode. If you like what you hear, please rate, subscribe and leave a review. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
With the implementation of the 2016 Cures Act, there are big changes coming to healthcare. One of those changes include increasing patient access to their healthcare information. Soon patient notes will be available via online portals. This is an incredibly huge adjustment for physicians and providers who are used to writing notes that are read only by other healthcare workers. In this episode I discuss several ethical issues related to open access to patient notes. I also review some recommendations from the American Academy of Family Physicians for how to prepare for these changes. Through Ethically Sourced, I that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week I'm discussing an incredibly relevant topic. I have received several Ig messages and e-mails about responsible social media use for physicians and other healthcare professionals. Honestly, it was great to read and review the opinions on this timely issue. Most of the content for this episode comes from the American Medical Association Code of Ethics. Other organizations have weighed in on the subject including the Association of American Medical Colleges, the American College of Physicians, and the Federation of State Medical Boards. I highly recommend this episode for medical school applicants, current residents as well as physicians and healthcare professionals looking to establish and enhance their online, social media presence. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Is it ethical to provide financial compensation to patients receiving a COVID-19 vaccine? This week I'm discussing a question I have received several times. In this episode I discuss two proposed plans to pay $1,000 or more for being vaccinated. I discuss several ethical implications that should be addressed during this conversation. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Let's talk about autonomy. It is one of the 4 standard principles of medical ethics, and personally, it is my favorite. Thankfully medicine moved away from paternalism and is now actually seeking patient preference and informed decision making. What does autonomy really mean? What does it mean for patients? What does it mean for physicians and healthcare providers? What does autonomy look like in regards to practitioners of the Jehovah's Witness faith or for folks considering receiving a COVID-19 vaccine. I answer these questions and more as I attempt to provide a baseline for encouraging patient autonomy. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week I am reviewing an article from the Journal of the American Medical Association, entitled, "Mandating COVID-19 Vaccines." This incredibly thoughtful and comprehensive piece discussed some of the pros and cons that policy-makers must consider when decided when and if to implement COVID-19 Vaccine mandates. Key take away points include: 1. Currently the mRNA vaccines available in the US are under emergency use authorization. (It would be a bit premature to mandate a vaccine under EUA). 2. There are already certain vaccine mandates in place. (Childhood vaccines and Influenza vaccines for healthcare workers.) 3. Businesses have some leeway under the Equal Employment Opportunity Commission (EEOC) to compel employees to submit COVID test results as a condition of employment. I encourage you to listen to this week's episode and check out the article at the link above. Please rate and comment on the episode and feel free to donate and support our efforts to provide information and education on medical ethics. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
In this episode I continue the conversation I started with Dr. Darrell Gray. Deciding between private and academic medicine is a huge decision. There are pros and cons to each practice model. I talk about the significant need for Black physicians to pursue (or at least consider) careers in academic medicine. I review an op-ed piece by Dr. Uche Blackstock entitled, "Why Black doctors like me are leaving faculty positions in academic medical centers". I also reference Dr. Khoury and Dr. Dennar and their experiences within academic medicine. My goal is to be intentional in using this platform to support Black Physicians and more specifically, Black, Women Physicians. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week I give an overview of the book Medical Apartheid by Harriet A. Washington. It gives a comprehensive history of Black America's shocking mistreatment at the hands of the medical establishment. This is a must read for anyone seeking to gain a deeper understanding of the relationship between African Americans and the healthcare system. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week on Ethically Sourced, we're going back in time to revisit the story of Henrietta Lacks. She was a young, Black woman who's cervical cancer cells were preserved and used in research for the past 70+ years. Her story resulted in restorative justice from a major academic medical center as well as reform in clinical medical ethics. You can read more in the book, "The Immortal Life of Henrietta Lacks" or you can watch the movie by the same title. Tune in next week to learn more about the history of racism in medicine during Black History Month. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like me. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. If you are thinking about starting your own podcast, check out my 30 Minutes To Podcast masterclass on my website www.StevenBradley, MD.com --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week I review the structure and function of obtaining informed consent. This process occurs frequently in hospitals and clinics across the country. The goal of today's episode is to revisit your thoughts on the process if you are a physician or provider. If you are a patient, are you experiencing these conversations from your healthcare worker? As the COVID19 vaccine rollout continues, it is essential that we provide patients with true informed consent prior to receiving their injection. It is my hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives o patients that look like me. --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This week we continue our conversation on the ethical and equitable distribution of COVID-19 vaccines with Dr. Kevin Simon. We talk about the NBA's statement on NOT prioritizing athletes for the vaccine and discuss episodes of financially privileged retirees jumping the line down in South Florida. A lot has changed since we first recorded this discussion, so I provide a brief update on the current vaccine distribution process (including the thousands of doses that are being wasted). Through #EthicallySourced, a supplement to The Black Doctors Podcast, we will present information and resources that can proactively improve the care patients receive. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like us. What do you think about this new series? How do you like the background music for the episode? Please feel free to rate and comment on the show. Send positive (or negative) feedback to apple podcasts, or DM me on social media. Thanks for listening! -Steven --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
This is the first in a two-part series featuring Psychiatrist Kevin Simon, MD. Together we tackle this issue head on. We discuss Dr. Simon's experience receiving the vaccine and examine the process of ensuring the "right" people are being vaccinated in the "right order". We discuss the apprehension expressed by certain communities and some of the contributing factors. In the first part of this discussion, we review several papers published in the Journal of the American Medical Association regarding this topic. One article in particular discussed the ethics and legality of prioritizing communities of color for vaccine distribution. This episode just scratches the surface regarding the ethical principles being followed for this vaccine rollout. You will definitely want to tune in next week to catch part two of the conversation. In part two, we discuss the ways the distribution process can be (and has been) exploited. Through #EthicallySourced, a supplement to The Black Doctors Podcast, we will present information and resources that can proactively improve the care patients receive. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of patients that look like us. What do you think about this new series? How do you like the background music for the episode? Please feel free to rate and comment on the show. Send positive (or negative) feedback to apple podcasts, or DM me on social media. Thanks for listening! -Steven --- Send in a voice message: https://anchor.fm/blackdoctorspodcast/message Support this podcast: https://anchor.fm/blackdoctorspodcast/support
Who do you want at your deathbed? We do not like to think about such things, yet we will all die, and wrestling with such finitude can actually make our lives richer. Rabbi Rami's guest this week is Lydia Dugdale MD, an associate professor of medicine and director of the Center for Clinical Medical Ethics at Columbia University. She is an internal medicine primary care doctor and a medical ethicist. Dr. Dugdale is a frequent contributor to Spirituality & Health, and her new book, The Lost Art of Dying (July 2020), explores hopeful perspectives on death and dying—and living with intention—via the lost medieval practice of ars moriendi. Ars moriendi were originally two texts from the medieval era and when taken in the context of the Bubonic Plague, death was literally all around. The idea is you do not know when death will come upon you, so you need to always be ready and prepare for a good death. It sounds morbid, but doing the work can make life more meaningful. Take, for example, reconciling with family before it is too late. Dugdale finished her book prior to the COVID-19 pandemic, and while it is thankfully not the Plague, death is again front and center in our culture. Dr. Dugdale and Rabbi Rami discuss, for example, the important difference between dying alone and lonely dying. At the height of the pandemic, she reports working in the hospital and seeing, due to the shortage of PPE that would have allowed closer human contact, patients dying in a very lonely way, Dugdale. “To have patients die and have their last contact be through an iPad, it was a tragedy not only for the patients and for their families, but also for the doctors and nurses.” So what happens when we die? For more on that, you will have to listen to the podcast. Learn more about your ad choices. Visit megaphone.fm/adchoices
Essential Conversations with Rabbi Rami from Spirituality & Health Magazine
Who do you want at your deathbed? We do not like to think about such things, yet we will all die, and wrestling with such finitude can actually make our lives richer. Rabbi Rami's guest this week is Lydia Dugdale MD, an associate professor of medicine and director of the Center for Clinical Medical Ethics at Columbia University. She is an internal medicine primary care doctor and a medical ethicist. Dr. Dugdale is a frequent contributor to Spirituality & Health, and her new book, The Lost Art of Dying (July 2020), explores hopeful perspectives on death and dying—and living with intention—via the lost medieval practice of ars moriendi. Ars moriendi were originally two texts from the medieval era and when taken in the context of the Bubonic Plague, death was literally all around. The idea is you do not know when death will come upon you, so you need to always be ready and prepare for a good death. It sounds morbid, but doing the work can make life more meaningful. Take, for example, reconciling with family before it is too late. Dugdale finished her book prior to the COVID-19 pandemic, and while it is thankfully not the Plague, death is again front and center in our culture. Dr. Dugdale and Rabbi Rami discuss, for example, the important difference between dying alone and lonely dying. At the height of the pandemic, she reports working in the hospital and seeing, due to the shortage of PPE that would have allowed closer human contact, patients dying in a very lonely way, Dugdale. “To have patients die and have their last contact be through an iPad, it was a tragedy not only for the patients and for their families, but also for the doctors and nurses.” So what happens when we die? For more on that, you will have to listen to the podcast.
Episode 62 In part 5 of our Sinai and Synapses interview series, we are talking with the Rev Dr Kristel Clayville. She is the former Acting Director of the Zygon Center for Religion and Science at the Lutheran School of Theology at Chicago as well as a Senior Fellow at the MacLean Center for Clinical Medical Ethics at the University of Chicago. Clinically, she works as a chaplain and ethicist at the University of Chicago Medical Center, and focuses on the existential and spiritual issues facing organ transplant patients. Her early research was on the uses of the Hebrew Bible in environmental ethics, but more recently, she has turned toward the intersection between environmental ethics and bioethics to study the green burial movement and organ donation. Welcome to the podcast, the Rev Dr Kristel Clayville. Support this podcast on Patreon at https://www.patreon.com/DowntheWormholepodcast More information at https://www.downthewormhole.com/ produced by Zack Jacksonmusic by Zack Jackson and Barton Willis
SPEAKERS L.S. Dugdale M.D., Associate Professor of Medicine, Director of the Center for Clinical Medical Ethics, Columbia University; Author, The Lost Art of Dying: Reviving Forgotten Wisdom In Conversation with Jessica Zitter M.D., MPH, Critical and Palliative Care Specialist; Twitter @JessicaZitter In response to the Coronavirus COVID-19 outbreak, this program took place and was recorded live via video conference, for an online audience only, and was live-streamed by The Commonwealth Club of California from San Francisco on September 1st, 2020.
Unfortunately, COVID-19 has forced the world to think about death and dying in ways most of us never imagined. Joining us on this episode is Dr. Lydia Dugdale, who has been treating COVID-19 patients in New York City. She is an associate professor of medicine and director of the Center for Clinical Medical Ethics at Columbia University. Dr. Dugdale is a specialist in end-of-life issues and the author of the new book, The Lost Art of Dying. You can learn more about her at http://lydiadugdale.com. *** Thanks to our sponsors of this episode! --> BetterHelp: get 10% off your first month of online counseling if there are issues that are interfering with your happiness or preventing you from achieving your goals by visiting betterhelp.com/nobody. --> Stamps.com: 4 week trial plus free postage and a digital scale without any long-term commitment. Go to stamps.com, click on the microphone at the top of the homepage, and type in NTM. Learn more about your ad choices. Visit megaphone.fm/adchoices
This was a remarkable podcast. Eric and I were blown away by the eloquence of our guests, who were able to speak to this moment in which our country is hurting in so many ways. Today's topic is the impact of COVID19 on minority communities, but we start with a check in about George Floyd's murder and subsequent protests across the country. Our guest Monica Peek, Associate Professor of Medicine and Director of Research at the MacLean Center of Clinical Medical Ethics at the University of Chicago, notes right off the bat: COVID19 and the reaction to Floyd are related. The covid epidemic has created an economic crisis, a heightened level of worry, and a disproportionate number of deaths among the African American community. When we add COVID on top of the long history of police brutality that has been heightened over the last several years that has been ignored by the federal government - in that context, it's not surprising that we're seeing protesters put their lives on the line to stand up for what they believe in. These protesters are putting their lives on the line due to the twin risks of reprisals from police or national guard, as well as the risk of acquiring COVID during a protest. As we turn later to the topic of COVID19 and impact on minority communities, Alicia Fernandez, Professor of Medicine at UCSF and Director of the UCSF Latinx Center of Excellence, notes that so many people reach for a biologic rationale for the excess exposure and mortality among minority communities - it's a genetic factor, it's racial/ethnic differences in ACE receptors, or it's the higher rates of diabetes and kidney disease among minority communities. How is it then that Latinos, and immigrants in particular, who tend to be younger and healthier, have higher mortality rates? What COVID19 is exposing are the underlying disparities in social determinants of health. For example, Africans Americans and Latinos represent a disproportionate share of essential workers, are more likely to live together in multigenerational households, and may reside in areas with less access to testing and high quality hospital care. We turn finally, to what we can do. As Monica says, "This is the fight of our lives. And this may be our last fight." Alicia notes that we need better reporting about detailed race, ethnicity, and language of people impacted by COVID for public health reasons. We talk about the need for professional interpreters for all goals of care conversations with patients (and Yael Shenker and Alicia's must read article for all clinicians on this topic). And we return to Doug White's framework that persons who reside in areas with a high Area of Deprivation Index score get a boost in their chances of obtaining scarce treatments for COVID. Finally, I encourage you all to watch this YouTube video of the song Seriously (song choice for the Podcast), sung by Leslie Odom Junior (Aaron Burr in the original Hamilton), about how Barak Obama might have reacted aloud to the 2016 election. It's speaks to this moment as well. The link is https://www.youtube.com/watch?v=hI8TCA3fJcs -@AlexSmithMD
For the Life of the World is produced by the Yale Center for Faith & Culture. For more info, visit faith.yale.eduDr. Lydia Dugdale, MD is a New York City internal medicine primary care doctor and medical ethicist. She is Associate Professor of Medicine and Director of the Center for Clinical Medical Ethics at Columbia University. Prior to her 2019 move to Columbia, she was the Associate Director of the Program for Biomedical Ethics and founding Co-Director of the Program for Medicine, Spirituality, and Religion at Yale School of Medicine. She edited Dying in the Twenty-First Century, a volume that articulates a bioethical framework for a contemporary art of dying, and is author of The Lost Art of Dying: Reviving Forgotten Wisdom (forthcoming from HarperCollins Summer 2020), a book about a mostly forgotten ethical tradition and text that emerged in response to the Black Plague in the late middle ages: Ars Moriendi, “the art of dying.”-1:10 Drew Collins: introduction to the episode. -1:15 Do Not Go Gentle into that Good Night by Dylan Thomas; hear it read by the author here. -2:05 Drew's introduction of Dr. Lydia Dugdale. -3:18 Beginning of their conversation. -4:00 Lydia's experience of the current pandemic: "Every face is a new face ... we're starting from scratch with everyone... What's different right now, is that we're managing sick people without the opportunity to get to know them or their families … we are largely monitoring by computer screens, so we're really missing out on the human connection.” -5:35 The impact of the lack of human connection on healthcare providers: the situation is dehumanizing for patients and the doctor-patient relationship.-7:34 The meaning of moral injury and the impact of COVID-19 on doctors and healthcare workers' mental health: comparing military front lines to healthcare front lines. -8:05 Lydia: “But what we've experienced in New York is actually far less than what we anticipated.” -8:32 “When you are working really hard to save people's lives but they aren't really human in the way that we usually think of doctor's relating to patients. And I don't want to suggest that the doctors are dehumanizing the patients but the situation is so dehumanizing.”-9:45 Explication of the term “moral injury”. -13:10 The unsung heroism of essential workers in NYC, already living at the brink of economic peril. -14:20 Lydia describes her own personal fears:-15:05 The non-stop nature of the pandemic impact in NYC. Never-ending ambulance sirens, refrigerated mobile morgues around the city; lack of attention on public school children and the educational impact and the importance of public schools. "We have children who are going hungry because they are dependent on school to eat”; shuttering small businesses, because closing doors for a month is impossible.-17:20 Lydia on the macro-picture of the health-effects of the economic downturn; human flourishing. -18:19 Lydia shares an unpopular, but important view: How the current moment of covid-19 could change the conversation about human finitude, acceptance of our mortality, and the need to prepare for our deaths. -21:25 Ars Moriendi—the art of dying, which has been lost in modern America. -22:26 Lydia explains how her interests in Ars Moriendi were sparked--Lydia's grandfather's brushes with death, her family's frank conversations about the reality of death, and her experiences of other people dying while completing her medical residency. -25:39 “What struck me about the Ars Moriendi (art of dying) is that it was developed in the aftermath of the Bubonic plague outbreak that struck western Europe in the mid-1300s. And was a pastoral response, if you will, to the concerns of the laity--the laypeople--who said ‘look our priests are dying or they're skipping town; there's no one to perform burials or last rites; for all we know, this can be damning to our souls; we need some help preparing for death.'” - 27:30 The Ars Moriendi was given to all of the community, including children. It grew out of the pre-Reformation Catholic Church, but eventually was adopted much more broadly, and ended up not being tied to a particular denomination or religion. -29:11 "In order to die well, you've got to live well.” Understanding our finitude and working out questions of death in a community. -29:27 In her book she makes the case that, of course, the art of dying is broad, but it should include the constant acknowledgement of one's finitude that is carried out in a community that helps the person figure out these questions. -31:09 Fear of death, grief, and tapping into the wisdom on ultimate questions about the art of dying.-31:40 See Christian Wiman, My Bright Abyss-33:00 "There is a way in which the thought of death or threat of death brings into relief that which we most value."-33:31 A view to our death helps us to answer very important questions about human life and flourishing.-34:01 Practical and personal aspects to the reality of sickness and death during a pandemic, and its implications for personal family life.-37:01 “It took at the very beginning [of the pandemic] an acknowledgement of our finitude. We had to be willing to having those tricky conversations with little kids from the beginning."-37:50 The importance of community for dying well; "Right now, dying from covid-19 in the hospital means dying apart from family...the relational piece is really being challenged..." -38:35 Some doctors have to call patients before they come to inform them of the sad reality that if they pass, they would likely be alone. -39:50 Lydia: “Dying alone is not the same as lonely dying.”-41:34 “The challenges of dying well during covid-19 are surmountable if we are "attended to the tasks of preparing to die well over the course of a lifetime."-42:00 Conclusion.
What are the moral criteria for triaging patients when the healthcare system is overwhelmed? How is Massachusetts thinking about this? And, more broadly, what is the appropriate balance between preserving public health and limiting an economic meltdown? Please note: the last 3 minutes of this conversation are missing due to a Zoom malfunction. So it ends a bit abruptly. But the important stuff is all there! James Hughes is a senior research fellow at the UMass Boston Applied Ethics Center. He is a bioethicist and sociologist who serves as the associate provost for institutional research, assessment, and planning at UMass Boston. He holds a doctorate in sociology from the University of Chicago where he taught bioethics at the MacLean Center for Clinical Medical Ethics. Since then, he has taught health policy, bioethics, medical sociology, and research methods at Northwestern University, the University of Connecticut, and Trinity College. He is the author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future (2004) and is the co-editor of Surviving the Machine Age: Intelligent Technology and the Transformation of Human Work (2017). In 2005 he co-founded the Institute for Ethics and Emerging Technologies (IEET) with Oxford philosopher Nick Bostrom, and since then has served as its executive director. Hughes serves as associate editor of the Journal of Evolution and Technology, and as co-founder of the Journal of Posthuman Studies. He is also a fellow of the World Academy of Arts and Sciences, a member of Humanity+, the Neuroethics Society, the American Society of Bioethics and Humanities, and the Working Group on Ethics and Technology at Yale University, and served on the State of Connecticut’s Regenerative Medicine Research Advisory Committee. He speaks on medical ethics, health care policy, and future studies worldwide. Readings: Massachusetts Crisis Standards of Care for Covid 19: https://d279m997dpfwgl.cloudfront.net/wp/2020/04/CSC_April-7_2020.pdf When Can America Reopen From its Corona Virus Shutdown? https://www.politico.com/news/magazine/2020/04/02/coronavirus-economy-reopen-deaths-balance-analysis-159248
Lydia Dugdale, the Director of the Center for Clinical Medical Ethics at Columbia University, discusses how medical supplies will likely be allocated if there are shortages. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this Virtual Veritas Forum we hear from a panel that includes Lydia Dugdale, MD and Director of Columbia Center for Clinical Medical Ethics; David Brooks, bestselling author and NYT cultural commentator; and Andy Crouch, executive editor of Christianity Today, author, and partner at Praxis Labs. Moderated by executive director of The Veritas Forum, Andrew Schuman. • NEXT VIRTUAL FORUM Coronavirus & Quarantine: The Economy, Career, and Jobs Edition. Thursday, April 2 at 4pm ET. Featuring: Arthur Brooks (Harvard), Alfa Demmellash (Rising Tide Capital), and Andy Chan (Wake Forest University). For more information and registration: http://www.veritas.org/veritasforumlivestream2/ • Please like, share, subscribe to, and review this podcast. Thank you!
How will the rise of AI change state and federal bureaucracies? Are AI mediated politics more democratic? More fair? What does post human governance look like? James Hughes is a senior research fellow at the Applied Ethics Center at Mass Boston. He is a bioethicist and sociologist who serves as the associate provost for institutional research, assessment, and planning at UMass Boston. He holds a doctorate in sociology from the University of Chicago where he taught bioethics at the MacLean Center for Clinical Medical Ethics. Since then, he has taught health policy, bioethics, medical sociology, and research methods at Northwestern University, the University of Connecticut, and Trinity College. He is the author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future (2004) and is the co-editor of Surviving the Machine Age: Intelligent Technology and the Transformation of Human Work (2017). In 2005 he co-founded the Institute for Ethics and Emerging Technologies (IEET) with Oxford philosopher Nick Bostrom, and since then has served as its executive director. Hughes serves as associate editor of the Journal of Evolution and Technology, and as co-founder of the Journal of Posthuman Studies. He is also a fellow of the World Academy of Arts and Sciences, a member of Humanity+, the Neuroethics Society, the American Society of Bioethics and Humanities, and the Working Group on Ethics and Technology at Yale University, and served on the State of Connecticut's Regenerative Medicine Research Advisory Committee. He speaks on medical ethics, health care policy, and future studies worldwide. J will be giving a talk on this topic at UMass Boston on February 20th at 2PM. Please join us! email nir.eisikovits@umb.edu for details.
James Hughes joins Phil and Stephen for a discussion of the meaning of technoprogressivism. How does it differ not only from mainstream porgressivism but also from alternative transhuman philosophies such as technolibertarianism? What are the differences and why do they matter? And what are the similarities and why do THEY matter? Score yourself on the 14-point technoprogressive self-diagnostic to determine how well this political philosophy aligns with your own views. About our Guest: James Hughes is the Executive Director of the Institute for Ethics and Emerging Technologies. He is a bioethicist and sociologist who serves as the Associate Provost for Institutional Research, Assessment and Planning, for the University of Massachusetts, Boston. He holds a doctorate in sociology from the University of Chicago, where he also taught bioethics at the MacLean Center for Clinical Medical Ethics. James is author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future, and is working on a second book tentatively titled Cyborg Buddha. He is also a contributor to our book, Visions for a World Transformed. From 1999-2011 he produced the syndicated weekly radio program, Changesurfer Radio. James is a Fellow of the World Academy of Arts and Sciences, and a member of Humanity+, the Neuroethics Society, the American Society of Bioethics and Humanities, and the Working Group on Ethics and Technology at Yale University. He serves on the State of Connecticut Regenerative Medicine Research Advisory Committee. When not doing all that, James speaks on medical ethics, health care policy, and future studies worldwide. WT 324-633
Can we program ourselves to be better people? Phil and Stephen welcome James Hughes to discuss his concept of a Virtues Control Panel: "What I imagine is a virtues control panel with sliders that determine the balance of moral impulses, cognition and behavior in different situations, governed by a morality operating system. When we are working on tasks that require focus and care we would turn up concentration, conscientiousness and prefrontal control. We could also flag specific behaviors, words or even thoughts to be suppressed, and others to be enhanced. When our metabolic monitor indicates we have reached maximum calories for the day or reached peak inebriation, the sub-routines would tell us we can't eat another bite and that we don't want that next drink. " From: Visions for a World Transformed About our Guest: James Hughes is the Executive Director of the Institute for Ethics and Emerging Technologies. He is a bioethicist and sociologist who serves as the Associate Provost for Institutional Research, Assessment and Planning, for the University of Massachusetts, Boston. He holds a doctorate in sociology from the University of Chicago, where he also taught bioethics at the MacLean Center for Clinical Medical Ethics. James is author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future, and is working on a second book tentatively titled Cyborg Buddha. He is also a contributor to our book, Visions for a World Transformed. From 1999-2011 he produced the syndicated weekly radio program, Changesurfer Radio. WT 323-632
James Hughes is a bioethicist and sociologist. He’s the Executive Director of the Institute for Ethics and Emerging Technologies, and author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future.’ He holds a doctorate in sociology from the University of Chicago, where he also taught bioethics at the MacLean Center for Clinical Medical Ethics.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Mark Siegler, MD, delivers the 25th annual Lowell T. Coggeshall Memorial Lecture. The lecture examines the contributions of Franklin McLean and Lowell Coggeshall to the University of Chicago Pritzker School of Medicine and the development of clinical medical ethics at the University.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Mark Siegler, MD, delivers the 25th annual Lowell T. Coggeshall Memorial Lecture. The lecture examines the contributions of Franklin McLean and Lowell Coggeshall to the University of Chicago Pritzker School of Medicine and the development of clinical medical ethics at the University.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. "Medicine as a Spiritual Discipline: Lessons from Fred," a public lecture by Daniel P. Sulmasy. Sulmasy, Kilbride-Clinton Professor of Medicine and Ethics in the Department of Medicine and the Divinity School and Associate Director of the MacLean Center for Clinical Medical Ethics in the Department of Medicine, delivers the 2013 John S. Nuveen Lecture at the University of Chicago Divinity School. Recorded in Swift Hall’s Lecture Hall on October 31, 2013.
Listen NowOf the two and a half million Americans that die annually, less than half, or 45%, die under hospice care. About one-third of these deaths are cancer related the remainder are moreover from heart and lung disease and dementia. Of the over 5,000 hospice providers nearly two-thirds are for profit. Over 80% of all hospice care is paid for by Medicare. While hospice care is ever-increasingly becoming accepted by the public, the program's benefits are compromised largely due to the fact that over one-third of hospice enrolled decedents were enrolled in the program for too short a period of time, or less than seven days. During this 21 minute podcast, Dr. Doblin discusses why he became a hospice physician, what makes for good hospice care, why the benefit remains under-utilized, what constitutes a "good death," how might hospice and palliative care be improved and how these services might better fit in ever-evolving changes in the health care industry. Dr. Bruce H. Doblin is currently a Physician in the Department of Internal Medicine at Northwestern Memorial Hospital. He also serves as an Instructor of Clinical Medicine-Internal Medicine at the Northwestern University Feinberg School of Medicine. Previously, Dr. Doblin served for over ten years as the Medical Director for Seasons Hospice and Palliative Care in Chicago. Dr. Doblin earned his BA in Economics at Williams College and his MD and Masters in Public Health from Northwestern University. He completed fellowship training at UCLA in health services research and at the University of Chicago in Clinical Medical Ethics. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Peter Angelos, MD. PhD, is the Linda Kohler Anderson Professor of Surgery, chief of endocrine surgery, and associate director of the MacLean Center for Clinical Medical Ethics. Dr. Angelos earned his bachelor’s and medical degrees from Boston University in a six-year accelerated BA/MD program. During medical school, he entered the PhD program in philosophy at Boston University where he pursued study of the philosophical basis of medical ethics. As our faculty member, Dr. Angelos is not only a highly regarded surgeon and expert in treating endocrine cancer, but he also leads the first surgical ethics program in the world. Last year, his fellow faculty members named Dr. Angelos the University of Chicago Medical Center Faculty Physician Peer Role Model for his embodiment of medical professionalism. The “Big Ideas in Medicine” series is part of the University of Chicago Pritzker School of Medicine admitted student weekend. The panel of speakers features five leading physicians and scientists whose work has had a transformative impact in their respective fields. What will not be obvious from their talks is that students at Pritzker interact with these faculty members on a daily basis. They are our students’ teachers, mentors, and advisors, along with being our institution’s leaders. It is these daily interactions of students and faculty that provide Pritzker's enriching intellectual environment and unparalleled opportunities for our students to learn from some of the most important physicians and scientists in the country.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Peter Angelos, MD. PhD, is the Linda Kohler Anderson Professor of Surgery, chief of endocrine surgery, and associate director of the MacLean Center for Clinical Medical Ethics. Dr. Angelos earned his bachelor’s and medical degrees from Boston University in a six-year accelerated BA/MD program. During medical school, he entered the PhD program in philosophy at Boston University where he pursued study of the philosophical basis of medical ethics. As our faculty member, Dr. Angelos is not only a highly regarded surgeon and expert in treating endocrine cancer, but he also leads the first surgical ethics program in the world. Last year, his fellow faculty members named Dr. Angelos the University of Chicago Medical Center Faculty Physician Peer Role Model for his embodiment of medical professionalism. The “Big Ideas in Medicine” series is part of the University of Chicago Pritzker School of Medicine admitted student weekend. The panel of speakers features five leading physicians and scientists whose work has had a transformative impact in their respective fields. What will not be obvious from their talks is that students at Pritzker interact with these faculty members on a daily basis. They are our students’ teachers, mentors, and advisors, along with being our institution’s leaders. It is these daily interactions of students and faculty that provide Pritzker's enriching intellectual environment and unparalleled opportunities for our students to learn from some of the most important physicians and scientists in the country.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. John Fung, MD, PhD, the Chair of the Digestive Disease Institute at the Cleveland Clinic, discusses the ethical issues surrounding prisoners as organ donors and as organ transplantation recipients. Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Kimberly Olthoff, MD, the Donald Guthrie Professor of Surgery in the Division of Transplantation at Pennsylvania University, discusses the ethical dilemmas facing liver donation allocations. Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Gary Becker, PhD, University Professor in the Departments of Economics and Sociology, the University of Chicago Booth School of Business and the University of Chicago Law School, and Julio Elias, Professor in the Department of Economics and Business School at Universidad del CEMA, provide an economic explanation for why the supply of kidneys for transplants is so dismal, and economic solutions that could increase the supply. Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. John Roberts, MD, FACS, Professor in the Department of Surgery and Chief of the Division of Transplantation at University of California San Francisco, discusses how physicians should balance donor risk with recipient benefit when approaching living donor liver transplantation. Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Robert Veatch, PhD, Professor of Medical Ethics at the Kennedy Institute of Ethics and a Professor in the Philosophy Department at Georgetown University, predicts emerging controversies that face the future of organ transplantation. Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Elizabeth Pomfret, MD, PhD, FACS, Chair of the Department of Transplantation at the Lahey Clinic, debates if living donors should be used for patients with heptocellular cancer (HCC). Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Francis Delmonico, MD, FACS, Professor of Surgery at Harvard University, gives an international perspective on the ethics of organ donation and transplantation. Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html
Dr. James J. Hughes (author, professor and transhumanist) is today's featured guest. Topics: his doubts about the probability of the Singularity; Techno-Progressive Transhumanism verses Libertarian Transhumanism; Embracing Change with All Four Arms: A Posthuman Defence of Genetic Engineering; his new book Cyborg Buddah; Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future; Terry Shivo and brain death; the recent protests in the middle east for more freedom and reform; the politics of science fiction; and the personhood of clones and genetically engineered people. Hosted by Stephen Euin Cobb, this is the March 2, 2011 episode of The Future And You. [Running time: 46 minutes] This interview was recorded as a Skype-to-Skype call on February 18, 2011. Dr. James J. Hughes is the Executive Director of the Institute for Ethics and Emerging Technologies. He is also a bioethicist and sociologist at Trinity College in Hartford Connecticut where he teaches health policy and serves as Director of Institutional Research and Planning. He holds a doctorate in sociology from the University of Chicago, where he also taught bioethics at the MacLean Center for Clinical Medical Ethics. Dr. Hughes is author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future , and is working on a second book tentatively titled Cyborg Buddha. Since 1999 he has produced a syndicated weekly radio program, Changesurfer Radio. He is a Fellow of the World Academy of Arts and Sciences, and a member of Humanity+, the Neuroethics Society, the American Society of Bioethics and Humanities and the Working Group on Ethics and Technology at Yale University. Dr. Hughes speaks on medical ethics, health care policy and future studies worldwide. News Item: Telomere loss, scientists at Dana-Farber Cancer Institute say, is the root molecular cause of a variety of ills brought on by advanced age. Ills including: waning energy, failure of the heart and other organs, and metabolic disorders like diabetes. The scientists included faculty members from Dana-Farber, the Belfer Institute for Applied Cancer Science at Dana-Farber; Boston University School of Medicine; Brigham and Women's Hospital; Harvard University; University of Massachusetts, Worcester; Harvard Medical School; and St. Vincent's Hospital, University of Melbourne, Australia.
Dr. James J. Hughes (author, professor and transhumanist) is today's featured guest. Topics: challenges facing transhumanism today; the many flavours of transhumanism; fighting for the rights of the non-human person; and his expriences interviewing guests for his show Changesurfer Radio. Hosted by Stephen Euin Cobb, this is the February 23, 2011 episode of The Future And You. [Running time: 42 minutes] This interview was recorded as a Skype-to-Skype call on February 18, 2011. Dr. James J. Hughes is the Executive Director of the Institute for Ethics and Emerging Technologies. He is also a bioethicist and sociologist at Trinity College in Hartford Connecticut where he teaches health policy and serves as Director of Institutional Research and Planning. He holds a doctorate in sociology from the University of Chicago, where he also taught bioethics at the MacLean Center for Clinical Medical Ethics. Dr. Hughes is author of Citizen Cyborg: Why Democratic Societies Must Respond to the Redesigned Human of the Future , and is working on a second book tentatively titled Cyborg Buddha. Since 1999 he has produced a syndicated weekly radio program, Changesurfer Radio. He is a Fellow of the World Academy of Arts and Sciences, and a member of Humanity+, the Neuroethics Society, the American Society of Bioethics and Humanities and the Working Group on Ethics and Technology at Yale University. Dr. Hughes speaks on medical ethics, health care policy and future studies worldwide. News Items: The audio book edition of Bones Burnt Black is now complete. The tenth and final segment is now online for everyone to listen to and enjoy for free. It can be found in the same place you find the episodes of this show.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. 28th Annual Interdisciplinary Faculty Seminar Series:Global Health and Medical Ethic - "Reporting Meningococcal Epidemics in Africa: Health and Policy Implications," presented by Anup Malani. Sponsored by:The Maclean Center for Clinical Medical Ethics and The Global Health Initiative.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. This the first lecture in the Global Health and Medical Ethics series. Dr. Peter Singer speaks here about medical research, new advances and its applications and missed opportunities in the third world.This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Dr. Kenneth Mayer visited from Brown University to speak about what we can learn from our experiences with HIV here in the United States and what that means for our increasingly global gene pool.This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Dr. Kenneth Mayer visited from Brown University to speak about what we can learn from our experiences with HIV here in the United States and what that means for our increasingly global gene pool.This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Dr. Donald Hopkins speaks about the fight against Guinea Worm Disease, a disease that just 25 years ago was extremely under-reported and almost unheard of outside of the third world.This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. This the first lecture in the Global Health and Medical Ethics series. Dr. Peter Singer speaks here about medical research, new advances and its applications and missed opportunities in the third world.This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Dr. Donald Hopkins speaks about the fight against Guinea Worm Disease, a disease that just 25 years ago was extremely under-reported and almost unheard of outside of the third world.This interdisciplinary seminar in clinical medical ethics has met each year since 1981 when Mark Siegler and Richard Epstein organized a year-long program on Bad Outcomes after Medical Innovation. The 2009-10 seminar, the 28th annual seminar in this series, will focus on Global Health and Medical Ethics. We have invited distinguished national and local experts to address these issues.The 2009-2010 Global Health Ethics Seminar aims to promote greater awareness of the complex ethical challenges that pervade international health. Faculty and guest speakers from a wide range of academic disciplines including economics, law, religion, public policy, and medicine will speak at these weekly seminars throughout the academic year. The Seminar Series is organized and sponsored by the MacLean Center for Clinical Medical Ethics and the Global Health Initiative.Under the distinguished leadership of Dr. Funmi Olopade, the Global Health Initiative (GHI) at the University of Chicago is dedicated to improving health through educational, research, and clinical programs that link the University of Chicago with partners around the world. Since many academic disciplines contribute to global health, GHI brings together a diverse group of faculty, students, and other trainees from many different schools and programs. The GHI aims to solve complex international health challenges through novel, integrative approaches.
If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Dr. Mark Siegler, Director of the MacLean Center for Clinical Medical Ethics at the University of Chicago Hospital, talks about how he came to love Chicago through loving the University of Chicago.
University of Chicago Human Rights Program Distinguished Lecturer Series
A talk by Dr. Allen S. Keller, Bellevue/NYU Program for Survivors of Torture. From the Human Rights Distinguished Lecturer Series. Sponsored by the Norman Wait Harris Fund of the Center for International Studies, the MacLean Center for Clinical Medical Ethics, Students for Global Public Health.
A talk by Dr. Allen S. Keller, Bellevue/NYU Program for Survivors of Torture. From the Human Rights Distinguished Lecturer Series. Sponsored by the Norman Wait Harris Fund of the Center for International Studies, the MacLean Center for Clinical Medical Ethics, Students for Global Public Health.
University of Chicago Human Rights Program Distinguished Lecturer Series
A talk by Dr. Allen S. Keller, Bellevue/NYU Program for Survivors of Torture. From the Human Rights Distinguished Lecturer Series. Sponsored by the Norman Wait Harris Fund of the Center for International Studies, the MacLean Center for Clinical Medical Ethics, Students for Global Public Health.