Podcasts about clinical medical ethics

This week, Israeli Prime Minister Benjamin Netanyahu visited President Donald Trump in the White House. His visit highlights the drawn out war in Iran, as well as growing antisemitism in the US. We re-air a conversation between Russell Moore and Rabbi Michael Holzman about the difference between dislike for Netanyahu and antisemitism and the true definition of pluralism. Next, there have been more cases of measles so far in 2026 than in all of 2025. Dr. Lydia Dugdale joins Clarissa Moll to discuss specifics about measles, and how distrust in the US government during the Covid pandemic spilled over into more widespread vaccine skepticism. Finally, a recent Wall Street Journal article suggests that some therapists play a part in the trend of adults cutting off their parents. Psychotherapist Allison Cook shares some categories to think about estrangement from a family member. REFERENCED IN THE SHOW: Are Therapists to Blame for the Rise of Adults Cutting Off Their Parents? - The Wall Street Journal 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 GUESTS: Rabbi Michael Holzman is the spiritual leader of the Northern Virginia Hebrew Congregation and the founder of the American Scripture Project and Faith250. Rabbi Holzman has partnered with a variety of organizations like the Aspen Institute, Philanthropy for Active Civic Engagement and the Shalom Hartman Institute of North America to examine the intersection of faith and democracy. 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 co-director of clinical ethics at NewYork-Presbyterian Hospital, Columbia University Irving Medical Center. Her scholarship focuses on end-of-life issues, the role of aesthetics in teaching ethics, moral injury, and the doctor-patient relationship. Alison Cook is a therapist and host of The Best of You podcast. She is the author of the ECPA-bestselling book The Best of You and coauthor of Boundaries for Your Soul. Cook empowers individuals to heal from past wounds, develop a strong sense of self, forge healthy relationships, and experience a loving God who is for them. ABOUT THE BULLETIN: The Bulletin is a twice-weekly news analysis podcast from Christianity Today, with editor-at-large Russell Moore. Each episode offers commentary on current events and headlining news with a roundtable of premier guests, and shares a Christian perspective on issues that are shaping our world The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Host: Alexa Copeland Associate Producer: Alexa Copeland Editing and Mix: Kevin Morris Graphic Design: Rick Szuecs Music: Dan Phelps Executive Producer: Erik Petrik Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

Why don't more doctors talk about death? Dr. Lydia Dugdale has been asking this question since she was a medical student. She is the Silberberg Professor of Medicine and directs the Center for Clinical Medical Ethics, and two books on how we die, including "The Lost Art of Dying." "Most medical professionals today are very unpracticed at talking to patients about their mortality," she says. Not only unpracticed, but even themselves afraid. In this bonus clip from Episode 232 with Macie Bridge, Dugdale traces the path from that early perplexity on the wards to the ars moriendi, the medieval art of dying, grounded in the idea that dying is part of living, so if you want to die well you have to live well. Lydia comments on the emergence of palliative care and the way it let physicians hand conversations about death to specialists; the doctor who inherited the priest's old place at the threshold between life and death; the death anxiety clinicians carry without examining; virtue as preparation for dying, and community as the other half of living well; the unrepresented patients of New York City who die alone; and a grumpy old man, hospitalized for 20 years, who wept when she read aloud what she had written about him. Episode Highlights “Most medical professionals today are very unpracticed at talking to patients about their mortality.” “we are really the intermediaries between life and death, I'm not saying we're priests, but that used to be the role of the priest. And so it is now the role of the physician. “If you want to die well, you have to live well.” We have to be all in or we end up like all of these patients here in New York City who have no one that I can reach out to as they're dying. “He started weeping and he said, someone finally saw me. Someone finally saw me. I've been in this hospital for 20 years and I didn't think anyone ever saw me.” About Lydia Dugdale Lydia Dugdale is a physician and medical ethicist who has spent fifteen years asking why medicine finds death so hard to talk about. She is the Silberberg Professor of Medicine at Columbia, directs the Columbia Center for Clinical Medical Ethics, and co-directs clinical ethics at NewYork-Presbyterian Milstein Hospital, where she still sees patients. She edited "Dying in the Twenty-First Century" and wrote "The Lost Art of Dying," a modern ars moriendi. She trained at the University of Chicago and Yale-New Haven Hospital, holds a master's in ethics from Yale Divinity School, and in 2025 founded the nonprofit Heal the Nation. Helpful Links and Resources “Dying Alone,” the full Episode 232 with Lydia Dugdale and Macie Bridge: https://faith.yale.edu/media/dying-alone Lydia Dugdale's website: https://lydiadugdale.com/ The Lost Art of Dying: Reviving Forgotten Wisdom, Lydia Dugdale's book: https://www.harpercollins.com/products/the-lost-art-of-dying-ls-dugdale Dying in the Twenty-First Century, edited by Lydia Dugdale: https://mitpress.mit.edu/9780262534598/dying-in-the-twenty-first-century/ Columbia Center for Clinical Medical Ethics, which Dugdale directs: https://www.vagelos.columbia.edu/departments-centers/columbia-center-clinical-medical-ethics Columbia Center for Clinical Medical Ethics on X: https://x.com/columbia_ccme Ars moriendi, the medieval art of dying, at the Morgan Library and Museum: https://www.themorgan.org/blog/new-acquisition-ars-moriendi-blockbook Ars moriendi block book, 1475, at the Library of Congress: https://www.loc.gov/item/2021666798/ Lydia Dugdale at the Yale Center for Faith and Culture: https://faith.yale.edu/people/lydia-dugdale-md Show Notes Death anxiety in medicine Why doctors avoid frank conversations about mortality Palliative care's arrival as a discipline, and what it made possible Real gains in symptom relief for the sick and the dying The unintended cost: death conversations outsourced to specialists Clinicians as intermediaries between life and death The priest's old place at the threshold, now the physician's Nurses at the bedside, doctors calling the shots on treatment Existential questions physicians have never worked through A colleague who would never tell a patient they were dying, out of her own fear of death Digging into how other times and places handled mortality Ars moriendi: the medieval genre on the preparation for death Illustrated editions made for people who could not read Fifteen years and two books spent reviving the art of dying Living well as the precondition of dying well Virtue as preparation: hope, patience, joy against bitterness and despair The role of community in dying well New York's unrepresented patients, dying alone A reader estranged from his adult children who committed to years of repair after the book Relationship as ongoing work: rupture, forgiveness, iron sharpening iron A long-hospitalized patient nobody wanted assigned to their team Modeling care for young doctors, and being verbally destroyed in front of them Loneliness of the neighbor, the colleague, the checkout person Practice as the only way to get better at it #ForTheLifeOfTheWorld #LydiaDugdale #TheLostArtOfDying #ArsMoriendi #MedicalEthics #DyingWell #Loneliness #EndOfLifeCare Production Notes This podcast featured Lydia Dugdale Edited and Produced by Evan Rosa Hosted by Evan Rosa Production Assistance by Noah Senthil A Production of the Yale Center for Faith & Culture at Yale Divinity School https://faith.yale.edu/about Support For the Life of the World podcast by giving to the Yale Center for Faith & Culture: https://faith.yale.edu/give

Most parents know what goes into raising children: the time spent changing diapers in inopportune places; the hours of worrying—about what to feed them, how to educate them, how to protect them and keep them healthy; the countless hours devoted to dance classes, summer camps, pediatricians, and piano lessons—all investments meant to give them the best chance in life. Most of us would do anything to help our kids become the most successful and happiest versions of themselves. But what if we could start earlier? At the molecular level. What if we could ensure our babies were healthier, smarter, and stronger, before they even took their first breath? Right now, several biotech companies are doing just that. They offer embryo screening for couples undergoing in vitro fertilization (IVF). These companies don't just score embryos for disease risk, which has become standard practice for anyone undergoing IVF—they go further. Nucleus Genomics promises “optimization” of traits like heart health and cancer resistance, as well as intelligence, longevity, body mass index, baldness, eye color, hair color, etc. It even suggests it may predict a predisposition to become an alcoholic. In the future, we may be able to more than just screen and select. We'll be able to make tweaks to our own embryos in order to “optimize” them. This isn't something out of Aldous Huxley's Brave New World. It's the very real, and near, future. Some would argue it's already here. It all creates profound and critical questions. So we hosted a debate: Is it ethical to design our unborn children? And are we morally obligated to do so when the risks of abstaining include serious diseases? Or does designing babies cross a line? Is it wrong to play God and manipulate humanity's genetic heritage? Arguing that designing babies is not only an ethical choice, but indeed a moral imperative, are Jamie Metzl and Dr. Allyson Berent. Jamie is a technology and healthcare futurist, who was a member of the World Health Organization Expert Advisory Committee on Human Genome Editing. He's also written several best-selling books on this subject, including Hacking Darwin: Genetic Engineering and the Future of Humanity. Allyson is a veterinarian who has become an incredible force for genetic research since her daughter, Quincy, was diagnosed with Angelman syndrome. She serves as chief science officer of the Foundation for Angelman Syndrome Therapeutics and chief development officer at a biotechnology company, where she helps accelerate gene therapy programs for Angelman syndrome. Arguing that designing babies is unethical are O. Carter Snead and Dr. Lydia Dugdale. Carter is a bioethicist and law professor at Notre Dame. He served as general counsel to the President's Council on Bioethics under George W. Bush and as an appointed member of UNESCO's International Bioethics Committee. He is also an appointed member of the Pontifical Academy for Life, which advises the pope on bioethics. Lydia is a physician, medical ethicist, and professor of medicine at Columbia University, where she serves as director of the Center for Clinical Medical Ethics. She is also Co-Director of Clinical Ethics at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center. It's a critical debate you won't want to miss.  The Free Press is honored to have partnered with the Foundation for Individual Rights and Expression to present this debate. Head to TheFire.org to learn more about this indispensable organization. Learn more about your ad choices. Visit megaphone.fm/adchoices

Living alone may be difficult, but what about dying alone? Physicians and nurses are the new priests accompanying people as they face death. But the experience of nursing homes, assisted living, and palliative wards are often some of the loneliest spaces in human culture.“He said, ‘Someone finally saw me. I've been in this hospital for 20 years and I didn't think anyone ever saw me.'”This episode is part 5 of a series, SOLO, which explores the theological, moral, and psychological dimensions of loneliness, solitude, and being alone.In this episode, Columbia physician and medical ethicist Lydia Dugdale joins Macie Bridge to reflect on loneliness, solitude, and what it means to die—and live—well. Drawing from her clinical work in New York City and the years of research and experience that went into her book The Lost Art of Dying, Dugdale exposes a crisis of unrepresented patients dying alone, the loss of communal care, and medicine's discomfort with mortality.She recalls the medieval Ars Moriendi tradition, where dying was intentionally communal, and explores how virtue and community sustain a good death. Together they discuss solitude as restorative rather than fearful, loneliness as a modern epidemic, and the sacred responsibility of seeing one another deeply. With stories from her patients and her own reflections on family, COVID isolation, and faith, Dugdale illuminates how medicine, mortality, and moral imagination converge on one truth: to die well, we must learn to live well … together.Helpful Links and ResourcesThe Lost Art of Dying: Reviving Forgotten Wisdom by Lydia S. DugdalePew Research Center Study on Loneliness (2025)Harvard Study of Adult Development on LonelinessEpisode Highlights“If you want to die well, you have to live well.”“Community doesn't appear out of nowhere at the bedside.”“He said, ‘Someone finally saw me. I've been in this hospital for 20 years and I didn't think anyone ever saw me.'”“We are social creatures. Human beings are meant to be in relationship.”“Solitude, just like rest or Sabbath, is something all of us need.”About Lydia DugdaleLydia S. Dugdale, MD, MAR is a physician and medical ethicist at Columbia University, where she serves as Professor of Medicine and Director of the Center for Clinical Medical Ethics. She is the author of The Lost Art of Dying: Reviving Forgotten Wisdom and a leading voice on virtue ethics, mortality, and human flourishing in medicine.Show NotesLoneliness, Solitude, and the CityNew York's “unrepresented” patients—those who have no one to make decisions for them.The phenomenon of people “surrounded but unseen” in urban life.“I have a loving family … but I never see them.”Medicine and the PandemicLoneliness intensified during COVID-19: patients dying alone under strict hospital restrictions.Dugdale's reflections on balancing social responsibility with human connection.“We are social creatures. Human beings are meant to be in relationship.”Technology, Fear, and the Online Shadow CommunityPost-pandemic isolation worsened by online echo chambers.One in five adults reports loneliness—back to pre-pandemic levels.The Lost Art of DyingMedieval Ars Moriendi: learning to die well by living well.Virtue and community as the foundation for a good death.“If you don't want to die an impatient, bitter, despairing old fool, then you need to practice hope and patience and joy.”Modern Medicine's Fear of DeathPhysicians unpracticed—and afraid—to talk about mortality.“Doctors themselves are afraid to talk about death.”How palliative care both helps and distances doctors from mortality.Community and MortalityThe man who reconnected with his estranged children after reading The Lost Art of Dying.“He said, ‘I want my kids there when I die.'”Living well so that dying isn't lonely.Programs of Connection and the Body of ChristVolunteer models, day programs, and mutual care as small restorations of community.“The more we commit to others, the more others commit back to us.”Solitude and the Human SpiritDistinguishing solitude, loneliness, and social isolation.Solitude as restorative and necessary: “All of us need solitude. It's a kind of rest.”The contemplative life as vital for engagement with the world.Death, Autonomy, and CommunityThe limits of “my death, my choice.”The communal role in death: “We should have folks at our deathbeds.”Medieval parish customs of accompanying the dying.Seeing and Being SeenA patient long thought impossible to care for says, “Someone finally saw me.”Seeing others deeply as moral and spiritual work.“How can we see each other and connect in a meaningful way?”Production NotesThis podcast featured Lydia DugdaleInterview by Macie BridgeEdited and Produced by Evan RosaHosted by Evan RosaProduction Assistance by Alexa Rollow, Emily Brookfield, and Hope ChunA Production of the Yale Center for Faith & Culture at Yale Divinity School https://faith.yale.edu/aboutSupport For the Life of the World podcast by giving to the Yale Center for Faith & Culture: https://faith.yale.edu/give

This week on The Bulletin, Russell and Mike talk about Charlie Kirk's memorial service and the convergence of a worship service and a political rally. Then, Andy Olsen joins to discuss the expansion of ICE and the Department of Homeland Security's claim that over 2 million illegal immigrants have left the country. Finally, Dr. Lydia Dugdale stops by to break down the research regarding pain killers and autism. 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 GUESTS:   Andy Olsen is the senior features writer at Christianity Today. He previously oversaw the print magazine team. His writing has appeared in the Los Angeles Times and the Chicago Tribune, among other outlets, and has been recognized by the Religion News Association and the Evangelical Press Association. 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 co-director of clinical ethics at NewYork-Presbyterian Hospital, Columbia University Irving Medical Center. 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 twice-weekly politics and current events show from Christianity Today 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: TJ Hester Graphic Design: Rick Szuecs Music: Dan Phelps  Executive Producers: Erik Petrik and Mike Cosper   Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

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.

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!

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

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

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

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

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.