"Clinical ethics consultation (CEC) and conflict resolution"
This plenary session will focus on approaches and methods that are used, or may be used, in CEC for conflict resolution and prevention, broadly understood. Common conflicts in CEC include conflicts between ethical values and principles, between stakeholders (healthcare providers, patients, healthcare institutions), and between hierarchies, often complicated by intercultural tensions and underlying societal conflicts. This session will feature 4 speakers with diverse backgrounds, each one giving a short input talk, before embarking on a joint discussion with the public. Richard Huxtable (Bristol, UK) will focus on conflict resolution in clinical ethics, including mediation techniques. Anna Hirsch (Munich, DE) will add a philosophical perspective focusing on the resolution of value and norm conflicts. Sarah Barclay (London, UK) and Simon A. Mason (Zurich, CH) will provide two perspectives external to clinical ethics, coming from healthcare mediation and intercultural and political mediation.
Speakers
Richard Huxtable, LLB (Hons), MA, PhD, is Professor of Medical Ethics and Law at the University of Bristol, UK, where he has directed the Centre for Ethics in Medicine. His research focuses on end-of-life ethics, surgical ethics, and clinical ethics. A long-standing participant in clinical ethics support locally, regionally and nationally, Richard serves (or has served) as chair of the UK Clinical Ethics Network and on the ethics committees of the British Medical Association and the Royal College of General Practitioners.
Sarah Barclay is the founder of The Medical Mediation Foundation and an accredited mediator specialising in mediating disagreements between parents and health professionals about the care and treatment of children. MMF provides mediation and conflict management training to support health professionals to recognise and manage conflict. Since 2010, MMF has trained more than 10,000 health professionals in managing conflict in the UK and internationally. Sarah has a Master’s degree in Medical Law and Ethics from King’s College London and is a former award winning journalist, author and BBC social affairs presenter
Anna Hirsch, MA, PhD, is a trained philosopher and ethics consultant in healthcare. As a postdoc at the Institute of Ethics, History and Theory of Medicine at LMU Munich, she focuses on ethical questions and challenges in patient care. In her research, she seeks to bridge the gap between philosophical conceptual adequacy and practical utility for medical ethics.
Simon J. A. Ma son, PhD, is a senior researcher and head of the Mediation Support Team at the Center for Security Studies (CSS) at ETH Zurich. He has been working in the Mediation Support Project (MSP, a joint project between the CSS and swisspeace, supported by the Federal Department of Foreign Affairs [FDFA]) since 2005 and in the Culture and Religion in Mediation project (CARIM, supported by the Swiss FDFA) since 2011. He holds a doctorate in environmental science from ETH Zurich and is a trained mediator, accredited by the Swiss Mediation Association SDM.
“Racism in healthcare and equitable care access for migrants” Supported by the Cantonal Office for the Integration of Foreigners and the Prevention of Racism
This plenary session will address the ethical challenges and problems resulting from (institutional or individual) racism in healthcare, in particular with regard to the issue of equitable access of migrant patients to quality care and treatment. To start this session, engage the audience and link the discussion to the concrete practice, we will use one or two real, anonymized case vignettes from clinical ethics as a starting point presented by Kristina Würth, IHM, Lausanne. After that, a roundtable discussion with experts and stakeholders from various perspectives will be moderated. The panel consists of Amina Benkais Benbrahim (antiracism policy, City of Lausanne, CH), Nancy Berlinger (Hasting Center NY, USA), Rainer Tan (Head of Migrant Health Unit, Unisanté Lausanne, CH), and a patient or proxy with personal experience (information to be added).
Speakers
Amina Benkais-Benbrahim is Doctor in international law. She is the Head of the Cantonal Office for the Integration of Foreigners and the Prevention of Racism (BCI) in the canton of Vaud since 2011. In this capacity, she acts as the public policy representative for the federal and cantonal authorities, and works with both government departments and local authorities, as well as with the many associations in the area. She is a member of several national and cantonal committees: the Swiss Centre for Islam and Society (CSIS), the Federal integration and asylum policy support group, the Cantonal Commission to combat domestic violence (CDCLVD), the platform for combating radicalization and extremism, platform for the prevention of human trafficking.
Nancy Berlinger, PhD, is a Senior Research Scholar at The Hastings Center, an independent bioethics research institute based in Garrison, NY (USA). Her research focuses on ethical and social dimensions of population aging, migrant health, and safety and harm in health systems. She directs The Hastings Center Guidelines on decision-making and care near the end of life and is preparing a new open-access edition of this work. She founded and directs The Hastings Center’s Sadler Scholars initiative for doctoral students from underrepresented communities.
Rainer Tan, MD, PhD, is a board certified general internal medicine specialist, and clinical researcher. He is the head of the medical migration health unit at Unisanté, center for Primary care and Public Health, University of Lausanne. His clinical work concentrates on the care for asylum seekers. His research focuses on digital health solutions for improved quality of care and antibiotic stewardship, racism in healthcare, and migration health.
Each panelist will start with a brief, informal comment on the case(s), followed by a more general round on the topic. Then, the audience will be invited to join the discussion, ask questions, and express comments.
"Clinical ethics consultation (CEC) and artificial intelligence"
This plenary will focus on the interplay between clinical ethics and artificial intelligence (AI). It will address ways how clinical ethics can help implement responsible AI in healthcare, but also highlight initiatives to use AI to improve clinical ethics itself (e.g., decision support tools, preference prediction models). After an overview about the interplay between clinical ethics and AI, given by Nikola Biller-Andorno (Zurich, CH), Karin Jongsma (Utrecht, NL) and Georg Starke (Munich, DE) will engage in a pro-con debate about the personalized patient preference predictor, a specific example of how AI may be used to help (or not) clinical decision making and clinical ethics.
Speakers
Nikola Biller-Andorno, MD, PhD, MHBA trained as a physician and medical ethicist. She is full professor of biomedical ethics and directs the Institute of Biomedical Ethics and History of Medicine at the University of Zurich (UZH), a WHO Collaborating Center. She serves as Vice Dean Innovation of Digitalization of the UZH Medical Faculty and as a member of the European Group on Ethics in Science and New Technologies, which advises the European Commission.
Karin Jongsma, PhD, is associate professor of bioethics at the Julius Center of the University Medical Center Utrecht. She leads a research group focusing on the ethics of (bio)medical innovation, including amongst others digital medicine, neuroscience and regenerative medicine. Karin is a selected member of EBRAINS Ethics and Society Committee, the Institutional Research Board of the University Medical Center Utrecht and the Utrecht Young Academy. Previously she was amongst others a visiting fellow at the University of Oxford, the University of Montreal and the Netherlands Institute for Advanced Studies (NIAS). She is committed to public engagement and science communication and considers playfulness and reflexivity essential to good academic practice.
Georg Starke, MD, PhD, is a postdoctoral researcher in bioethics at the College of Humanities at EPF Lausanne, working in the Intelligent Systems Ethics Group. Trained as philosopher and physician, he conducts research at the intersection of AI ethics, medical ethics, and neuroscience. His current work on the Hybrid Minds project focuses on AI-based neurotechnology, relating fundamental philosophical and ethical questions to empirical work in the field.
This plenary will explore how questions of climate crisis and ecological sustainability impact clinical ethics and how organizational healthcare ethics can help hospitals and other healthcare providers to deal with sustainability challenges. A focus will be on the role and responsibility of the clinical ethicist in this larger societal challenge. The session will start off with a brief interactive online survey with the audience about their experiences and attitudes on the topic. It will then feature two major keynote talks on this topic by Cristina Richie (Edinburgh, UK), presenting suggestions for a “green clinical ethics”, and Andrew Hantel (Boston, USA) who has recently conducted research on this topic:
Speakers
Cristina Richie, PhD, is a Lecturer in the Philosophy Department at the University of Edinburgh. Her research is driven by a global vision of clean, just, and ethical health care through the development of strategies and policies. In addition to her two monographs and two sole-edited volumes, Dr. Richie is the author of over sixty articles in journals including Nature Climate Change, The Lancet, and the American Journal of Bioethics. She is the joint-Editor of Global Bioethics and a Board Member of the International Association of Bioethics and the European Society for Philosophy of Medicine and Health Care, and the Institute for Medical Ethics.
Andrew Hantel, MD, is a medical oncologist, clinical ethicist, and care delivery researcher at Dana-Farber Cancer Institute and the Harvard Medical School Center for Bioethics. His research centers on the ethics of cancer care, within which he focuses on the intersections of cancer care with climate change, scarce therapeutic allocation, and research participation. Dr. Hantel is also a member of the Ethics Committees of American Society for Clinical Oncology and Alliance for Clinical Trials in Oncology.
"Clinical ethics consultation (CEC) and socio-political competencies:
the past, the present, and the future"
In this closing panel, we would like to zoom out to the big picture of clinical ethics and its links to socio-political challenges of our time. It should specifically address the core competencies that clinical ethicists of the future will need, in particular with regard to the socio-political dimension of clinical ethics. After a presentation of the new, 3rd edition of the ASBH Core Competencies for Healthcare Ethics Consultants given by Mark Aulisio (Cleveland, USA), the second part of the session will feature a dialogue between Stella Reiter-Theil (Basel, CH) and Laura Guidry-Grimes (Cleveland, USA) about the past, the present, and the future of clinical ethics and its links to larger societal challenges.
Speakers
Mark Aulisio, PhD, is the Susan E. Watson Professor and Chair of the Department of Bioethics at Case Western Reserve University School of Medicine and Co-Director of the Center for Clinical Ethics, University Hospitals Cleveland Medical Center. Dr. Aulisio is trained in Western analytic philosophy with an emphasis on moral & political philosophy and bioethics. His research focuses on clinical bioethics, ethics consultation, end of life issues, organ donation and transplant, double effect, and related areas.
Stella Reiter-Theil is emeritus Professor of Medical and Health Ethics at the University of Basel, Medical Faculty, and former Director of the Dept. of Clinical Ethics, University Hospitals Basel. PhD in psychology & philosophy (Univ. Tübingen), psychother. training (Vienna), habilitation in med. ethics (Univ. Freiburg). She developed ethics curricula (A, GER, CH), a European Master, and a PhD program. Her research started with physiology, moving to ethics in psychiatry/intensive care/oncology and clinical ethics consultation in theory and practice. She served on various ethics committees, e.g. for the German Ministry of Health, WHO.
Laura Guidry-Grimes, PhD, HEC-C is Associate Staff Ethicist at Cleveland Clinic, and she has faculty appointments in the Department of Medicine at Cleveland Clinic Lerner College of Medicine and the Department of Bioethics at Case Western Reserve University School of Medicine. She provides ethics consultation and support for main campus as well as regional hospitals and clinics in northeast Ohio. Her research focuses on the nature of vulnerability in clinical settings, disability bioethics, and psychiatric ethics.
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