 |
|
|
BIOMEDICAL ETHICS Chris Hackler General We will meet early in the semester to determine the day and time of our regular meetings, and try to find a time that works for everyone. We usually meet on Mondays, but that is subject to change so as not to conflict with other humanities courses. The preferred time would be 3:30-5:30. Feel free to contact me with any questions you may have, either before or after you register, at 661-7970 or at the email address below. Syllabus for 2012 Text: Gregory Pence, Classic Cases in Medical Ethics, Sixth Edition (2010) Assignments: Before each session, email me three or four discussion points: concepts, passages, or arguments you do not fully understand, points of disagreement with the author, questions you would pose for discussion, etc. If there are multiple readings, there should be at least one item per reading. Send these to me by 1:00 on class day at chackler@uams.edu Session 1: Introduction to course 1/30 Session 2: Concepts and Theories of Ethics 2/6 Rachels, Elements of Moral Philosophy, Chapters 1, 7-9 (handout) Session 3: First Tuesday Ethics Discussion, Whit Hall, MD 2/7 (Tue. 3pm) Third-floor Classroom, ACH Session 4: Refusal of Treatment and Suicide 2/13 Pence, Chapters 1-2 Chen, Making your wishes known at the end of life. New York Times, April 15, 2010 Chen, Why doctors can’t predict how long a patient will live. New York Times, January 19, 2012 EPERC Fast Fact and Concept #10 and #84 (tube feeding) Session 5: Physician-assisted Dying 2/20 (No meeting: Presidents Day Holiday) Pence, Chapter 3 Session 6: Comas, Consciousness, and Futility 2/27 Lindell, Sensitive topic of futile medical care faces long road in legislature. statesman.com, March 8, 2011 AMA Code of Ethics: Medical futility in end-of-life care University Hospital Policy on Redirection of Care Kolata, Murky path in deciding on care at the end. New York Times, February 23, 2010 Harrell, A flicker of consciousness. Time, November 28, 2010 Ropper, Cogito ergo sum by MRI. N Engl J Med. February 3, 2010 Cruise, Bedside detection of awareness in the vegetative state: a cohort study (abstract). The Lancet, December 17, 2011 Overgaard, Measurements of consciousness in the vegetative state. The Lancet, December 17, 2011 Session 7: Physician-assisted Dying, Palliative Care and Hospice 3/05 Guest: Dr. Reed Thompson Meier, Lifesaving devices can cause havoc at life’s end. New York Times, May 13, 2010 American Medical News, Turning off heart devices….
Healy, The promise and pitfalls of palliative care. Los Angeles Times, October 24, 2011
Hartocollis, Hard choice for a comfortable death: sedation. New York Times, December 27, 2009 VA National Ethics Committee Report, The ethics of palliative sedation (excerpt). March 2006 Kahn, Occupational hazard: playing the fool. New York Times, June 7, 2010 Session 8: Definition of Death and Organ Donation 3/12 Guests: Dr. Drew Toler, Family Services Mgr., ARORA Dr. Jerril Green, ACH Critical Care Pence, Chapter 11, Allocation of artificial and transplantable organs. Sanghavi, When does death start? New York Times Magazine, December 20, 2009. Perspective: Organ donation after cardiac death (3 short articles). The New England Journal of Medicine, August 14, 2008. 3/19 Match Week Break Session 9: Research Ethics and IRBs 3/26 Pence , Chapter 9, Research on human subjects Pence, Chapter 10, Surgeon’s desire for fame Emmanuel, Wendler, and Grady, What makes clinical research ethical? JAMA, May 2000 Session 10: Arkansas Medical Society Distinguished Lecturer: Toby Schonfeld, Emory University. Attend either one of the following: 4/03 (Tue.) First Tuesday Ethics Discussion, ACH 3rd Floor Classroom 4/04 (Wed.) OB/GYN Grand Rounds, Shorey 5/25, 7am Session 11: Health System Reform 4/09 Pence, Chapter 16 Pevtzow, Aging out of health care? Chicagotribune.com, November 30, 2011 Kolata, Surgery rate late in life. New York Times, October 5, 2011 Session 12: Issues in Genetics 4/16 Pence, Chapter 14, Testing for Genetic Disease Hackler, Extending the Life Span. HEC Forum, 2004. |
