#============================================================# | CENTER FOR CLINICAL ETHICS AND HUMANITIES IN HEALTH CARE | | BIOETHICS BULLETIN | #============================================================# Editor: Tim Madigan February 1995 Volume Two, Number Two =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= MISSION STATEMENT The Center for Clinical Ethics and Humanities in Health Care is devoted to supporting and enhancing the dialogue regarding ethical and humanistic issues in health care in the Western New York area. Its constituency includes members of area institutions of higher learning as well as health care providers and the institutions they practice in. Close coordination with hospital ethics committees as well as academic programs and research enterprises will be pursued. A monthly newsletter, monthly grand rounds and other lectures, and the development of research and reading groups, will be basic tactics in facilitating dialogue in the area. Membership is open to all. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= THE CENTER OFFICE For further information, please contact Lisa Bolten, the Center's secretary. The new telephone number is 862-3412, FAX 862-3679. Mail should be sent to: The Center for Clinical Ethics and Humanities in Health Care c/o Gerald Logue, MD & Stephen Wear, PhD, Co-Directors VAMC, 11th Floor 3495 Bailey Avenue Buffalo, New York 14215 E-mail sent to Ms. Bolten (Lbolten@ubmedc.buffalo.edu) will be forwarded as indicated. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= PARTICIPANT DATA SHEETS The Center would like to identify the basic interests of potential participants as well as identify those who may be willing and able to assist with the development of the Center and its enterprises. If you have not filled out a participant data sheet, please contact us at the address above and we will send one to you. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= UPCOMING CENTER MEETINGS ^^^^^^^^ ^^^^^^ ^^^^^^^^ EDUCATION COMMITTEE The next meeting of the committee will be on Wednesday, February 15 at 10 AM at the Health Sciences Building, SUNY-Buffalo South Campus, Roswell Park Room B-15. Topics to be discussed include: the monthly conference schedule, Continuing Medical Education programs, and bioethics educator network. ----------------------------------------------------------------------------- HEALTH CARE POLICY SUBCOMMITTEE The Health Care Policy Subcommittee of the Research Committee seeks issues which need a sounding board or an opinion regarding the delivery of health care, or even broader issues of academic or scientific importance. The issues will be broader than those brought before hospital ethics committees. Please call Elaine Taylor at 898-3316 to find out when the next meeting will take place. ----------------------------------------------------------------------------- COMMUNITY AFFAIRS COMMITTEE GRAND ROUNDS The Community Affairs Committee will be sponsoring an ongoing series of bioethics grand rounds at area hospitals on a monthly basis. All Center members are encouraged to attend. "Issues of Informed Consent for Bone Marrow Transplant in a Developmentally Disabled Patient," Monday, February 13, 7:30 AM - 9:00 AM. Roswell Park Cancer Institute, Administrative Conference Room, Main Hospital, 5 East. For information, please contact Catherine Lyons at 845-3122. "Do Not Resuscitate Orders in Pre-Hospital Care." A panel discussion with legal representatives, township residents, politicians, primary care physicians, emergency medical personnel, and others. Speakers include Mary Ferguson, JD and the Rev. David Donner. Wednesday, March, 8:00 AM - 9:30 AM. St. Joseph's Hospital, New Community Room. For information, please contact Pat Lonergan at 891-2400. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= UPCOMING LECTURES ^^^^^^^^ ^^^^^^^^ "Ethical Issues in Ambulatory General Medicine Practice," Wednesday, February 1st, 7:45 AM. UB South Campus, Beck Hall. Presenter: Jack Freer, MD. Much of the interest in clinical ethics has been on high profile hospital-based issues. This conference will explore some of the more subtle, but common, issues in outpatient practice. For further information please contact Dr. Freer at 862-6611. ----------------------------------------------------------------------------- D.W. Harrison Lecture. "Accelerating Approval of Drugs for Serious and Life-Threatening Illnesses." Thursday, February 9, 4:15 PM. UB South Campus, Butler Auditorium, Farber Hall. Presenter: David A. Kessler, JD, MD, Commissioner, U.S. Food and Drug Administration. An informal reception will follow. ----------------------------------------------------------------------------- "Animal Research: Necessary to Human Welfare? A Debate." Thursday, February 16, 5:15-7:15 PM. UB South Campus, Butler Auditorium, Sherman Hall. Presenters: Ron Allison, MD, a Buffalo oncologist who will illustrate problems of extrapolation from animals to humans (e.g. thalidomide), and argue that alternative methods to animal testing should be developed, including tissue and organ cultures. Professor David Triggle, Dean of the UB School of Pharmacy, will respond. This debate is sponsored by the Buffalo Association of Scholars. ----------------------------------------------------------------------------- "Reflections of a Neuroscientist on the Foundations of Ethics," a lecture by Professor Jean-Pierre Changeux of the Institut Pasteur in Paris, and president of the French National Advisory Committee on Ethics of Health Care and Life Science. This is the inaugural Annual Jus Lecture, to be held Monday, February 20th, 5 PM in the McLeod Auditorium of the Medical Sciences Building, University of Toronto. For further information, contact Carol Nash at the Centre for Bioethics, (416) 978-2709. ----------------------------------------------------------------------------- "HIV, Litigation, and Privacy Laws: How They Affect Bloodbanks, Hospitals, Physicians, and Other Providers," Joseph Kelly, PhD, JD, associate professor of business, Buffalo State College. Millard Fillmore Department of Medicine Grand Rounds, Monday, March 6, 8:45 AM. Gates Circle, Webster Hall. For further information, contact Jack Freer at 862-6611. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= GRADUATE RESEARCH ETHICS COURSE Richard Hull, UB professor of philosophy, is facilitating a graduate course in research ethics. The meetings are open to the public, and should be of interest to people with a concern for medical ethics. All meetings will be held at the UB South Campus, Butler Auditorium, Sherman Hall, from 5:15-7:15 PM. The February schedule is as follows: Thur. Feb. 2: "Understanding Disagreements Over Using Animals in Research." Richard Hull. Tues. Feb. 7: "Is It Ethical to Create Transgenic Animals?" Bernard Rollin, PhD, Colorado State University. Thur. Feb. 16: "Animal Research: Necessary to Human Welfare? A Debate." Ronald Allison, MD, Oncologist, and Ronald Triggle, PhD, UB Dean of Pharmacy. (See above for more details.) Thur. Feb. 23: "Experimental Design, Data Management." Elaine Hull, PhD, Behavioral Neuroscience, Psychology; Bruce Holm, PhD, OB/Gyn, Pharmaceutics; Linda Duffy, PhD, Pediatrics. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= INTERACTIVE WORKSHOP A day long conference on Patient-Physician Communication Techniques will be held on Friday, March 17 from 8:00 AM to 3:00 PM at the UB South Campus, Butler Auditorium, Sherman Hall. It will focus on strategies for improving communication, understanding, and satisfaction between health professionals and patients. Presented by Steven Cole, MD, Albert Einstein College of Medicine and the American Academy on Doctor and Patient; sponsored by the Departments of Psychiatry and Family Medicine at UB. For further information and to register (free of charge), please contact Beverlie (898-4870) or Becky (885-2261, ext. 2869). =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= INDEPENDENT HEALTH SPONSORS HOSPICE LECTURE SERIES A series of lectures will be held during 1995 at the new Hospice Buffalo Mitchell Campus, 225 Como Park Boulevard, Cheektowaga. Sponsored by Independent Health, the Hospice Lecture Series will offer renowned speakers on a variety of topics. The first lecture will be on Saturday, April 1 from 9 AM - 4 PM: Joan Borysenko, PhD will speak on "The Courage to Heal." For information on registration and conference fees please call the Hospice Marketing Department at 838-4438. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= THE CENTER IS NOW ON-LINE The Center now is part of the Buffalo Freenet's "Medical Center" menu. The Buffalo Freenet Biomedical Ethics Center is a service of the Center for Clinical Ethics and Humanities in Health Care. It will inform the public about issues in medical ethics such as Living Wills, Health Care Proxies, and decisions about life-sustaining treatment, as well as related areas of law, the humanities and social sciences. It will also provide information about the Center via its monthly newsletter. Finally, it will be a local source for the National Public Telecomputing Network (NPTN) Biomedical Ethics SIG, where questions can be posed regarding medical ethics. Issues appropriately discussed here include (among others): -- Decisions to forgo life-sustaining treatment -- Euthanasia, assisted suicide, and the "right to die" -- Medical resource allocation -- Patient autonomy, and medical paternalism -- Hospice care Questions posted will be answered by members of the Center. Questions about the operation of the service should be directed to either Jack Freer (as416@freenet.buffalo.edu) or Tim Madigan (aa506@freenet.buffalo.edu). =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= CORRECTION There has been a change of dates for the previously-announced conference on "Ethics and Health Care Reform", at Rochester Institute of Technology. The new date is April 6-8. The keynote speaker will be New York Senator Daniel Patrick Moynihan. For further information, contact Dr. Wade Robison at 716-475-6643. Fax: 716-475-7120. E-mail: wlrgsh@rit.edu. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= RECENT PUBLICATIONS BY CENTER MEMBERS Stephen Wear, PhD. and Gerald Logue, MD, "Policy Options When An Attending Physician Refuses to Honor a Legally Enforceable Demand to Withdraw Life-Sustaining Treatment", VA National Center for Clinical Ethics News, Vol. 2, No. 4 (Fall 1994), pp. 1-2, 9, 11. Jack Freer, MD and David Bentley, MD, "The Role of Antibiotics in Comfort Care", in Controversies in Ethics and Long-Term Care, edited by Ellen Olson, Eileen Chichin and Leslie Libow, Springer Publishing Company, New York, 1995. The Center is collecting publications from its members, to have on file. If you have published an article or book dealing with medical ethics issues in the past 5 years, please send a copy to the Center. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= COMMENTS AND SUGGESTIONS Your comments and suggestions regarding this newsletter are encouraged. Please send them to the Center address, or by e-mail to the newsletter editor, Tim Madigan - timmadigan@aol.com. We also need information on upcoming events that would be of interest to Center members. The deadline for the next newsletter is February 15th. ==============================================================================