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Internal Medicine 2012, New Orleans

Ethics, Professionalism, and Human Rights Committee Sessions

4/19/2012 11:15 AM -12:45 PM
PN 012
Room 356-57

Ethical Challenges in Advance Care Planning

Kesavan Kutty, MD, MACP, FCCP, FRCP (L) (Moderator)
Chair, ACP Ethics, Professionalism and Human Rights Committee
Professor of Medicine, The Medical College of Wisconsin
Academic Chairman of Medicine, St. Joseph Regional Medical Center

Ana María López, MD, MPH, FACP
Vice Chair, ACP Ethics, Professionalism and Human Rights Committee
Associate Dean, Outreach & Multicultural Affairs
Professor of Medicine & Pathology
Medical Director, Arizona Telemedicine Program
University of Arizona College of Medicine

Joseph J. Fins, MD, FACP
Chief, Division of Medical Ethics
The E. William Davis, Jr., MD Professor of Medical Ethics
Professor of Medicine, Professor of Public Health & Professor of Medicine in Psychiatry
Weill Cornell Medical College
New York Presbyterian Hospital-Weill Cornell Center

1. What is the current model of decision making at the end of life and what ethical principles does it try to uphold?
2. What are barriers to advance care planning?
3. How can discussions about advance care planning best be accomplished?
4. How can the physician support the family or close others involved in the implementation of end-of-life care decisions?

4/19/2012 2:15 AM - 3:45 PM
PN 016
Room 391-392

To Test or Not to Test: Ethics of Genetics in the Office

Maren T. Scheuner, MD, MPH (Moderator)
Core Investigator, VA Greater Los Angeles Healthcare System

Faith T. Fitzgerald, MD, MACP
Professor of Medicine
Associate Dean of Humanities and Bioethics
University of California at Davis Health System
Caroline L. Goldzweig, MD, MSHS, FACP
Co-Lead QI/Informatics SPA
VA Greater Los Angeles Health Care System
West Los Angeles Health Care Center, GIM

1. How do you recognize a patient who might have a genetic predisposition? What educational and psychosocial needs should be addressed? When should you consider a referral for a genetic consultation?
2. Who are genetics professionals, what happens during a genetic consultation, and what is the informed consent process for genetic testing?
3. What are the ethical issues for patients and their family members (privacy, coercion, testing of minors, reproductive decisions) and the ethical issues for clinicians (disclosing benefits, risks, limitations, and alternatives to testing; follow-up and recontacting patients; maintaining confidentiality; warning of risk to others)? What legal protections are in place to mitigate genetic discrimination by insurers and employers (state and federal legislation, Genetic Information Nondiscrimination Act)?

4/20/2012 4:30 - 5:30PM
PN 015
Room 383-385

Patient Centered Medical Home: Ethics, Accountability and Team Work

Clarence H. Braddock, III, MD, MPH, FACP (Moderator)
Member, ACP Ethics, Professionalism and Human Rights Committee
Associate Chief, Division of General Internal Medicine
Professor of Medicine
Associate Dean, Medical Education
Director, Clinical Ethics
Stanford University School of Medicine

Gary S. Fischer, MD
Associate Professor of Medicine
Medical Director, Ambulatory Services, General Medicine, Oakland
University of Pittsburgh
Division of General Internal Medicine
University of Pittsburgh Medical Center Montefiore Hospital


Karen B. DeSalvo, MD, MPH, MSc, FACP
Commissioner of Health
Senior Health Policy Advisor to the Mayor
City of New Orleans Health Department

1. How does the PCMH align with principles of medical ethics and professionalism?
2. What challenges to medical professionalism might the PCMH raise?
3. Identify strategies to promote effective collaboration with team members and an enhanced focus on patient-centered care.

4/21/2012 11:15 AM -12:45 PM
PN 013
Room 391-92

Ethics Year in Review

Clarence H. Braddock, III, MD, MPH, FACP (Moderator)
Member, ACP Ethics, Professionalism and Human Rights Committee
Associate Chief, Division of General Internal Medicine
Professor of Medicine
Associate Dean, Medical Education
Director, Clinical Ethics
Stanford University School of Medicine

Joseph J. Fins, MD, FACP
Chief, Division of Medical Ethics
The E. William Davis, Jr., MD Professor of Medical Ethics
Professor of Medicine, Professor of Public Health & Professor of Medicine in Psychiatry
Weill Cornell Medical College
New York Presbyterian Hospital-Weill Cornell Center

Daniel P. Sulmasy, MD, PhD, FACP
Member, Presidential Commission for the Study of Bioethical Issues
Kilbride-Clinton Professor of Medicine and Ethics
The University of Chicago Medical Center

1. What are the emerging medical ethics and professionalism issues for internists today?
2. How are ethics issues affecting patient care?
3. What should practitioners keep in mind when confronting these issues?

4/21/2012 4:00 - 5:00 PM
PN 014
Room 383-85

Ethics, Professionalism and the Electronic Health Record

Susan L. Rattner, MD, MSClinEpi, FACP (Moderator)
Professor of Medicine
Professor of Community and Family Medicine
Vice Dean, Academic Affairs/Undergraduate Medical Education
Thomas Jefferson University

Eugenia L. Siegler, MD, FACP
Mason Adams Professor of Geriatric Medicine
Professor of Clinical Medicine
Geriatrics and Gerontology
Weill Cornell Medical College
New York Presbyterian Hospital-Weill Cornell Center

Peter D. Stetson, MD, MA
Assistant Professor of Clinical Medicine and Clinical Medical Informatics
Columbia University Medical Center
Associate Director, Quality Informatics
New York-Presbyterian Hospital

1. What are the benefits of the use of electronic shortcuts for writing notes in the EHR? What problems can arise?
2. What ethical issues and implications for the patient-physician relationship are raised by technology shortcuts like “copy and pasting”?
3. How can the benefits of technology be used effectively?

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