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ETHICS Cardiothoracic Ethics Forum: Surgical Ethics Course
Saturday, April 25, 2015 | 8:00 AM - 3:30 PM

Course Co-Chairs: *Martin F. McKneally, University of Toronto
*Robert M. Sade, Medical University of South Carolina

A one day intensive course focused on ethical issues faced by practicing surgeons will be presented at the Annual Meeting of the American Association for Thoracic Surgery in Seattle on Saturday, April 25, 2015. Topics to be discussed include: the limits of understanding in consent, delegation of decision making, talking to patients and families about errors, dealing with other surgeons' mistakes, oversight of innovation, sham operations and placebos, rethinking the dead donor rule, paying organ donors, and live broadcast of operations. The course will emphasize interactive learning. The day is divided into four major sessions, during which speakers will provide ample time for active discussion between course participants and faculty. The final session will debate and explore the challenging issue of live broadcast of surgical operations. Speakers will include long term members of the CT Ethics Forum and other clinical surgeons experienced in addressing and solving these problems.

Educational Objectives
At the conclusion of this course, the participants will be able to:

  • Confront and resolve difficult problems in informed consent.
  • Apply ethical frameworks to the problem of dealing with surgical errors.
  • Provide reliable guidance on the practice and oversight of innovative surgery.
  • Discuss and advise on contemporary issues in organ transplantation.
  • Understand the ethical issues inherent in live broadcast of surgical operations.
 
8:00 am - 8:30 am Introduction

*Martin F. McKneally, University of Toronto
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*Robert M. Sade, Medical University of South Carolina
 
8:30 am - 10:15 am Talking to Patients: Consent and Disclosure of Errors

When is delegation of decision making appropriate?
*Thomas A. D'Amico, Duke University
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Do patients need to understand as well as be informed in consent?
Robert F. Dunton, Columbia University
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Discussion

What do patients and families need to know when errors occur?
*Susan D. Moffatt-Bruce, Ohio State University
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How should surgeons deal with other surgeons' errors?
John W.C. Entwistle, III, Thomas Jefferson University
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Discussion
 
10:15 am - 10:45 am Break
 
10:45 am - 12:00 pm Innovation and Research

How is innovation different from research?
*Paul W. Fedak, Libin Cardiovascular Institute, University of Calgary
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Is oversight for innovation adequate?
*Richard I. Whyte, Harvard Medical School

Are sham operations and placebos justifiable in research?
*Leslie J. Kohman, SUNY Upstate Medical University
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Discussion
 
12:00 pm - 1:00 pm Lunch
 
1:00 pm - 2:00 pm Organ Donation and Transplant Issues

Should the dead donor rule be abandoned?
Kathleen Fenton, International Children's Heart Foundation

Should organ donors be paid (everyone else is)?
Grayson H. Wheatley, III, Temple University
 
2:00 pm - 3:00 pm Debate

Live Broadcast is a good idea.
*Tirone E. David, Toronto General Hospital
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Here's why Live Broadcast is a bad idea.
*John S. Ikonomidis, Medical University of South Carolina

Discussion
 
3:00 - 3:30pm Wrap-up and Adjourn
 


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All rights reserved. IMPORTANT REMINDER: The preceding information is intended only to provide general guidance and not as a definitive basis for diagnosis or treatment in any particular case. It is very important that you consult a doctor about any specific medical problem or question.