Social & Ethical Issues

• SEIM Small Group Faculty Schedule Fall 2010
• SEIM Small Group Assignments: 2010-2011
   
• Social and Ethical Issues in Medicine (SEIM) Winter
• SEIM Small Group Assignments: 2010 - 2011
• Debate Instructions

SESSION 1: FWH 101

Wednesday, 10/20
1:00 - 1:50

Welcome
Med Ed Research Survey Course Orientation USMLE Quiz
Written Reflection

2:00 - 3:00 Presentation and Panel Discussion NO SMALL GROUPS

History of Medicine I: Professionalism

Required Readings:
Learning Objectives: History of Medicine I: Professionalism and the Philosophy of Medicine
Ashley K. Fernandes and Robert D. Reece, "Notes on Professionalism"
Casey McCluskey, Class of 2013, "Loved and Lonely"
Ken Dahms, Legal Brief

Recommended Readings:
Edmund Pellegrino, "Toward a Reconstruction of Medical Morality"
D. Christakis and C. Feudtner, "Ethics in a Short White Coat"

SESSION 2: FWH 101

Wednesday, 11/03
1:00 - 3:00 TBL

YOU WILL BE IN YOUR SEIM GROUPS, NOT YOUR NORMAL TBL GROUPS!

ONE PERSON FROM EACH GROUP MAY BRING A LAPTOP

NO SMALL GROUPS

History of Medicine II: Law and Medicine- TBL

Required Readings:
Because of the TBL content, the required readings are longer than normal. Please allow yourself adequate time to complete them. Only the IRAT/GRAT portion is graded.

Learning Objectives: History of Medicine II: Law and Medicine
Jennifer Horner, "Morality, Ethics, and Law: Introductory Concepts" (excerpt)
Ann Maradiegue, "Minor’s Rights Versus Parental Rights: Review of Legal Issues in Adolescent Health Care"
Jeffrey Lenow, "Fetal Interests‖"

Recommended Readings:
Rebecca Gudeman, "Minor Consent, Confidentiality, and Child Abuse Reporting: Ohio"
LETTER FROM BIRMINGHAM JAIL, Martin Luther King, Jr. (excerpt)

SESSION 3: FWH 120

Wednesday, 11/10
3:00 – 5:00
USMLE Quiz
Extended Panel

NO SMALL GROUPS

History of Medicine III: Medicine, the Holocaust, and Research Ethics

Memo to Class with Group Assignments  (PDF)

Required Readings:
Learning Objectives: History of Medicine III: Medicine, the Holocaust, and Research Ethics
Joel Giederman, "Physician Complicity in the Holocaust, Part II"
Ashley K. Fernandes, MD, PhD, "Notes on Medicine, the Holocaust, and Research Ethics"
Elie Wiesel, "Night" (excerpt)
Ken Dahms, Legal Brief

Recommended Readings:
Henry K. Beecher, "Ethics and Clinical Research"
CHRIS HUBBARD "Eduard Pernkopf’s Atlas of Topographical and Applied Human Anatomy: The Continuing Ethical Controversy"

SESSION 4: FWH 120

Wednesday, 11/17
1:00 – 2:10 Group (A)
2:15 – 3:35 Group (B)
3:40 – 5:00 Group (C)

NO SMALL GROUPS

An Introduction to Ethical Theory

Required Readings:
Learning Objectives: Introduction to Ethical Theory
Ashley K. Fernandes, Notes, "Introduction to Ethical Theory"
Casey McCluskey, Class of 2013, "In the Dugout"
Ken Dahms, Legal Brief

Recommended Readings:
Lauris Kaldjian et al., "A Clinician’s Approach to Clinical Ethical Reasoning"
James Dwyer, "Primum non Tacere: An Ethics of Speaking Up"

SESSION 5: FWH 101

Wednesday, 12/01
1:00 – 2:00
USMLE Quiz
Presentation

2:00 - 3:00
Groups A 1-3: FWH 130a
Groups A 4-6: FWH 130b
Groups A 7-9: FWH 130d

3:00 - 4:00
Groups B 1-3: FWH 130a
Groups B 4-6: FWH 130b
Groups B 7-9: FWH 130d

The 4 Box Method

Required Readings:
Albert Jonsen et. al., "Clinical Ethics: Introduction"
Ashley K. Fernandes, Notes, "The Four Box Method"
Francis W. Peabody, "The Care of the Patient"
Ken Dahms, Legal Brief

SESSION 6: FWH 101

Wednesday, 12/08
1:00 - 2:00
USMLE Quiz
Presentation

2:00 – 3:00
Groups A 1-3: FWH 260 FWH
Groups A 4-6: FWH 106 FWH
Groups A 7-9: FWH 120 FWH

3:00 - 4:00
Groups B 1-3: FWH 260 FWH
Groups B 4-6: FWH 106 FWH
Groups B 7-9: FWH 120 FWH

Nuts and Bolts: Autonomy, Competence, Confidentiality, Truth-Telling, and Informed Consent

Required Readings:
Learning Objectives: “Nuts and Bolts”Autonomy, Competence, Truth-Telling, Confidentiality, and Informed Consent
Ashley K. Fernandes and Mary T. White, Notes, "Autonomy and Competence"
Ashley K. Fernandes, Notes, "Confidentiality and Informed Consent"
Ken Dahms, Legal Briefs

• Legal Brief – Autonomy, Confidentiality, Competency, Truth-Telling and Informed Consent
• Legal Brief – The HIPAA Privacy Rule

Recommended Readings:
Atul Gawande, "Whose Body Is It, Anyway?"
Lawrence Altman, "The Man on the Table Devised the Surgery" and Letters to the Editor (New York Times)

SESSION 7: FWH 101

Wednesday. 12/15
1:00-2:00
USMLE Quiz
Panel Discussion

2:00 – 3:00
Groups A 1-3: FWH 130a
Groups A 4-6: FWH 130b
Groups A 7-9: FWH 130d

3:00 - 4:00
Groups B 1-3: FWH 130a
Groups B 4-6: FWH 130b
Groups B 7-9: FWH 130d

HAPPY HOLIDAYS!
CLASS RESUMES 1/12/11

End of Life and Palliative Care

Required Readings:
Learning Objectives: Advance Directives, Palliative Care, and Hospice Care
Mattie Stepanek, "Final Thoughts"
Ashley K. Fernandes, Notes, "Advance Directives and Futility"
Ashley K. Fernandes, Notes, "Palliative Care and Hospice Care"
Bruce Himelstein et. al., "Pediatric Palliative Care"
Rachel Remen, Essays
Ken Dahms, Legal Brief

Recommended Reading:
Ohio’s DNR-CC Law and Form
Advance Directive Forms - just SKIM it to get a feel of the format etc.

SESSION 8: FWH 101

Wednesday, 1/12
1:00 – 2:00
USMLE Quiz

Presentation:
Ashley K. Fernandes, MD, PhD
and Dr. Larry Amesse, MD

2:00 – 3:00
Groups B 1-3: FWH 130a
Groups B 4-6: FWH 130b
Groups B 7-9: FWH 130d

3:00 - 4:00
Groups A 1-3: FWH 130a
Groups A 4-6: FWH 130b
Groups A 7-9: FWH 130d

Ethical Issues in Assisted Reproductive Technologies

Required Readings:
Learning Objectives: Ethical Issues in Assisted Reproductive Technology
Ronald Munson, excerpts, "Reproductive Control"
Nature News Feature, "Your Destiny, from Day One"
Gretchen Vogel and Constance Holden, "Field Leaps Forward with New Stem Cell Advances"
Ken Dahms, Legal Brief  "Assisted Reproductive Technologies" (ART)

Recommended Readings:
Katrina Clark, "My Father was an Anonymous Sperm Donor"
Michael Ryan,  "Countdown to a Baby"

SESSION 9: FWH 101

Wednesday, 1/19
1:00 - 2:00
USMLE Quiz
Panel with Dr. Larry Lawhorne,
MD and guests

2:00 - 3:00
Groups B 1-3: FWH 130a
Groups B 4-6: FWH 130b
Groups B 7-9: FWH 130d

3:00 - 4:00
Groups A 1-3: FWH 130a
Groups A 4-6: FWH 130b
Groups A 7-9: FWH 130d

The Ethics of Aging

Required Readings:
Learning Objectives: The Ethics of Aging
Deon Hayley et. al., "Ethical and Legal Issues in Nursing Home Care"
Erik Lindbloom et. al., "Mistreatment in the Nursing Home: A Systematic Revie"
Liam O’Flaherty, "Life"
Ken Dahms, Legal Brief "The Ethics of Aging"

Recommended Readings:
Howard Spiro, "An Old Doctor Grows Older"
Sarah Lamb on "Aging in India"

SESSION 10: FWH 101

Wednesday, 1/26
1:00 – 3:00
USMLE Quiz

Extended Panel

Case analysis assignment handed out. Due 2/18/11.

NO SMALL GROUPS

Disabilities

Required Readings:
Learning Objectives: Disabilities
Mary T. White, "Notes" on Disability
Kelly Munger et. al., "The Next Exclusion Debate"
Richard Selzer, "Witness"
Ken Dahms, Legal Brief "Disabilities"

SESSION 11: FWH 101

Wednesday, 2/9
1:00 – 3:30
Faculty Debate

NO SMALL GROUPS

Health Care Reform
N.B., Due to the critical and complicated nature of this topic, the readings are longer this week! Understanding health care reform is crucial to medical practice—so prepare well!

Required Readings:
Learning Objectives: Health Care Reform
Ronald Munson, excerpt, "Paying for Health Care" (10 pages)
Ken Dahms, Legal Brief  "Health Care Reform Act"
Pro:
Jonathan Cohn, "Creative Destruction" (8 pages)
Jacob Hacker and Rahul Rajkumar, "Health Care Deform" (4 pages)
Jonathan Cohn, "On the House" (2 pages)
Con:
Ross Kaminsky- "Is it a Right or Isn’t It?" (3 pages)
Theodore Dalrymple, "Man vs Mutt" (4 pages)
Chuck Donovan, "Obamacare: Impact on Families" (3 pages)
Robert Moffitt, "Empowering Individuals in the Health Care Syste" (5 pages)

Recommended Readings:
Kaiser Family Foundation, "Summary" of the Patient Protection and Affordable Care
Act 2010

SESSION 12: FWH 101

Wednesday, 2/16
2:00-4:00

Groups A 1-3: FWH 130a
Groups A 4-6: FWH 130b
Groups A 7-9: FWH 130c
Groups B 1-3: FWH 130d
Groups B 4-6: FWH 130e
Groups B 7-9: FWH 120

Case analysis due by this Friday, Feb. 18 at 5p.m.!

Health Care Disparities

Required Readings:
Learning Objectives: Health Care Disparities
David Hilfiker, "Pillaging the Ghetto"
Mary Gerend and Manancy Pai, "Social Determinants of Black-White Disparities in Breast Cancer Mortality: A Review"
McCluskey - Student As Patient "Bending Over Backwards"
Ken Dahms, Legal Brief "Health Care Disparities"

SESSION 13: FWH 101

Wednesday, 2/23
2:00 - 4:00
Student Debate

NO SMALL GROUPS

See APPENDIX 3 FOR INSTRUCTIONS AND ROOM ASSIGNMENTS

Euthanasia and Assisted Suicide

Debate Format and Instructions

Required Readings:
Learning Objectives: Ethics and the End of Life
Ashley K. Fernandes and Robert Reece, Notes, "Ethics at the End of Life"
Timothy Quill, "Death and Dignity"
Edmund Pellegrino, "Compassion Needs Reason Too"
Ken Dahms, Legal Brief "Euthanasia and Assisted Suicide"

SESSION 14: FWH 101

Wednesday. 3/2
1:00-2:00
USMLE Quiz
Panel Discussion

2:00 – 3:00
Groups B 1-3: FWH 130a
Groups B 4-6: FWH 130b
Groups B 7-9: FWH 130d

3:00 - 4:00
Groups A 1-3: FWH 130a
Groups A 4-6: FWH 130b
Groups A 7-9: FWH 130d

Final: Due before 5pm on March 14.

HAVE A GREAT YEAR!

Addiction

Required Readings:
Steven Hyman, "The Neurobiology of Addiction"
Peter Cohen, "Addiction, Molecules, and Morality: Disease Does Not Obviate Responsibility"
Thomas Cochrane, "Brain Disease or Moral Condition? Wrong Question."
Anonymous, "My Lead"
Ken Dahms, Legal Brief "Brief-Addiction"

Recommended Reading:
Susan Okie, "A Flood of Opioids, a Rising Tide of Death"